Chapter 40: Liver, Gallbladder, and Pancreatic Disorders
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Course
Medical Surgical Nursing
Institution
Medical Surgical Nursing
MULTIPLE CHOICE
1. Which dietary selection should lead the nurse to conclude that the dietary teaching is successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice
b. Hotdog on a bun with pickle relish and skim milk
c. Baked chicken, white rice, and apple juice ...
1. Which dietary selection should lead the nurse to conclude that the dietary teaching is
successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice
b. Hotdog on a bun with pickle relish and skim milk
c. Baked chicken, white rice, and apple juice
d. Peanut butter and jelly sandwich with tomato soup
ANS: C
A meal of baked chicken, white rice, and apple juice has the lowest sodium levels:
DIF: Cognitive Level: Comprehension REF: p: 768 OBJ: 2
TOP: Nutrition: Low-Sodium Diet KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
2. Which nursing measure takes priority in relation to the care of a patient with a
gastroesophageal balloon tube?
a. Deflate the balloon periodically:
b. Advance the tube as instructed:
c. Monitor respiratory status:
d. Withhold medications that could decrease restlessness:
ANS: C
Because of the close proximity of the esophagus and trachea, any upward movement
of the tube could cause airway obstruction:
DIF: Cognitive Level: Application REF: p: 776 OBJ: 1
TOP: Esophageal Balloon KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
3. Which instruction should be given to a patient with portal hypertension to reduce the
threat of hemorrhage?
a. Eat bland foods:
b. Avoid straining to have a bowel movement:
c. Increase fluid intake:
d. Use an electric razor to shave:
ANS: B
Straining can increase pressure and may cause the dilated vessels in the
gastrointestinal tract to bleed: Shaving with an electric razor does not prevent serious
bleeding:
DIF: Cognitive Level: Comprehension REF: p: 772 OBJ: 1
TOP: Portal Hypertension KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What precaution should a nurse initiate when caring for a patient with hepatitis B?
a. Reverse isolation
b. Standard Precautions
c. Respiratory precautions
d. Enteric precautions
ANS: B
Standard Precautions protect the nurse from organisms that may be in all body fluids:
DIF: Cognitive Level: Comprehension REF: p: 765 OBJ: 1
TOP: Hepatitis B KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
5. A patient was positive for hepatitis B virus, although she had the disease 4 years ago and
now is symptom free: What is the nurse aware is true regarding this patient?
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