MASTER QUIZLET FOR NUR 114 EXAM
2 QUESTIONS (COLON
CANCER,ELIMINATION ,INFLAMMATION
) QUESTIONS AND ANSWERS
Jordin nnis nna nnclient nnwith nnjaundice nnwho nnis nnexperiencing nnpruritus. nnWhich
nnnursing nnintervention nnwould nnbe nnincluded nnin nnthe nncare nnplan nnfor nnthe nnclient?
A. nnAdministering nnvitamin nnK nnsubcutaneously
B. nnApplying nnpressure nnwhen nngiving nnI.M. nninjections
C. nnDecreasing nnthe nnclient's nndietary nnprotein nnintake
D. nnKeeping nnthe nnclient's nnfingernails nnshort nnand nnsmooth nn- nnAnswer nnAnswer:
nnD
The nnclient nnwith nnpruritus nnexperiences nnitching, nnwhich nnmay nnlead nnto nnskin
nnbreakdown nnand nnpossibly nninfection nnfrom nnscratching. nnKeeping nnhis nnfingernails
nnshort nnand nnsmooth nnhelps nnprevent nnskin nnbreakdown nnand nninfection nnfrom
nnscratching. nnApplying nnpressure nnwhen nngiving nnI.M. nninjections nnand
nnadministering nnvitamin nnK nnsubcutaneously nnare nnimportant nnif nnthe nnclient
nndevelops nnbleeding nnproblems. nnDecreasing nnthe nnclient's nndietary nnintake nnis
nnappropriate nnif nnthe nnclient's nnammonia nnlevels nnare nnincreased.
Marie, nna nn51-year-old nnwoman, nnis nndiagnosed nnwith nncholecystitis. nnWhich nndiet,
nnwhen nnselected nnby nnthe nnclient, nnindicates nnthat nnthe nnnurse's nnteaching nnhas
nnbeen nnsuccessful?
A. nn4-6 nnsmall nnmeals nnof nnlow-carbohydrate nnfoods nndaily
B. nnHigh-fat, nnhigh-carbohydrate nnmeals
C. nnLow-fat, nnhigh-carbohydrate nnmeals
D. nnHigh-fat, nnlow nnprotein nnmeals nn- nnAnswer nnAnswer: nnC
For nnthe nnclient nnwith nncholecystitis, nnfat nnintake nnshould nnbe nnreduced. nnThe
nncalories nnfrom nnfat nnshould nnbe nnsubstituted nnwith nncarbohydrates. nnReducing
,nncarbohydrate nnintake nnwould nnbe nncontraindicated. nnAny nndiet nnhigh nnin nnfat nnmay
nnlead nnto nnanother nnattack nnof nncholecystitis.
The nnhospital nnadministrator nnhad nnundergone nnpercutaneous nntranshepatic
nncholangiography. nnwhich nnassessment nnfinding nnindicates nncomplication nnafter nnthe
nnoperation?
A. nnFever nnand nnchills
B. nnHypertension
C. nnBradycardia
D. nnNausea nnand nndiarrhea nn- nnAnswer nnAnswer: nnA
Septicemia nnis nna nncommon nncomplication nnafter nna nnpercutaneous nntranshepatic
nncholangiography. nnEvidence nnof nnfever nnand nnchills, nnpossibly nnindicative nnof
nnsepticemia, nnis nnimportant. nnHYpotension, nnnot nnhypertension, nnis nnassociated
nnwith nnsepticemia. nnTachycardia, nnnot nnbradycardia, nnis nnmost nnlikely nnto nnoccur.
nnNausea nnand nndiarrhea nnmay nnoccur nnbut nnare nnnot nnclassic nnsigns nnof nnsepsis.
For nnJayvin nnwho nnis nntaking nnantacids, nnwhich nninstruction nnwould nnbe nnincluded
nnin nnthe nnteaching nnplan?
A. nn"Take nnthe nnantacids nnwith nn8 nnoz nnof nnwater."
B. nn"Avoid nntaking nnother nnmedications nnwithin nn2 nnhours nnof nnthis nnone."
C. nn"Continue nntaking nnantacids nneven nnwhen nnpain nnsubsides."
D. nn"Weigh nnyourself nndaily nnwhen nntaking nnthis nnmedication. nn- nnAnswer nnAnswer:
nnB
Antacids nnneutralize nngastric nnacid nnand nndecrease nnthe nnabsorption nnof nnother
nnmedications. nnThe nnclient nnshould nnbe nninstructed nnto nnavoid nntaking nnother
nnmedications nnwithin nn2 nnhours nnof nnthe nnantacid. nnWater, nnwhich nndilutes nnthe
nnantacid, nnshould nnnot nnbe nntaken nnwith nnantacid. nnA nnhistamine nnreceptor
nnantagonist nnshould nnbe nntaken nneven nnwhen nnpain nnsubsides. nnDaily nnweights nnare
nnindicated nnif nnthe nnclient nnis nntaking nna nndiuretic, nnnot nnan nnantacid.
