Question 1

The nurse is planning care for a 48-year-old woman with acute severe pancreatitis.The highest priority patient outcome is

Accepted Answer

A)  maintaining normal respiratory function. 
B)  expressing satisfaction with pain control. 
C)  developing no ongoing pancreatic disease. 
D)  having adequate fluid and electrolyte balance. 
A)  maintaining normal respiratory function. 
B)  expressing satisfaction with pain control. 
C)  developing no ongoing pancreatic disease. 
D)  having adequate fluid and electrolyte balance.

Question 2

Which response by the nurse best explains the purpose of ranitidine (Zantac)for a patient admitted with bleeding esophageal varices?

Accepted Answer

A)  The medication will reduce the risk for aspiration. 
B)  The medication will inhibit development of gastric ulcers. 
C)  The medication will prevent irritation of the enlarged veins. 
D)  The medication will decrease nausea and improve the appetite. 
A)  The medication will reduce the risk for aspiration. 
B)  The medication will inhibit development of gastric ulcers. 
C)  The medication will prevent irritation of the enlarged veins. 
D)  The medication will decrease nausea and improve the appetite.

Question 3

Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt (TIPS)placed 3 months ago has been effective?

Accepted Answer

A)  Increased serum albumin level 
B)  Decreased indirect bilirubin level 
C)  Improved alertness and orientation 
D)  Fewer episodes of bleeding varices 
A)  Increased serum albumin level 
B)  Decreased indirect bilirubin level 
C)  Improved alertness and orientation 
D)  Fewer episodes of bleeding varices

Question 4

Which data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with cirrhosis?

Accepted Answer

A)  Hemoglobin 
B)  Temperature 
C)  Activity level 
D)  Albumin level 
A)  Hemoglobin 
B)  Temperature 
C)  Activity level 
D)  Albumin level

Question 5

A 67-year-old male patient with acute pancreatitis has a nasogastric (NG)tube to suction and is NPO.Which information obtained by the nurse indicates that these therapies have been effective?

Accepted Answer

A)  Bowel sounds are present. 
B)  Grey Turner sign resolves. 
C)  Electrolyte levels are normal. 
D)  Abdominal pain is decreased. 
A)  Bowel sounds are present. 
B)  Grey Turner sign resolves. 
C)  Electrolyte levels are normal. 
D)  Abdominal pain is decreased.

Question 6

Which assessment information will be most important for the nurse to report to the health care provider about a patient with acute cholecystitis?

Accepted Answer

A)  The patient's urine is bright yellow. 
B)  The patient's stools are tan colored. 
C)  The patient has increased pain after eating. 
D)  The patient complains of chronic heartburn. 
A)  The patient's urine is bright yellow. 
B)  The patient's stools are tan colored. 
C)  The patient has increased pain after eating. 
D)  The patient complains of chronic heartburn.

Exam 44: Nursing Management: Liver,Pancreas,and Biliary Tract Problems

The nurse is planning care for a 48-year-old woman with acute severe pancreatitis.The highest priority patient outcome is

Which response by the nurse best explains the purpose of ranitidine (Zantac)for a patient admitted with bleeding esophageal varices?

Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt (TIPS)placed 3 months ago has been effective?

Which data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with cirrhosis?

A 67-year-old male patient with acute pancreatitis has a nasogastric (NG)tube to suction and is NPO.Which information obtained by the nurse indicates that these therapies have been effective?

Which assessment information will be most important for the nurse to report to the health care provider about a patient with acute cholecystitis?

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Complementary and Alternative Therapies

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Abuse

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses, and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, Electrolyte, and Acid-Base Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Hematologic System

Nursing Management: Hematologic Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Dysrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urologic Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: Stroke

Nursing Management: Chronic Neurologic Problems

Nursing Management: Alzheimer's Disease,Dementia,and Delirium

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care

Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency, Terrorism, and Disaster Nursing

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