This Is
The Last
Test In
Med-Surg I
Before Final
100

For which complication should a nurse be careful to monitor a patient after a liver biopsy?

Bleeding 

100

Which observation by the nurse would indicate blocked flow of bile from the liver to the intestine?

Clay-colored stools 

100

A patient who has IBD is admitted to the hospital with diarrhea. What instruction should the nurse include regarding diet?

Low roughage diet should be followed

100

What vaccination does the Occupational Health and Safety Administration (OSHA) require all health care providers to receive?

Hepatitis B 

100

What 2 actions should the nurse implement to correctly assess the progress of ascites on a daily basis?

Daily weights and abdominal girth measurements 

200

A nurse reviews a laboratory report showing elevation that is diagnostic for acute pancreatitis. Which laboratory report did the nurse most likely review? 

Serum amylase 

200

What type of pain should a resident describe who has peptic ulcer disease?

Burning 
200

What instruction given to a patient with irritable bowel syndrome should lessen discomfort?

Take small bites and chew well 

200

A nurse is caring for a client with severe diarrhea that has been going on for 2 weeks. What assessment should the nurse anticipate? 

Hypotension and fatigue 

200

What information in a patient's history indicates an increased risk of developing oral cancer? 

Alcohol consumption 

300

A patient had esophageal surgery with stents placed in the esophagus. What instruction should the nurse include to best avoid regurgitation? 

Eat only small meals 

300
What postoperative assessment should the nurse consider a priority after a client's herniorrhaphy? 

Ability to urinate 

300

After receiving a tube feeding, a nurse assesses the patient to be sweaty with abdominal distention and diarrhea. What is the most likely cause of this response?

Dumping syndrome 

300

A 38 year old client is admitted with bleeding esophageal varices. What history in the client's record is the most likely related to the current condition?

Chronic alcohol consumption 

300

A client reports gnawing epigastric pain. What laboratory finding provides further evidence that the client has a peptic ulcer?

Stool that is positive for blood 

400

Which chronic condition is related to the presence of chronic pancreatitis?

Diabetes mellitus 

400

A nurse identifies this risk factor in an older man that places him at risk for developing diverticulosis.

Eats a low fiber diet 

400

A client presents with bluish-white lesions on the mucous membranes after long-term antibiotic therapy. What should the nurse suspect?

Thrush 

400

A nurse is caring for a patient receiving total parenteral nutrition. Which nursing action is the most appropriate to implement?

Monitor the temperature for elevation 

400

What complications pose the greatest risk for a client with acute pancreatitis?

(three)

Hyperglycemia 

Necrosis of the pancreas 

Peritonitis 

500

What dietary changes should the nurse instruct to help prevent constipation? 

(four)

Addition of whole grain cereal 

Cessation of laxative use 

Increase in liquids intake 

Eating fresh vegetables 

500

What laboratory level, when elevated, would strongly suggest a possible liver disorder?

Alanine aminotransferase (ALT) 

500

A nurse is caring for a patient with diverticulosis and assesses a temperature of 102.4 F and abdominal rigidity. What should the nurse be aware is the most likely cause of these signs and symptoms?

Perforation 

500

A nurse is caring for a patient with achalasia. What nursing actions should be implemented to help the patient reduce swallowing difficulty? 

(name two) 

Identify foods that cause the problem 

Experiment with different eating positions 

500

Which nursing implementation needs to be added to the nursing care plan as the ammonia level continues to rise?

Increased frequency of neurologic checks 

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