MASTER QUIZLET FOR NUR 114 EXAM
2 QUESTIONS (COLON CANCER,
ELIMINATION ,INFLAMMATION)
QUESTIONS WITH ACTUAL SOLUTIONS
Jordin ssis ssa ssclient sswith ssjaundice sswho ssis ssexperiencing sspruritus. ssWhich
ssnursing ssintervention sswould ssbe ssincluded ssin ssthe sscare ssplan ssfor ssthe ssclient?
A. ssAdministering ssvitamin ssK sssubcutaneously
B. ssApplying sspressure sswhen ssgiving ssI.M. ssinjections
C. ssDecreasing ssthe ssclient's ssdietary ssprotein ssintake
D. ssKeeping ssthe ssclient's ssfingernails ssshort ssand sssmooth ss- ssAnswer ssAnswer: ssD
The ssclient sswith sspruritus ssexperiences ssitching, sswhich ssmay sslead ssto ssskin
ssbreakdown ssand sspossibly ssinfection ssfrom ssscratching. ssKeeping sshis ssfingernails
ssshort ssand sssmooth sshelps ssprevent ssskin ssbreakdown ssand ssinfection ssfrom
ssscratching. ssApplying sspressure sswhen ssgiving ssI.M. ssinjections ssand ssadministering
ssvitamin ssK sssubcutaneously ssare ssimportant ssif ssthe ssclient ssdevelops ssbleeding
ssproblems. ssDecreasing ssthe ssclient's ssdietary ssintake ssis ssappropriate ssif ssthe
ssclient's ssammonia sslevels ssare ssincreased.
Marie, ssa ss51-year-old sswoman, ssis ssdiagnosed sswith sscholecystitis. ssWhich ssdiet,
sswhen ssselected ssby ssthe ssclient, ssindicates ssthat ssthe ssnurse's ssteaching sshas
ssbeen sssuccessful?
A. ss4-6 sssmall ssmeals ssof sslow-carbohydrate ssfoods ssdaily
B. ssHigh-fat, sshigh-carbohydrate ssmeals
C. ssLow-fat, sshigh-carbohydrate ssmeals
D. ssHigh-fat, sslow ssprotein ssmeals ss- ssAnswer ssAnswer: ssC
For ssthe ssclient sswith sscholecystitis, ssfat ssintake ssshould ssbe ssreduced. ssThe sscalories
ssfrom ssfat ssshould ssbe sssubstituted sswith sscarbohydrates. ssReducing sscarbohydrate
ssintake sswould ssbe sscontraindicated. ssAny ssdiet sshigh ssin ssfat ssmay sslead ssto
ssanother ssattack ssof sscholecystitis.
,The sshospital ssadministrator sshad ssundergone sspercutaneous sstranshepatic
sscholangiography. sswhich ssassessment ssfinding ssindicates sscomplication ssafter ssthe
ssoperation?
A. ssFever ssand sschills
B. ssHypertension
C. ssBradycardia
D. ssNausea ssand ssdiarrhea ss- ssAnswer ssAnswer: ssA
Septicemia ssis ssa sscommon sscomplication ssafter ssa sspercutaneous sstranshepatic
sscholangiography. ssEvidence ssof ssfever ssand sschills, sspossibly ssindicative ssof
sssepticemia, ssis ssimportant. ssHYpotension, ssnot sshypertension, ssis ssassociated sswith
sssepticemia. ssTachycardia, ssnot ssbradycardia, ssis ssmost sslikely ssto ssoccur. ssNausea
ssand ssdiarrhea ssmay ssoccur ssbut ssare ssnot ssclassic sssigns ssof sssepsis.
For ssJayvin sswho ssis sstaking ssantacids, sswhich ssinstruction sswould ssbe ssincluded ssin
ssthe ssteaching ssplan?
A. ss"Take ssthe ssantacids sswith ss8 ssoz ssof sswater."
B. ss"Avoid sstaking ssother ssmedications sswithin ss2 sshours ssof ssthis ssone."
C. ss"Continue sstaking ssantacids sseven sswhen sspain sssubsides."
D. ss"Weigh ssyourself ssdaily sswhen sstaking ssthis ssmedication. ss- ssAnswer ssAnswer: ssB
Antacids ssneutralize ssgastric ssacid ssand ssdecrease ssthe ssabsorption ssof ssother
ssmedications. ssThe ssclient ssshould ssbe ssinstructed ssto ssavoid sstaking ssother
ssmedications sswithin ss2 sshours ssof ssthe ssantacid. ssWater, sswhich ssdilutes ssthe
ssantacid, ssshould ssnot ssbe sstaken sswith ssantacid. ssA sshistamine ssreceptor
ssantagonist ssshould ssbe sstaken sseven sswhen sspain sssubsides. ssDaily ssweights ssare
ssindicated ssif ssthe ssclient ssis sstaking ssa ssdiuretic, ssnot ssan ssantacid.
