Exam 3 NUR 354 Questions with Latest
Update
Teaching for prevention of hepatitis B will include - Answer-vaccination, condom use,
and avoiding contaminated needles and also abstaining from sex with MSM
In the patient with suspected acute pancreatitis the most sensitive laboratory value is -
Answer-serum lipase
The patient with a history of excessive alcohol use presents with hematemsis. This is
most likely due to - Answer-ruptured esophageal varices
The patient with ascites may be treated with all of the following EXCEPT - Answer-
protein restriction
The patient with ascites will be treated with these three things - Answer-tips
paracentesis
sodium restriction
Which manifestations is NOT typical of hepatocellular failure? - Answer-thrombosis
The patient on Elbasavir-Grazoprevir for two months develops fatigue. The nurse -
Answer-asks the provider for an order for a CBC
Which is the priority for a client with severe hepatic encephalopathy? - Answer-
elimination of nitrogenous products
Which patient belongs to a group with a higher stastical chance of carrying Hep C? -
Answer-a 68 year old who injected heroin in the 60s
Which characterisitic is found in the condition of cholelithiasis? - Answer-gallstones are
twice as frequent in women as in men
The primary method of transmission for hepatitis A is - Answer-fecal oral
The patient has finished therapy with enteavir. For several months, follow up should
include - Answer-liver function studies
The client with a history of severe GERD asks why a EGD has been ordered. The
nurses best response is - Answer-It is a screen for changes in the esophageal
epithelium
Ulcerative colitis differs from crohns disease in that - Answer-it is limited to the mucosa
, Risk factors for pseudo-membranous colitis include all except - Answer-smoking
What are the 3 risk factors for pseudomembranous colitis? - Answer-advanced age
recent antibiotic use and use of proton pump inhibitors
The client with diverticulosis seen on xray asks the nurse what to expect with this
condition. The RNs best response - Answer-most diverticulosis is not problematic
The client with severe GERD has had little relief with ranitidine. The RN expects -
Answer-substitution with omeprazole
Teaching for the patient on sucralfate will include - Answer-take this medication 2 hours
apart from other drugs
Sulfasalazine is used in the treatment of IBD to - Answer-reduce inflammation
The nurse administering cyclosporine will do all of the following except - Answer-ask
about blood in stool
What are the 3 things the nurse will check/do when administering cyclosporine? -
Answer-wear gloves
check BUN and creatinine
ask about fevers
Teaching for the patient taking metronidazole will include - Answer-do not drink alcohol
while on this medication
One type of primary endocrine dysfunction would be - Answer-an adrenal gland that
does not secrete cortisol
The patient has insomnia, fatigue, a fine tremor and warm, silky, damp skin. They have
- Answer-hyperthyroidism
What does dexamethasone suppress? - Answer-ACTH production
Diminished vascular tone, reduced cardiac output, and inadequate circulating blood
volume occur - Answer-with inadequate levels of cortisol and aldosterone
The patient has a lung tumor and presents with hyponatremia, weakness, and postural
BP changes - Answer-the nurse suspects SIADH
The nurse instructs the patient to take levothyroxine - Answer-on an empty stomach
The patient with head trauma and polyuria + polydispia likely suffers from - Answer-
diabetes insipidus
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