Which nnclinical nnmanifestation nnwould nnthe nnnurse nnexpect nna nnclient nndiagnosed
nnwith nnacute nncholecystitis nnto nnexhibit?
A. nnJaundice, nndark nnurine, nnand nnsteatorrhea
B. nnAcute nnright nnlower nnquadrant nn(RLQ) nnpain, nndiarrhea, nnand nndehydration
C. nnEcchymosis nnpetechiae, nnand nncoffee-ground nnemesis
D. nnNausea, nnvomiting, nnand nnanorexia nn- nnAnswer nnAnswer: nnD
, Acute nncholecystitis nnis nnan nnacute nninflammation nnof nnthe nngallbladder nncommonly
nnmanifested nnby nnthe nnfollowing: nnanorexia, nnnausea, nnand nnvomiting; nnbiliary nncolic;
nntenderness nnand nnrigidity nnthe nnright nnupper nnquadrant nn(RUQ) nnelicited nnon
nnpalpation nn(e.g., nnMurphy's nnsign); nnfever; nnfat nnintolerance; nnand nnsigns nnand
nnsymptoms nnof nnjaundice. nnEcchymosis, nnpetechiae, nnand nncoffee-ground nnemesis
nnare nnclinical nnmanifestations nnof nnesophageal nnbleeding. nnThe nncoffee-ground
nnappearance nnindicates nnold nnbleeding. nnJaundice, nndark nnurine, nnand nnsteatorrhea
nnare nnclinical nnmanifestations nnof nnthe nnicteric nnphase nnof nnhepatitis
Pierre nnwho nnis nndiagnosed nnwith nnacute nnpancreatitis nnis nnunder nnthe nncare nnof
nnNurse nnBryan. nnWhich nnintervention nnshould nnthe nnnurse nninclude nnin nnthe nncare
nnplan nnfor nnthe nnclient?
A. nnAdministration nnof nnvasopressin nnand nninsertion nnof nna nnballoon nntamponade
B. nnPreparation nnfor nna nnparacentesis nnand nnadministration nnof nndiuretics
C. nnMaintenance nnof nnnothing-by-mouth nnstatus nnand nninsertion nnof nnnasogastric
nn(NG) nntube nnwith nnlow nnintermittent nnsuction
D. nnDietary nnplan nnof nna nnlow-fat nndiet nnand nnincreased nnfluid nnintake nnto nn2,000
nnml/day nn- nnAnswer nnAnswer: nnC
With nnacute nnpancreatitis, nnthe nnclient nnis nnkept nnon nnnothing-by-mouth nnstatus nnto
nninhibit nnpancreatic nnstimulation nnand nnsecretion nnof nnpancreatic nnenzymes. nnNG
nnintubation nnwith nnlow nnintermittent nnsuction nnis nnused nnto nnrelieve nnnausea nnand
nnvomiting, nndecrease nnpainful nnabdominal nndistention, nnand nnremove nnhydrochloric
nnacid. nnVasopressin nnwould nnbe nnappropriate nnfor nna nnclient nndiagnosed nnwith
nnbleeding nnesophageal nnvarices. nnParacentesis nnand nndiuretics nnwould nnbe
nnappropriate nnfor nna nnclient nndiagnosed nnwith nnportal nnhypertension nnand nnascites.
nnA nnlow-fat nndiet nnand nnincreased nnfluid nnintake nnwould nnfurther nnaggravate nnthe
nnpancreatitis
For nnRico nnwho nnhas nnchronic nnpancreatitis, nnwhich nnnursing nnintervention nnwould
nnbe nnmost nnhelpful?
A. nnAllowing nnliberalized nnfluid nnintake
B. nnCounseling nnto nnstop nnalcohol nnconsumption
C. nnEncouraging nndaily nnexercise
D. nnModifying nndietary nnprotein nn- nnAnswer nnAnswer: nnB
Chronic nnpancreatitis nntypically nnresults nnfrom nnrepeated nnepisodes nnof nnacute
nnpancreatitis. nnMore nnthan nnhalf nnof nnchronic nnpancreatitis nncases nnare nnassociated
nnwith nnalcoholism. nnCounseling nnto nnstop nnalcohol nnconsumption nnwould nnbe nnthe
nnmost nnhelpful nnfor nnthe nnclient. nnDietary nnprotein nnmodification nnis nnnot nnnecessary
nnfor nnchronic nnpancreatitis. nnDaily nnexercise nnand nnliberalizing nnfluid nnintake nnwould
nnbe nnhelpful nnbut nnnot nnthe nnmost nnbeneficial nnintervention.