Which ssclinical ssmanifestation sswould ssthe ssnurse ssexpect ssa ssclient ssdiagnosed
sswith ssacute sscholecystitis ssto ssexhibit?
A. ssJaundice, ssdark ssurine, ssand sssteatorrhea
B. ssAcute ssright sslower ssquadrant ss(RLQ) sspain, ssdiarrhea, ssand ssdehydration
C. ssEcchymosis sspetechiae, ssand sscoffee-ground ssemesis
D. ssNausea, ssvomiting, ssand ssanorexia ss- ssAnswer ssAnswer: ssD
Acute sscholecystitis ssis ssan ssacute ssinflammation ssof ssthe ssgallbladder sscommonly
ssmanifested ssby ssthe ssfollowing: ssanorexia, ssnausea, ssand ssvomiting; ssbiliary sscolic;
sstenderness ssand ssrigidity ssthe ssright ssupper ssquadrant ss(RUQ) sselicited sson
sspalpation ss(e.g., ssMurphy's sssign); ssfever; ssfat ssintolerance; ssand sssigns ssand
, sssymptoms ssof ssjaundice. ssEcchymosis, sspetechiae, ssand sscoffee-ground ssemesis
ssare ssclinical ssmanifestations ssof ssesophageal ssbleeding. ssThe sscoffee-ground
ssappearance ssindicates ssold ssbleeding. ssJaundice, ssdark ssurine, ssand sssteatorrhea
ssare ssclinical ssmanifestations ssof ssthe ssicteric ssphase ssof sshepatitis
Pierre sswho ssis ssdiagnosed sswith ssacute sspancreatitis ssis ssunder ssthe sscare ssof
ssNurse ssBryan. ssWhich ssintervention ssshould ssthe ssnurse ssinclude ssin ssthe sscare
ssplan ssfor ssthe ssclient?
A. ssAdministration ssof ssvasopressin ssand ssinsertion ssof ssa ssballoon sstamponade
B. ssPreparation ssfor ssa ssparacentesis ssand ssadministration ssof ssdiuretics
C. ssMaintenance ssof ssnothing-by-mouth ssstatus ssand ssinsertion ssof ssnasogastric
ss(NG) sstube sswith sslow ssintermittent sssuction
D. ssDietary ssplan ssof ssa sslow-fat ssdiet ssand ssincreased ssfluid ssintake ssto ss2,000
ssml/day ss- ssAnswer ssAnswer: ssC
With ssacute sspancreatitis, ssthe ssclient ssis sskept sson ssnothing-by-mouth ssstatus ssto
ssinhibit sspancreatic ssstimulation ssand sssecretion ssof sspancreatic ssenzymes. ssNG
ssintubation sswith sslow ssintermittent sssuction ssis ssused ssto ssrelieve ssnausea ssand
ssvomiting, ssdecrease sspainful ssabdominal ssdistention, ssand ssremove sshydrochloric
ssacid. ssVasopressin sswould ssbe ssappropriate ssfor ssa ssclient ssdiagnosed sswith
ssbleeding ssesophageal ssvarices. ssParacentesis ssand ssdiuretics sswould ssbe
ssappropriate ssfor ssa ssclient ssdiagnosed sswith ssportal sshypertension ssand ssascites. ssA
sslow-fat ssdiet ssand ssincreased ssfluid ssintake sswould ssfurther ssaggravate ssthe
sspancreatitis
For ssRico sswho sshas sschronic sspancreatitis, sswhich ssnursing ssintervention sswould ssbe
ssmost sshelpful?
A. ssAllowing ssliberalized ssfluid ssintake
B. ssCounseling ssto ssstop ssalcohol ssconsumption
C. ssEncouraging ssdaily ssexercise
D. ssModifying ssdietary ssprotein ss- ssAnswer ssAnswer: ssB
Chronic sspancreatitis sstypically ssresults ssfrom ssrepeated ssepisodes ssof ssacute
sspancreatitis. ssMore ssthan sshalf ssof sschronic sspancreatitis sscases ssare ssassociated
sswith ssalcoholism. ssCounseling ssto ssstop ssalcohol ssconsumption sswould ssbe ssthe
ssmost sshelpful ssfor ssthe ssclient. ssDietary ssprotein ssmodification ssis ssnot ssnecessary
ssfor sschronic sspancreatitis. ssDaily ssexercise ssand ssliberalizing ssfluid ssintake sswould
ssbe sshelpful ssbut ssnot ssthe ssmost ssbeneficial ssintervention.
