Exam 2 Quiz
The nurse recognizes that treatment for Grave's disease may include?
Steroid therapy
Radiation therapy
Single adrenalectomy
Bilateral adrenalectomy - ANS--Radiation therapy
Radiation therapy destroys the enlarged thyroid tissue.
Steroid therapy is the treatment for Addison's disease.
Adrenalectomy maybe indicated for some patients with Cushings disease - dependent on
cause.
What are some symptoms of a thyroid storm?[select all that apply]
Constipation
Fever
Hypertension
Tachycardia - ANS--Fever
-Hypertension
-Tachycardia
The nurse is caring for an 21 year old patient with an ileostomy which was placed one month
ago. Which nursing diagnosis is most appropriate for this patient?
Constipation
Excess fluid volume
Disturbed body image
Delayed growth and development - ANS--Disturbed Body Image
-A patient with an ileostomy has liquid/loose stools. They are more likely to have fluid deficits
related to loose stools. This does not delay growth.
Which of these health teaching measures is most likely to decrease the risk of having a bowel
obstruction caused by a fecal impaction?
Alcohol in moderation
Minimize smoking
Eat a high fiber diet
Avoid the use of multivitamins - ANS--Eat a high fiber diet
-High fiber is the most likely measure to increase peristalsis and avoid impactions
Which of these statements is correct?
An intussusception is a twisting of the intestine
After a bowel resection the patient will usually have active bowel sounds in the immediate post
operative period
Very low pitched bowel sounds are called borborygmi
, A strangulated hernia requires emergent surgery - ANS--A strangulated hernia requires
emergent surgery
-Strangulated hernia is not getting a blood supply and if surgery is not done gangrene occurs
-Borborygmi sounds are high pitched, gurgling, splashing sounds
-Bowel sounds are usually not present on post op day one and gradually return
-An intussusception is when the bowel goes inside itself
Which statement about the care of patient with a colostomy is correct?
A healthy stoma should be dry
The stoma should protrude at least 2 inches from the abdomen
When palpating a stoma it should feel firm
The stoma is often edematous during the initial post operative period - ANS--The stoma is often
edematous during the initial post operative period
-Stomas should be pink, soft and moist. Swelling occurs in the initial post op period and
subsides gradually until the stoma reaches a consistent size about 4-6 weeks post op
What condition is considered to be most common in young adults and teenagers and is the
most common cause of acute abdominal pain?
Appendicitis
Bowel obstruction
GERD
Peritonitis - ANS--Appendicitis
A patient scheduled for a colonscopy asks what the purpose of this exam is. The nurse explains
the exam allows for?
Visual examination of the large intestine
Visual examination of the esophagus and stomach
Radiographic examination of the small and large intestine
Fluroscopic examination of the large intestine - ANS--Visual examination of the large intestine
A patient undergoes surgery for treatment of a perforated ulcer. Post-op orders include
morphine via a patient controlled analgesia (PCA) and NG to low intermittent suction. Twelve
hours after the patient returns to the unit she reports increasing abdominal pain. The nursing
assessment reveals pain 9 on 0-10 scale and 550 ml of bright red nasogastric drainage in the
last hour. The patient's vital signs are AP 99, B/P 98/62, R 22, T 98.6 oral. The first action by the
nurse is?
Irrigate the nasogastric tube
Increase suction to continuous
Notify the healthcare provider
Assess the patient's use of the PCA - ANS--Notify the healthcare provider
The nurse recognizes that treatment for Grave's disease may include?
Steroid therapy
Radiation therapy
Single adrenalectomy
Bilateral adrenalectomy - ANS--Radiation therapy
Radiation therapy destroys the enlarged thyroid tissue.
Steroid therapy is the treatment for Addison's disease.
Adrenalectomy maybe indicated for some patients with Cushings disease - dependent on
cause.
What are some symptoms of a thyroid storm?[select all that apply]
Constipation
Fever
Hypertension
Tachycardia - ANS--Fever
-Hypertension
-Tachycardia
The nurse is caring for an 21 year old patient with an ileostomy which was placed one month
ago. Which nursing diagnosis is most appropriate for this patient?
Constipation
Excess fluid volume
Disturbed body image
Delayed growth and development - ANS--Disturbed Body Image
-A patient with an ileostomy has liquid/loose stools. They are more likely to have fluid deficits
related to loose stools. This does not delay growth.
Which of these health teaching measures is most likely to decrease the risk of having a bowel
obstruction caused by a fecal impaction?
Alcohol in moderation
Minimize smoking
Eat a high fiber diet
Avoid the use of multivitamins - ANS--Eat a high fiber diet
-High fiber is the most likely measure to increase peristalsis and avoid impactions
Which of these statements is correct?
An intussusception is a twisting of the intestine
After a bowel resection the patient will usually have active bowel sounds in the immediate post
operative period
Very low pitched bowel sounds are called borborygmi
, A strangulated hernia requires emergent surgery - ANS--A strangulated hernia requires
emergent surgery
-Strangulated hernia is not getting a blood supply and if surgery is not done gangrene occurs
-Borborygmi sounds are high pitched, gurgling, splashing sounds
-Bowel sounds are usually not present on post op day one and gradually return
-An intussusception is when the bowel goes inside itself
Which statement about the care of patient with a colostomy is correct?
A healthy stoma should be dry
The stoma should protrude at least 2 inches from the abdomen
When palpating a stoma it should feel firm
The stoma is often edematous during the initial post operative period - ANS--The stoma is often
edematous during the initial post operative period
-Stomas should be pink, soft and moist. Swelling occurs in the initial post op period and
subsides gradually until the stoma reaches a consistent size about 4-6 weeks post op
What condition is considered to be most common in young adults and teenagers and is the
most common cause of acute abdominal pain?
Appendicitis
Bowel obstruction
GERD
Peritonitis - ANS--Appendicitis
A patient scheduled for a colonscopy asks what the purpose of this exam is. The nurse explains
the exam allows for?
Visual examination of the large intestine
Visual examination of the esophagus and stomach
Radiographic examination of the small and large intestine
Fluroscopic examination of the large intestine - ANS--Visual examination of the large intestine
A patient undergoes surgery for treatment of a perforated ulcer. Post-op orders include
morphine via a patient controlled analgesia (PCA) and NG to low intermittent suction. Twelve
hours after the patient returns to the unit she reports increasing abdominal pain. The nursing
assessment reveals pain 9 on 0-10 scale and 550 ml of bright red nasogastric drainage in the
last hour. The patient's vital signs are AP 99, B/P 98/62, R 22, T 98.6 oral. The first action by the
nurse is?
Irrigate the nasogastric tube
Increase suction to continuous
Notify the healthcare provider
Assess the patient's use of the PCA - ANS--Notify the healthcare provider
