Renal
Liver
Biliary
GI
Clinical
100

A potassium level of 5.7 mEq/L in a patient with acute renal failure puts them at risk for this life-threatening condition. 

What is cardiac dysrhythmia/arrhythmia? 

100

This protein, synthesized by the liver, helps maintain oncotic pressure and transports drugs; low levels can lead to edema and altered drug effectiveness.

What is albumin?

100

This condition involves inflammation of the gallbladder and can be caused by stones or other factors.

What is cholecystitis? 

100

A patient presents with RLQ pain, rebound tenderness, and elevated WBCs. The nurse knows these symptoms are likely from this condition.

What is appendicitis?

100

The nurse hears gurgling sounds and sees secretions at the trach site. This is the priority nursing intervention.

What is suction the tracheostomy?

200

The appearance of Kussmaul respirations in a renal failure patient suggests this acid-base disturbance.

What is metabolic acidosis?

200

This viral hepatitis is transmitted via the fecal-oral route, often through contaminated food or water.

What is hepatitis A?

200

This minimally invasive procedure is considered the gold standard for gallbladder removal.

What is laparoscopic cholecystectomy?

200

The nurse informs the patient that their diverticulitis is caused by a lack of this nutrient in their diet.

What is fiber?

200

Before administering medications through a PEG tube, the nurse must perform these 2 actions to prevent aspiration and verify placement.

What is check for residual and flush the tube with water?

300

This phase of acute kidney injury is marked by minimal urine output, rising creatinine, and fluid retention. 

What is oliguric phase?

300

This lab level suggests liver injury or inflammation and is specific to the liver. 

What is ALT?

300

After a lap chole procedure, it's important for patients to ambulate to help expel this gas which can cause discomfort if not released.

What is carbon dioxide?

300

This is the most reliable clinical sign of peritonitis that prompts the nurse to notify the provider immediately.

What is board-like abdominal rigidity?

300

This medication is given 1 hour before meals and is used to neutralize HCl acid and elevate the pH in the stomach. 

What are antacids (Mylanta, Malox, Pepto)?

400

This is the most likely initial cause of renal injury in a trauma patient experiencing hemorrhage and shock. 

What is prerenal injury due to hypovolemia?

400

A balloon tamponade or band ligation may be used to treat bleeding from this complication caused by portal hypertension.

What are esophageal varices?

400

This drain should be placed below the level of the gallbladder, and nurses should check the drainage for a matcha green tea color.

What is a T-tube?

400

To reduce serum ammonia levels in hepatic encephalopathy, the nurse administers this medication and monitors for 2–3 soft stools per day.

What is lactulose?

400

Zosyn should be administered cautiously in patients with this allergy.

What is a penicillin allergy?

500

This treatment may be used to rapidly lower serum potassium levels by shifting potassium into cells.

What is IV insulin with glucose? 

500

Asterixis (uncontrolled flapping of the hands), confusion, and elevated ammonia levels are signs of this complication of liver failure.

What is hepatic encephalopathy?

500

Weeks after a cholecystectomy, a patient complains of nausea and abdominal pain. The nurse suspects they have this complication.

Post-cholecystectomy syndrome.

500

The nurse educates the client that they need to be NPO for a specific amount of hours prior to their colonoscopy.

What is 6 to 8 hours?

500

On 3Plaza, this device can be used to help provide patient interpreter services, and is usually kept in this room. 

What is the med room?