When ssevaluating ssa ssmale ssclient ssfor sscomplications ssof ssacute sspancreatitis, ssthe
ssnurse sswould ssobserve ssfor:
A. ssincreased ssintracranial sspressure
2 QUESTIONS (COLON CANCER,
ELIMINATION ,INFLAMMATION)
QUESTIONS WITH ACTUAL SOLUTIONS
Jordin ssis ssa ssclient sswith ssjaundice sswho ssis ssexperiencing sspruritus. ssWhich
ssnursing ssintervention sswould ssbe ssincluded ssin ssthe sscare ssplan ssfor ssthe ssclient?
A. ssAdministering ssvitamin ssK sssubcutaneously
B. ssApplying sspressure sswhen ssgiving ssI.M. ssinjections
C. ssDecreasing ssthe ssclient's ssdietary ssprotein ssintake
D. ssKeeping ssthe ssclient's ssfingernails ssshort ssand sssmooth ss- ssAnswer ssAnswer: ssD
The ssclient sswith sspruritus ssexperiences ssitching, sswhich ssmay sslead ssto ssskin
ssbreakdown ssand sspossibly ssinfection ssfrom ssscratching. ssKeeping sshis ssfingernails
ssshort ssand sssmooth sshelps ssprevent ssskin ssbreakdown ssand ssinfection ssfrom
ssscratching. ssApplying sspressure sswhen ssgiving ssI.M. ssinjections ssand ssadministering
ssvitamin ssK sssubcutaneously ssare ssimportant ssif ssthe ssclient ssdevelops ssbleeding
ssproblems. ssDecreasing ssthe ssclient's ssdietary ssintake ssis ssappropriate ssif ssthe
ssclient's ssammonia sslevels ssare ssincreased.
Marie, ssa ss51-year-old sswoman, ssis ssdiagnosed sswith sscholecystitis. ssWhich ssdiet,
sswhen ssselected ssby ssthe ssclient, ssindicates ssthat ssthe ssnurse's ssteaching sshas
ssbeen sssuccessful?
A. ss4-6 sssmall ssmeals ssof sslow-carbohydrate ssfoods ssdaily
B. ssHigh-fat, sshigh-carbohydrate ssmeals
C. ssLow-fat, sshigh-carbohydrate ssmeals
D. ssHigh-fat, sslow ssprotein ssmeals ss- ssAnswer ssAnswer: ssC
For ssthe ssclient sswith sscholecystitis, ssfat ssintake ssshould ssbe ssreduced. ssThe sscalories
ssfrom ssfat ssshould ssbe sssubstituted sswith sscarbohydrates. ssReducing sscarbohydrate
ssintake sswould ssbe sscontraindicated. ssAny ssdiet sshigh ssin ssfat ssmay sslead ssto
ssanother ssattack ssof sscholecystitis.
,The sshospital ssadministrator sshad ssundergone sspercutaneous sstranshepatic
sscholangiography. sswhich ssassessment ssfinding ssindicates sscomplication ssafter ssthe
ssoperation?
A. ssFever ssand sschills
B. ssHypertension
C. ssBradycardia
D. ssNausea ssand ssdiarrhea ss- ssAnswer ssAnswer: ssA
Septicemia ssis ssa sscommon sscomplication ssafter ssa sspercutaneous sstranshepatic
sscholangiography. ssEvidence ssof ssfever ssand sschills, sspossibly ssindicative ssof
sssepticemia, ssis ssimportant. ssHYpotension, ssnot sshypertension, ssis ssassociated sswith
sssepticemia. ssTachycardia, ssnot ssbradycardia, ssis ssmost sslikely ssto ssoccur. ssNausea
ssand ssdiarrhea ssmay ssoccur ssbut ssare ssnot ssclassic sssigns ssof sssepsis.
For ssJayvin sswho ssis sstaking ssantacids, sswhich ssinstruction sswould ssbe ssincluded ssin
ssthe ssteaching ssplan?
A. ss"Take ssthe ssantacids sswith ss8 ssoz ssof sswater."
B. ss"Avoid sstaking ssother ssmedications sswithin ss2 sshours ssof ssthis ssone."
C. ss"Continue sstaking ssantacids sseven sswhen sspain sssubsides."
D. ss"Weigh ssyourself ssdaily sswhen sstaking ssthis ssmedication. ss- ssAnswer ssAnswer: ssB
Antacids ssneutralize ssgastric ssacid ssand ssdecrease ssthe ssabsorption ssof ssother
ssmedications. ssThe ssclient ssshould ssbe ssinstructed ssto ssavoid sstaking ssother
ssmedications sswithin ss2 sshours ssof ssthe ssantacid. ssWater, sswhich ssdilutes ssthe
ssantacid, ssshould ssnot ssbe sstaken sswith ssantacid. ssA sshistamine ssreceptor
ssantagonist ssshould ssbe sstaken sseven sswhen sspain sssubsides. ssDaily ssweights ssare
ssindicated ssif ssthe ssclient ssis sstaking ssa ssdiuretic, ssnot ssan ssantacid.
