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 finding indicates to the nurse that lactulose (Cephulac)is effective for a 72-year-old man who has advanced cirrhosis?

Accepted Answer

A)  The patient is alert and oriented. 
B)  The patient denies nausea or anorexia. 
C)  The patient's bilirubin level decreases. 
D)  The patient has at least one stool daily. 
A)  The patient is alert and oriented. 
B)  The patient denies nausea or anorexia. 
C)  The patient's bilirubin level decreases. 
D)  The patient has at least one stool daily.

Question 3

Which finding is most important for the nurse to communicate to the health care provider about a patient who received a liver transplant 1 week ago?

Accepted Answer

A)  Dry palpebral and oral mucosa 
B)  Crackles at bilateral lung bases 
C)  Temperature 100.8° F (38.2° 
C)  
D)  No bowel movement for 4 days 
A)  Dry palpebral and oral mucosa 
B)  Crackles at bilateral lung bases 
C)  Temperature 100.8° F (38.2° 
C)  
D)  No bowel movement for 4 days

Question 4

To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices,it is most important for the nurse to monitor

Accepted Answer

A)  bilirubin levels. 
B)  ammonia levels. 
C)  potassium levels. 
D)  prothrombin time. 
A)  bilirubin levels. 
B)  ammonia levels. 
C)  potassium levels. 
D)  prothrombin time.

Question 5

A 36-year-old female patient is receiving treatment for chronic hepatitis C with pegylated interferon (PEG-Intron,Pegasys),ribavirin (Rebetol),and telaprevir (Incivek).Which finding is most important to communicate to the health care provider?

Accepted Answer

A)  Weight loss of 2 lb (1 kg) 
B)  Positive urine pregnancy test 
C)  Hemoglobin level of 10.4 g/dL 
D)  Complaints of nausea and anorexia 
A)  Weight loss of 2 lb (1 kg) 
B)  Positive urine pregnancy test 
C)  Hemoglobin level of 10.4 g/dL 
D)  Complaints of nausea and anorexia

Question 6

Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?

Accepted Answer

A)  Nausea and vomiting 
B)  Hypotonic bowel sounds 
C)  Abdominal tenderness and guarding 
D)  Muscle twitching and finger numbness 
A)  Nausea and vomiting 
B)  Hypotonic bowel sounds 
C)  Abdominal tenderness and guarding 
D)  Muscle twitching and finger numbness

Exam 40: 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 finding indicates to the nurse that lactulose (Cephulac)is effective for a 72-year-old man who has advanced cirrhosis?

Which finding is most important for the nurse to communicate to the health care provider about a patient who received a liver transplant 1 week ago?

To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices,it is most important for the nurse to monitor

A 36-year-old female patient is receiving treatment for chronic hepatitis C with pegylated interferon (PEG-Intron,Pegasys),ribavirin (Rebetol),and telaprevir (Incivek).Which finding is most important to communicate to the health care provider?

Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?

The Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase 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: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

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 Urological 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: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

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

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

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