5r
vmWilliams v m 1
5r
MULTIDIMENSIONAL CARE 2-FINAL
EXAM Q AND A
65-year-
oldvmfemalevmwhovmpresentsvmtovmthevmEDvmwithvmepigastricvmdiscomfort,vmlossvmofvmappetite,vmandv
mweightvmloss.vmHistoryvmofvmdiabetesvmandvmalcoholism.vmwhatvmdiseasevmdoesvmshevmlikelyvmhave
?vm-vmanswer--1.vmPEPTICvmULCERvmDISEASE
2.vmGIvmbleeds
3.vmgastricvmcancer
4.vmcandidiasis
avmnursevmisvmcaringvmforvmavmpatientvmwhovmisvmstatusvmpostvmuppervmendoscopicvmprocedure.vmwhi
chvmofvmthevmfollowingvmshouldvmbevmincludedvmasvmavmpriorityvminvmthevmpost-
procedurevmassessment?vm-vmanswer--1.vmneurovmassessment
2.vmGAGvmREFLEX
3.vmtemperature
4.vmbowelvmsounds
avmnursevmisvmcaringvmforvmavmpatientvmwithvmavmdiagnosisvmofvmoralvmcancervmwhovmrecentlyvmunderw
entvmsurgery.vmwhichvmofvmthevmfollowingvmisvmavmpostvmoperativevmnursingvmpriority?vm-vmanswer--
1.vmAIRWAYvmMANAGMENT
2.vmpreventvmaspiration
3.vmmonitorvmvitalvmsigns
4.vmprovidevmalternatevmmeansvmofvmcommunication
Avm44-year-
oldvmpt.vmwasvmrecentlyvmdiagnosedvmwithvmgastricvmcancer.vmsamvmhasvmavmwifevmandvmthreevmsmall
vmchildren.vmtheyvmarevmhavingvmavmdifficultvmtimevmdealingvmwithvmthevmdiagnosis.vmwhichvmofvmthevmf
ollowingvmisvmavmpriorityvmforvmthisvmpatient?vm-vmanswer--1.vmeducatevmonvmtreatmentvmoptions
2.vmconsultvmthevmdieticianvmregardingvmnutritionalvmneedsvm
3.vmmonitorvmlabvmvaluesvmforvmabnormalitites
4.vmCONSULTvmSOCIALvmSERVICESvmTOvmPROVIDEvmSUPPORTvmTOvmSAMvmANDvmHISvmFAM
ILY
Avmnursevmisvmcaringvmforvmavmpatientvmwhovmwasvmdiagnosedvmwithvmlymphomavmandvmundergoingvm
chemo.vmwhichvmofvmthevmfollowingvmconditionsvmisvmshevmatvmriskvmforvmdeveloping?vmSATAvm-
vmanswer--1.vmgastricvmcancer
2.vmoralvmcancer
3.vmCANDIDIASIS
4.vmSTOMATITIS
Gwenvmisvmanvm89-year-
oldvmfemalevmwhovmwasvmdiagnosedvmwithvmgastricvmcancervmthreevmmonthsvmago.vmshevmhasvmunde
rgonevmchemovmandvmradiationvmandvmrecentlyvmhasvmsurgeryvmtovmremovevmthevmcancer.vmduringvmt
hevmsurgery,vmtheyvmdiscoveredvmthatvmthevmcancervmhadvmspreadvmtovmothervmorgans.vmTheyvmarevm
, TestvmBankvmForvmDewitsvmFundamentalvmConceptsvmAndvmSkillsvmForvmNursing 7thvmEditionvmBy
5r
vmWilliams v m 2
5r
havingvmdifficultyvmdecidingvmtreatmentvmoptions.vmwhichvmofvmthevmfollowingvmisvmappropriatevmforvm
hervmcare?vmSATAvm-vmanswer--1.vmPREPAREvmPATIENTvmFORvmADDITIONALvmCHEMO
2.vmPREPAREvmPATIENTvmFORvmADDITIONALvmRADIATION
3.vmCONSULTvmTHEvmPALLIATIVEvmCAREvmNURSE
4.vmdischargevmthevmpatientvmtovmhospice
56-year-
oldvmfemalevmwhovmpresentedvmtovmthevmEDvmwithvmfullnessvminvmthevmchest,vmdysphagia,vmandvmche
stvmpain.vmshevmstatesvmthatvmshevmhasvmbeenvmhavingvmthesevmsymptomsvmforvmthevmpastvmcouplevm
months.vmwhichvmofvmthevmfollowingvmconditionsvmcouldvmitvmbevmbasedvmonvmhervmsymptoms?vm-
vmanswer--1.vmpepticvmulcervmdisease
2.vmgastritis
3.vmHIATALvmHERNIA
4.vmGastroesophagealvmrefluxvmdisease
Avmnursevmisvmprovidingvmdischargevminstructionsvmtovmpatientvmrecentlyvmdiagnosedvmwithvmpepticvm
ulcervmdisease.vmwhichvmofvmthevmfollowingvmshouldvmnotvmbevmavmpartvmofvmthevmdischargevminstructi
ons?vm-vmanswer--1.vmavoidvmspicyvmfoods
2.vmRESUMEvmALCOHOLvmINvmMODERATION
3.vmfollowvmmedicationsvmasvmprescribed
4.vmsignsvmandvmsymptomsvmtovmreport
Avmnursevmisvmcaringvmforvmavmpatientvmrecentlyvmdiagnosedvmwithvmavmhiatalvmhernia.vmwhichvmofvmth
evmfollowingvmisvmthevmleastvminvasivevmsurgicalvmtreatmentvmforvmavmpatientvmwithvmavmhiatalvmhernia
?vm-vmanswer--1.vmNissenvmfundoplication
2.vmENDOLUMINALvmFUNDOPLICATION
3.vmplyoroplasty
4.vmvagotomy
avmnursevmisvmcaringvmforvmavmpatientvmwhovmhasvmrecentlyvmbeenvmdiagnosedvmwithvmGERD.vmwhich
vmofvmthevmfollowoingvmisvmthevmsurgicalvmmanagementvmapproachvmforvmpatientsvmwithvmthisvmconditi
on?vm-vmanswer--1.vmNISSENvmFUNDOPLICATION
2.Endoluminal
3.vmVagotomy
4.vmGastroneterostomy
Avmnursevmisvmcaringvmforvmavm29-year-
oldvmwithvmavmhistoryvmofvmalcoholism.vmhevmhasvmbeenvmhavingvmfrequentvmepisodesvmofvmvomitingvm
brightvmredvmblood.vmthevmfollowingvminterventionsvmwouldvmbevmappropriatevmforvmthisvmpatientvmexc
ept:vm-vmanswer--1.vmmakevmthevmpatientvmNPO
2.vmtransfusionvmofvmbloodvmproducts
3.vmperformvmgastricvmlavage
4.vmENCOURAGEvmLIQUIDvmINTAKE
avmnursevmisvmcaringvmforvmavm60-year-
oldvmfemalevmthatvmunderwentvmavmhysterectomyvmandvmisvmpost-
opvmdayvmtwo.vmshevmhasvmnovmactivevmbowelvmsoundsvmandvmhasvmnotvmpassedvmanyvmgas.vmCTvmsc
anvmcompletedvmshowingvmnovmvulvusvmorvmintussceptionvmfound.vmwhichvmofvmthevmfollowingvmisvmth
evmpatientvmexperiencing?vm-vmanswer--1.vmperforatedvmcolon
2.vmmechanicalvmbowelvmobstruction
3.vmnormalvmfindingsvmgivenvmsurgicalvmprocedure