2 QUESTIONS (COLON
CANCER,ELIMINATION ,INFLAMMATION
) QUESTIONS AND ANSWERS
Jordin nnis nna nnclient nnwith nnjaundice nnwho nnis nnexperiencing nnpruritus. nnWhich
nnnursing nnintervention nnwould nnbe nnincluded nnin nnthe nncare nnplan nnfor nnthe nnclient?
A. nnAdministering nnvitamin nnK nnsubcutaneously
B. nnApplying nnpressure nnwhen nngiving nnI.M. nninjections
C. nnDecreasing nnthe nnclient's nndietary nnprotein nnintake
D. nnKeeping nnthe nnclient's nnfingernails nnshort nnand nnsmooth nn- nnAnswer nnAnswer:
nnD
The nnclient nnwith nnpruritus nnexperiences nnitching, nnwhich nnmay nnlead nnto nnskin
nnbreakdown nnand nnpossibly nninfection nnfrom nnscratching. nnKeeping nnhis nnfingernails
nnshort nnand nnsmooth nnhelps nnprevent nnskin nnbreakdown nnand nninfection nnfrom
nnscratching. nnApplying nnpressure nnwhen nngiving nnI.M. nninjections nnand
nnadministering nnvitamin nnK nnsubcutaneously nnare nnimportant nnif nnthe nnclient
nndevelops nnbleeding nnproblems. nnDecreasing nnthe nnclient's nndietary nnintake nnis
nnappropriate nnif nnthe nnclient's nnammonia nnlevels nnare nnincreased.
Marie, nna nn51-year-old nnwoman, nnis nndiagnosed nnwith nncholecystitis. nnWhich nndiet,
nnwhen nnselected nnby nnthe nnclient, nnindicates nnthat nnthe nnnurse's nnteaching nnhas
nnbeen nnsuccessful?
A. nn4-6 nnsmall nnmeals nnof nnlow-carbohydrate nnfoods nndaily
B. nnHigh-fat, nnhigh-carbohydrate nnmeals
C. nnLow-fat, nnhigh-carbohydrate nnmeals
D. nnHigh-fat, nnlow nnprotein nnmeals nn- nnAnswer nnAnswer: nnC
For nnthe nnclient nnwith nncholecystitis, nnfat nnintake nnshould nnbe nnreduced. nnThe
nncalories nnfrom nnfat nnshould nnbe nnsubstituted nnwith nncarbohydrates. nnReducing
,nncarbohydrate nnintake nnwould nnbe nncontraindicated. nnAny nndiet nnhigh nnin nnfat nnmay
nnlead nnto nnanother nnattack nnof nncholecystitis.
The nnhospital nnadministrator nnhad nnundergone nnpercutaneous nntranshepatic
nncholangiography. nnwhich nnassessment nnfinding nnindicates nncomplication nnafter nnthe
nnoperation?
A. nnFever nnand nnchills
B. nnHypertension
C. nnBradycardia
D. nnNausea nnand nndiarrhea nn- nnAnswer nnAnswer: nnA
Septicemia nnis nna nncommon nncomplication nnafter nna nnpercutaneous nntranshepatic
nncholangiography. nnEvidence nnof nnfever nnand nnchills, nnpossibly nnindicative nnof
nnsepticemia, nnis nnimportant. nnHYpotension, nnnot nnhypertension, nnis nnassociated
nnwith nnsepticemia. nnTachycardia, nnnot nnbradycardia, nnis nnmost nnlikely nnto nnoccur.
nnNausea nnand nndiarrhea nnmay nnoccur nnbut nnare nnnot nnclassic nnsigns nnof nnsepsis.
For nnJayvin nnwho nnis nntaking nnantacids, nnwhich nninstruction nnwould nnbe nnincluded
nnin nnthe nnteaching nnplan?
A. nn"Take nnthe nnantacids nnwith nn8 nnoz nnof nnwater."
B. nn"Avoid nntaking nnother nnmedications nnwithin nn2 nnhours nnof nnthis nnone."
C. nn"Continue nntaking nnantacids nneven nnwhen nnpain nnsubsides."
D. nn"Weigh nnyourself nndaily nnwhen nntaking nnthis nnmedication. nn- nnAnswer nnAnswer:
nnB
Antacids nnneutralize nngastric nnacid nnand nndecrease nnthe nnabsorption nnof nnother
nnmedications. nnThe nnclient nnshould nnbe nninstructed nnto nnavoid nntaking nnother
nnmedications nnwithin nn2 nnhours nnof nnthe nnantacid. nnWater, nnwhich nndilutes nnthe
nnantacid, nnshould nnnot nnbe nntaken nnwith nnantacid. nnA nnhistamine nnreceptor
nnantagonist nnshould nnbe nntaken nneven nnwhen nnpain nnsubsides. nnDaily nnweights nnare
nnindicated nnif nnthe nnclient nnis nntaking nna nndiuretic, nnnot nnan nnantacid.
