You are caring for bill, a 50 year old man b) Left upper quadrant abdominal pain, nausea, and vomiting
who has been hospitalised with a possible
diagnosis of pancreatitis·
Which of the following symptoms would
you anticipate observing in bill
a) Elevated white blood cell count, ankle
oedema and right groin pain
b) Left upper quadrant abdominal pain,
nausea, and vomiting
c) Hypoglycaemia, hypertension, and
hypochondrial pain
d) Epigastric pain, pyrexia, and elevated
white blood cell count
You are caring for bill, a 50 year old man a) Amylase
who has been hospitalised with a possible
diagnosis of pancreatitis· The initial
diagnosis of pancreatitis would be
confirmed if bills blood test showed a
significant elevation in serum
a) Amylase
b) Glucose
c) Potassium
d) Trypsin
Pain control is an important nursing goal. c) Morphine
Which of the following medications would
be the drug of choice
a) Pethidine
b) Cimetidine
c) Morphine
d) Codeine
1/24
,You are caring for bill, a 50 year old man a) Frequency and severity of gastrointestinal haemorrhage
who has been hospitalised with a possible
diagnosis of pancreatitis· You monitor bills
vital signs frequently, observing for the
signs of shock. Shock is extremely difficult
to manage in pancreatitis primarily
because of the
a) Frequency and severity of
gastrointestinal haemorrhage
b) Vasodilating effects of kinin peptides
c) Tendency towards congestive heart
failure
d) Frequent incidence of acute tubular
necrosis
While helping bill change position in bed, c) Hypocalcaemia
you note bill has muscle twitching in his
bands and forearms. These symptoms are
significant because clients who suffer from
pancreatitis are at risk of
a) Hypermagnismia
b) Hypoglycaemia
c) Hypocalcaemia
d) Hyponatremia
Bill does not drink alcohol because of his c) Alcoholism is a major health problem and all hospitalised clients are asked about
religious beliefs. When the physician their alcohol intake
persists in asking him about his alcohol
intake, bill becomes annoyed. You explain
the reasoning behind the questioning by
telling bill that
a) There is a strong link between alcohol
use and pancreatitis
b) Alcohol intake can interfere with some
of the tests used to diagnose pancreatitis c)
Alcoholism is a major health problem and
all hospitalised clients are asked about their
alcohol intake
d) The physician must obtain the pertinent
facts, and religious beliefs cannot be
considered
2/24
, A home care nurse begins caring for a 25 d) Sexual intercourse with an HIV positive person without using a condom
year old female called Lydia who has just
been diagnosed with human
immunodeficiency virus (HIV)
Lydia asks the nurse, "how could this have
happened?" the nurse responds to the
question based on the most frequent mode
of HIV transmission, which is
a) Hugging an HIV positive sexual partner
without using barrier precautions b)
Inhaling cocaine or other recreational
drugs
c) Sharing a drink bottle with an HIV
positive person
d) Sexual intercourse with an HIV positive
person without using a condom
The physician prescribes zidovudine (AZT) c) Slow replication of the virus
a drug that acts to help
a) Destroy the virus
b) Enhance the body's antibody production
c) Slow replication of the virus
d) Neutralise toxin; produced by the
causative organism
Lydia acquires herpes genitalis and is d) Irregular menses
counselled by the nurse concerning follow
up care. Women who have this disease are
at risk of developing
a) Sterility
b) Cervical cancer
c) Uterine fibroid rumours
d) Irregular menses
Which of the following nursing diagnosis c) Alteration in comfort pain
categories would most likely be a priority
for a client with herpes genitalis
a) Alteration in sleep; sleep pattern
disturbance
b) Nutritional deficit
c) Alteration in comfort pain
d) Alteration in breathing patterns
The primary reason that a herpes simplex a) Is an acquired immunodeficiency virus (AIDS) defining illness
infection is a serious concern to a client
with HIV infection is that herpes simplex
a) Is an acquired immunodeficiency virus
(AIDS) defining illness
b) Is curable only after 1 year of antiviral
therapy
c) Can lead to cervical cancer
d) Causes severe electrolyte imbalances
3/24
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