Question 1

The nurse is assigned to a 4-month-old infant with vomiting and diarrhea who is brought to the pediatric clinic.The infant's vital signs are temperature: 37° C,apical HR: 130,R: 40/min.The abdominal assessment reveals a soft,concave abdomen,10 gurgles auscultated in 1 minute in all four quadrants,and tympani to percussion.Which collaborative care action does the nurse anticipate?

Accepted Answer

A)  Check the surgical call schedule and reserve an operating suite. 
B)  Place the infant NPO for a barium swallow. 
C)  Prepare a milk-based infant formula to replace fluids. 
D)  Complete a thorough digestion assessment interview with the mother.

Question 2

When planning care for a client with chronic hepatitis,which collaborative discipline will be most helpful in treating continued alcohol use?

Accepted Answer

A)  Social worker 
B)  Primary provider 
C)  Pharmacist 
D)  Dietitian

Question 3

A new mother brings a male infant,2-weeks-old,to the pediatric clinic for a check-up.The mother is concerned that her infant may be at risk for pyloric stenosis due to her age and because her husband had surgery for the condition when he was an infant.Which responses by the nurse are the most appropriate based on this data?

Accepted Answer

A)  "Your baby has a greater risk for the condition due to a familial history." 
B)  "Your baby would have an increased risk if the infant was a girl." 
C)  "Due to your age, your son is at an increased risk for the condition." 
D)  "As long as your baby has bowel movements there is nothing to worry about."

Question 4

The nurse is providing care to a pediatric client diagnosed with celiac disease.Which outcomes can be anticipated when the appropriate steps for managing celiac disease have been implemented? Select all that apply.

Accepted Answer

A)  The client is free of abdominal discomfort including bloating, gas, indigestion, nausea, and vomiting. 
B)  The client is able to maintain normal or routine bowel habits. 
C)  The client has diarrhea fewer than 3 days weekly. 
D)  The client is able to maintain adequate nutritional status. 
E)  The client is able to make appropriate menu choices prior to discharge.

Question 5

Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD)?

Accepted Answer

A)  Scheduling low-fat meal deliveries to the home 
B)  Providing printed diet information in Spanish 
C)  Interviewing the client to assess his current diet 
D)  Giving a list of foods to avoid to the client's wife

Question 6

The nurse is providing care to an older adult client admitted to the medical unit for acute gastric and left upper abdominal pain radiating to the back.The healthcare provider has diagnosed the client with chronic pancreatitis.Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

Accepted Answer

A)  Encouraging a high-fat diet 
B)  Eliminating alcoholic beverages 
C)  Properly administering pancrelipase 
D)  Monitoring weight every week 
E)  Taking antacids

Question 7

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis.Which treatment options should the nurse plan for when caring for this client? Select all that apply.

Accepted Answer

A)  Opioid analgesics 
B)  High-fat diet 
C)  Total parenteral nutrition 
D)  Nasogastric tube to suction 
E)  Pancrealipase administration

Question 8

The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD).On the next clinic visit,which statement by the client indicates adherence to the plan of care?

Accepted Answer

A)  "Spandex camisoles are worth heartburn." 
B)  "I have switched from margaritas to wine." 
C)  "I've lost 6 pounds because I eat every 3 hours and never before bed." 
D)  "I take a TUMS with the ranitidine to make it work better."

Question 9

The nurse is providing care to an infant who underwent surgery for pyloric stenosis.Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply.

Accepted Answer

A)  Monitor temperature every hour. 
B)  Place pressure on the incision. 
C)  Inspect the incision for redness, swelling, or discharge. 
D)  Auscultate the lungs to assess for any adventitious sounds. 
E)  Give the infant a tub bath.

Question 10

During an interview with a client diagnosed with hepatitis B,the nurse obtains the following data: 10 kg weight loss is noted from the client's last visit 4 months ago; review of systems reveals 1)limiting fatigue,2)not well enough for sexual intercourse but doubts if her husband will be willing to use a condom,3)drinks 3-5 mixed drinks weekly socially,4)RUQ pain rated at 6/10,and 5)"constant" pruritus.Prioritize the nursing diagnoses formulated for this client.
A) Imbalanced Nutrition
B) Impaired Skin Integrity
C) Acute Pain
D) Deficient Knowledge

Accepted Answer

The answer of During an interview with a client diagnosed...

Question 11

The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis.Lab results include a positive anti-HAV IgM.The nurse creates an action plan to present to the team.Which interventions are appropriate? Select all that apply.

Accepted Answer

A)  High-fat, low-calorie, and no-alcohol diet teaching 
B)  Patient education on acceptable pain medication 
C)  Early treatment with lamivudine 
D)  Referral to the liver transplant team 
E)  Family teaching for transmission prevention.

Question 12

The nurse is explaining the alteration in normal function to a client recently diagnosed with gastrointestinal reflux disease (GERD).Which etiology contributing to GERD will the nurse include in the teaching session?

Accepted Answer

A)  Transient constriction of the lower esophageal sphincter 
B)  Decreased pressure within the stomach 
C)  Incompetent lower esophageal sphincter 
D)  Prolonged constriction of the upper esophageal sphincter

Question 13

A client is diagnosed with viral hepatitis transmitted by the fecal-oral route.Which conditions may be acquired by this mode of transmission?

Accepted Answer

A)  Hepatitis A (HAV) and hepatitis E (HEV) 
B)  Hepatitis B (HBV) and hepatitis C (HCV) 
C)  Hepatitis D (HDV) 
D)  Hepatitis A (HAV), Hepatitis B (HBV), Hepatitis C (HCV), Hepatitis D (HDV), and Hepatitis E (HEV)

Exam 4: Digestion

When planning care for a client with chronic hepatitis,which collaborative discipline will be most helpful in treating continued alcohol use?

The nurse is providing care to a pediatric client diagnosed with celiac disease.Which outcomes can be anticipated when the appropriate steps for managing celiac disease have been implemented? Select all that apply.

Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD) ?

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis.Which treatment options should the nurse plan for when caring for this client? Select all that apply.

The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD) .On the next clinic visit,which statement by the client indicates adherence to the plan of care?

The nurse is providing care to an infant who underwent surgery for pyloric stenosis.Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply.

The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis.Lab results include a positive anti-HAV IgM.The nurse creates an action plan to present to the team.Which interventions are appropriate? Select all that apply.

The nurse is explaining the alteration in normal function to a client recently diagnosed with gastrointestinal reflux disease (GERD) .Which etiology contributing to GERD will the nurse include in the teaching session?

A client is diagnosed with viral hepatitis transmitted by the fecal-oral route.Which conditions may be acquired by this mode of transmission?