Which ssclinical ssmanifestation sswould ssthe ssnurse ssexpect ssa ssclient ssdiagnosed
sswith ssacute sscholecystitis ssto ssexhibit?
A. ssJaundice, ssdark ssurine, ssand sssteatorrhea
B. ssAcute ssright sslower ssquadrant ss(RLQ) sspain, ssdiarrhea, ssand ssdehydration
C. ssEcchymosis sspetechiae, ssand sscoffee-ground ssemesis
D. ssNausea, ssvomiting, ssand ssanorexia ss- ssAnswer ssAnswer: ssD
Acute sscholecystitis ssis ssan ssacute ssinflammation ssof ssthe ssgallbladder sscommonly
ssmanifested ssby ssthe ssfollowing: ssanorexia, ssnausea, ssand ssvomiting; ssbiliary sscolic;
sstenderness ssand ssrigidity ssthe ssright ssupper ssquadrant ss(RUQ) sselicited sson
sspalpation ss(e.g., ssMurphy's sssign); ssfever; ssfat ssintolerance; ssand sssigns ssand
, sssymptoms ssof ssjaundice. ssEcchymosis, sspetechiae, ssand sscoffee-ground ssemesis
ssare ssclinical ssmanifestations ssof ssesophageal ssbleeding. ssThe sscoffee-ground
ssappearance ssindicates ssold ssbleeding. ssJaundice, ssdark ssurine, ssand sssteatorrhea
ssare ssclinical ssmanifestations ssof ssthe ssicteric ssphase ssof sshepatitis
Pierre sswho ssis ssdiagnosed sswith ssacute sspancreatitis ssis ssunder ssthe sscare ssof
ssNurse ssBryan. ssWhich ssintervention ssshould ssthe ssnurse ssinclude ssin ssthe sscare
ssplan ssfor ssthe ssclient?
A. ssAdministration ssof ssvasopressin ssand ssinsertion ssof ssa ssballoon sstamponade
B. ssPreparation ssfor ssa ssparacentesis ssand ssadministration ssof ssdiuretics
C. ssMaintenance ssof ssnothing-by-mouth ssstatus ssand ssinsertion ssof ssnasogastric
ss(NG) sstube sswith sslow ssintermittent sssuction
D. ssDietary ssplan ssof ssa sslow-fat ssdiet ssand ssincreased ssfluid ssintake ssto ss2,000
ssml/day ss- ssAnswer ssAnswer: ssC
With ssacute sspancreatitis, ssthe ssclient ssis sskept sson ssnothing-by-mouth ssstatus ssto
ssinhibit sspancreatic ssstimulation ssand sssecretion ssof sspancreatic ssenzymes. ssNG
ssintubation sswith sslow ssintermittent sssuction ssis ssused ssto ssrelieve ssnausea ssand
ssvomiting, ssdecrease sspainful ssabdominal ssdistention, ssand ssremove sshydrochloric
ssacid. ssVasopressin sswould ssbe ssappropriate ssfor ssa ssclient ssdiagnosed sswith
ssbleeding ssesophageal ssvarices. ssParacentesis ssand ssdiuretics sswould ssbe
ssappropriate ssfor ssa ssclient ssdiagnosed sswith ssportal sshypertension ssand ssascites. ssA
sslow-fat ssdiet ssand ssincreased ssfluid ssintake sswould ssfurther ssaggravate ssthe
sspancreatitis
For ssRico sswho sshas sschronic sspancreatitis, sswhich ssnursing ssintervention sswould ssbe
ssmost sshelpful?
A. ssAllowing ssliberalized ssfluid ssintake
B. ssCounseling ssto ssstop ssalcohol ssconsumption
C. ssEncouraging ssdaily ssexercise
D. ssModifying ssdietary ssprotein ss- ssAnswer ssAnswer: ssB
Chronic sspancreatitis sstypically ssresults ssfrom ssrepeated ssepisodes ssof ssacute
sspancreatitis. ssMore ssthan sshalf ssof sschronic sspancreatitis sscases ssare ssassociated
sswith ssalcoholism. ssCounseling ssto ssstop ssalcohol ssconsumption sswould ssbe ssthe
ssmost sshelpful ssfor ssthe ssclient. ssDietary ssprotein ssmodification ssis ssnot ssnecessary
ssfor sschronic sspancreatitis. ssDaily ssexercise ssand ssliberalizing ssfluid ssintake sswould
ssbe sshelpful ssbut ssnot ssthe ssmost ssbeneficial ssintervention.
When ssevaluating ssa ssmale ssclient ssfor sscomplications ssof ssacute sspancreatitis, ssthe
ssnurse sswould ssobserve ssfor:
A. ssincreased ssintracranial sspressure
