NUR 355 Exam 5 Questions with Verified
Correct Answers
What is a specific intervention for the treatment of acute pancreatitis?
NPO status to reduce GI activity and reduce pancreatic enzyme production
What is administered in order to prevent dehydration in a client with acute
pancreatitis?
IV fluids
When a client has acute pancreatitis with severe or persistent nausea and vomiting,
what action intervention is needed?
NGT to low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis?
-Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis?
Opioid analgesics for pain
When are opioid analgesics administered for acute pancreatitits?
-Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort?
Fetal position
What is the standard surgical procedure for patients with cholecystitis?
,Laparoscopic cholecystectomy
What is a laparoscopic cholecystectomy?
-Uses several small incisions (up to 1/2 in. long) in the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the surgical instruments
and a laparoscope (a small thin telescope, camera, and surgical equipment) are placed
through the incisions to remove the gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic
cholecystectomy?
Assist with early ambulation to promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic cholecystectomy follow?
Low-fat
When can a client who is post-op laparoscopic cholecystectomy remove the dressing?
After 24 hours
When can a client who is post-op laparoscopic cholecystectomy shower?
-After the first 48 hours
-It is okay to get the incision a little wet in the shower, but patients should not let the water
pressure flow directly on the incision, which can increase chances of infection at the incision
site
What discharge teaching should a nurse provide to a client who is post-op laparoscopic
cholecystectomy?
-Light lifting of less than 10 pounds
-No driving while taking narcotics
, What color should a stoma be post-op?
Reddish pink
When should you contact the healthcare provider after assessing a client's stoma?
If the stoma is pale, dark red, purplish, or black (dark)
What can you expect the stool consistency from an ascending colostomy to be?
Liquid because only a little, large bowel is available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support?
Local chapter of the UOAA has resources for patients and their families, including specially
trained visitors who provide support
What kinds of foods should a client with a colostomy avoid?
-Foods that can cause gas such as dark green leafy vegetables, beer, carbonated beverages,
dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied?
When there is gas or if it is one-third to one-half full of stool
What foods can help reduce the risk of colon cancer?
-High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
What food increases the risk of colon cancer?
Red meat
When is colorectal cancer prevalent?
Correct Answers
What is a specific intervention for the treatment of acute pancreatitis?
NPO status to reduce GI activity and reduce pancreatic enzyme production
What is administered in order to prevent dehydration in a client with acute
pancreatitis?
IV fluids
When a client has acute pancreatitis with severe or persistent nausea and vomiting,
what action intervention is needed?
NGT to low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis?
-Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis?
Opioid analgesics for pain
When are opioid analgesics administered for acute pancreatitits?
-Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort?
Fetal position
What is the standard surgical procedure for patients with cholecystitis?
,Laparoscopic cholecystectomy
What is a laparoscopic cholecystectomy?
-Uses several small incisions (up to 1/2 in. long) in the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the surgical instruments
and a laparoscope (a small thin telescope, camera, and surgical equipment) are placed
through the incisions to remove the gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic
cholecystectomy?
Assist with early ambulation to promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic cholecystectomy follow?
Low-fat
When can a client who is post-op laparoscopic cholecystectomy remove the dressing?
After 24 hours
When can a client who is post-op laparoscopic cholecystectomy shower?
-After the first 48 hours
-It is okay to get the incision a little wet in the shower, but patients should not let the water
pressure flow directly on the incision, which can increase chances of infection at the incision
site
What discharge teaching should a nurse provide to a client who is post-op laparoscopic
cholecystectomy?
-Light lifting of less than 10 pounds
-No driving while taking narcotics
, What color should a stoma be post-op?
Reddish pink
When should you contact the healthcare provider after assessing a client's stoma?
If the stoma is pale, dark red, purplish, or black (dark)
What can you expect the stool consistency from an ascending colostomy to be?
Liquid because only a little, large bowel is available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support?
Local chapter of the UOAA has resources for patients and their families, including specially
trained visitors who provide support
What kinds of foods should a client with a colostomy avoid?
-Foods that can cause gas such as dark green leafy vegetables, beer, carbonated beverages,
dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied?
When there is gas or if it is one-third to one-half full of stool
What foods can help reduce the risk of colon cancer?
-High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
What food increases the risk of colon cancer?
Red meat
When is colorectal cancer prevalent?