Which nnclinical nnmanifestation nnwould nnthe nnnurse nnexpect nna nnclient nndiagnosed
nnwith nnacute nncholecystitis nnto nnexhibit?
A. nnJaundice, nndark nnurine, nnand nnsteatorrhea
B. nnAcute nnright nnlower nnquadrant nn(RLQ) nnpain, nndiarrhea, nnand nndehydration
C. nnEcchymosis nnpetechiae, nnand nncoffee-ground nnemesis
D. nnNausea, nnvomiting, nnand nnanorexia nn- nnAnswer nnAnswer: nnD
, Acute nncholecystitis nnis nnan nnacute nninflammation nnof nnthe nngallbladder nncommonly
nnmanifested nnby nnthe nnfollowing: nnanorexia, nnnausea, nnand nnvomiting; nnbiliary nncolic;
nntenderness nnand nnrigidity nnthe nnright nnupper nnquadrant nn(RUQ) nnelicited nnon
nnpalpation nn(e.g., nnMurphy's nnsign); nnfever; nnfat nnintolerance; nnand nnsigns nnand
nnsymptoms nnof nnjaundice. nnEcchymosis, nnpetechiae, nnand nncoffee-ground nnemesis
nnare nnclinical nnmanifestations nnof nnesophageal nnbleeding. nnThe nncoffee-ground
nnappearance nnindicates nnold nnbleeding. nnJaundice, nndark nnurine, nnand nnsteatorrhea
nnare nnclinical nnmanifestations nnof nnthe nnicteric nnphase nnof nnhepatitis
Pierre nnwho nnis nndiagnosed nnwith nnacute nnpancreatitis nnis nnunder nnthe nncare nnof
nnNurse nnBryan. nnWhich nnintervention nnshould nnthe nnnurse nninclude nnin nnthe nncare
nnplan nnfor nnthe nnclient?
A. nnAdministration nnof nnvasopressin nnand nninsertion nnof nna nnballoon nntamponade
B. nnPreparation nnfor nna nnparacentesis nnand nnadministration nnof nndiuretics
C. nnMaintenance nnof nnnothing-by-mouth nnstatus nnand nninsertion nnof nnnasogastric
nn(NG) nntube nnwith nnlow nnintermittent nnsuction
D. nnDietary nnplan nnof nna nnlow-fat nndiet nnand nnincreased nnfluid nnintake nnto nn2,000
nnml/day nn- nnAnswer nnAnswer: nnC
With nnacute nnpancreatitis, nnthe nnclient nnis nnkept nnon nnnothing-by-mouth nnstatus nnto
nninhibit nnpancreatic nnstimulation nnand nnsecretion nnof nnpancreatic nnenzymes. nnNG
nnintubation nnwith nnlow nnintermittent nnsuction nnis nnused nnto nnrelieve nnnausea nnand
nnvomiting, nndecrease nnpainful nnabdominal nndistention, nnand nnremove nnhydrochloric
nnacid. nnVasopressin nnwould nnbe nnappropriate nnfor nna nnclient nndiagnosed nnwith
nnbleeding nnesophageal nnvarices. nnParacentesis nnand nndiuretics nnwould nnbe
nnappropriate nnfor nna nnclient nndiagnosed nnwith nnportal nnhypertension nnand nnascites.
nnA nnlow-fat nndiet nnand nnincreased nnfluid nnintake nnwould nnfurther nnaggravate nnthe
nnpancreatitis
For nnRico nnwho nnhas nnchronic nnpancreatitis, nnwhich nnnursing nnintervention nnwould
nnbe nnmost nnhelpful?
A. nnAllowing nnliberalized nnfluid nnintake
B. nnCounseling nnto nnstop nnalcohol nnconsumption
C. nnEncouraging nndaily nnexercise
D. nnModifying nndietary nnprotein nn- nnAnswer nnAnswer: nnB
Chronic nnpancreatitis nntypically nnresults nnfrom nnrepeated nnepisodes nnof nnacute
nnpancreatitis. nnMore nnthan nnhalf nnof nnchronic nnpancreatitis nncases nnare nnassociated
nnwith nnalcoholism. nnCounseling nnto nnstop nnalcohol nnconsumption nnwould nnbe nnthe
nnmost nnhelpful nnfor nnthe nnclient. nnDietary nnprotein nnmodification nnis nnnot nnnecessary
nnfor nnchronic nnpancreatitis. nnDaily nnexercise nnand nnliberalizing nnfluid nnintake nnwould
nnbe nnhelpful nnbut nnnot nnthe nnmost nnbeneficial nnintervention.
