Cirrhosis
A nurse is monitoring a client receiving lactulose for cirrhosis and tells the client that the medication will cause this.
What is diarrhea?
Chronic use of NSAIDs
What is the main cause of Peptic Ulcer Disease?
A nurse is caring for a client who has PUD and states they have a headache. This is the safest medication to administer this client.
What is acetaminophen?
More in common in the small intestine. Nausea, vomiting, distention, and there can be fecal matter in the client's vomit.
What is a bowel obstruction?
A new nurse is about to remove a NG tube without checking the chart for the order.
What is check for the order as the nurse must have an order to remove a NG tube?
A nurse is admitting a client who has cirrhosis. SATA
A. Obtain PT/INR B. Administer lactulose C. Obtain daily weight and measure abdominal girth D. administer daily vitamin E. place the client on a low protein diet
What is A, B, C, D?
You would place this client on a high protein diet.
What is midway between the umbilicus and right iliac crest?
A nurse would implement in the care plan for this disorder to restrict eating, IV fluids to correct electrolytes and dehydration, and oral intake of glucose electrolyte solutions.
What is gastritis?
A client comes in with pain in their RLQ - McBurney point, has rebound tenderness, and positive Rovsing sign.
What is appendicitis?
These are the two things you must not do to a client with a bowel obstruction.
What is a barium enema because they are at risk for perforation and not to administer a laxative?
A nurse is educating a new nurse on the expected findings of cirrhosis. They would tell them which one is an expected finding. Weight gain, arrhythmias, acrocyanosis, or ascites.
What is ascites?
Spastic bowel primary effecting the colon.
What is irritable bowel syndrome (IBS)?
What is esophageal diverticulum?
A client comes in stating their stools are foul smelling and frothy.
What is acute pancreatitis?
A child comes in with pain in their McBurney point and rebound tenderness. Tell what the nurse should not do and why.
What is do not administer pain medications because you will need to be able to evaluate the child until a diagnosis of appendicitis is done?
If the client states that they no longer feel pain in their stomach that is a sign of rupture.
A nurse is assisting with evaluating the outcome of surgery on an infant who had bile duct obstruction. This is a sign that the surgery was successful.
What is yellowish-brown stool because a biliary obstruction causes clay-colored stools?
Multiple tattoos, IV drug use, contaminated needle sticks, and substance abuse.
What is hepatitis C?
A nurse would instruct this to a client who is about to have this kind of procedure. They will have coagulation studies, no NSAIDs 1 week prior, to lie on right side after the procedure, and no strenuous exercise for 5-7 days afterwards.
What is a liver biopsy?
A nurse is caring for a client with pain/tenderness in LLQ, constipation, palpable mass, and maroon colored stool.
What is diverticulosis/diverticulitis?
This is located in the sigmoid colon.
A CNA is feeding a client who has dysphagia and the nurse sees them cut up their food into small pieces, doesn't have the TV on, the head of the bed is flat, and they instruct the client to swallow with their chin down.
What is they are supposed to have the head of bed elevated?
A nurse is reinforcing teaching with a client who has cirrhosis of the liver and a history of alcohol use. The nurse would tell the client that alcohol will do this to the liver.
What is destroys liver cells that are replaced by scar tissue?
These are the signs and symptoms of alcohol withdrawal.
What are increased BP, pulse, and temperature?
This disorder a nurse would administer analgesics, place a NG tube, and administer antibiotics.
What is peritonitis?
Client comes in to ER stating they have a lot of blood in their stools with abdominal pain/cramps in their lower left portion of their abdomen (LLQ).
What is ulcerative colitis?
A client is in recovery following a endoscopy when the nurse notices the family member offering them a sandwich.
What is instruct the client and family member that they need to be tested for a gag reflex before eating?