NSG 233 Med Surg 2 Exam 2
2023 Questions and Answers (Verified Answers)
1. When caring for a patient with Acute Viral Hepatitis B, the nurse
should implement which of the following precautions?: Standard
percautions
2. You are the nurse caring for a 60 year old female patient who is post-
op laparoscopic cholecystectomy. Which of the following dietary
recommenda- tions would be most important to include in your discharge
teaching?
A.
"Use caution when eating high fiber
foods." B.
"It is best to eat three balanced meals a
day." C.
"Check gastric residuals before your next enteral bolus
feeding." D.
"You will need to avoid high fat foods from now on.": D- you will need to
avoid high fat foods from now on
,3. A patient admitted with ascites and peripheral edema from cirrhosis is
ex- periencing shortness of breath. Which of the following could help to
decrease the patient's shortness of breath? Select all that apply.
A. Encouraging a high sodium diet.
B. Undergoing a paracentesis
C. Elevating the head of the bed
D. Increasing the rate of the IV fluids
E. Administering diuretics: B. Undergoing a paracentesis
C. Elevating the head of the bed
E. Administering diuretics
4. A patient newly diagnosed with Acute Viral Hepatitis C asks the nurse
how this virus was contracted. Which of the following could have led to
the contraction of Acute Viral Hepatitis C? Select all that apply.
A. Abusing intravenous drugs
B. Drinking contaminated water
C. Eating undercooked foods
D. Engaging in unprotected sex: A. Abusing intravenous drugs
E. Engaging in unprotected sex
5. A patient with cirrhosis has esophageal varices. The patient has
developed a mild cough. Which intervention would be most appropriate for
this patient?
,A. Keep the patient NPO.
B. Maintain strict bedrest
C. Administer a cough suppressant.
D. Consult infectious disease (ID) for an antibiotic.: C. Administer a
cough suppressant.
, 6. Which of the following best describes the etiology of ascites in a
patient with cirrhosis?
A. Decreased albumin
B. Increased PT
C. Increased AST
D. Decreased aldosterone: A. Decreased albumin
7. Which of the following should be included when caring for a patient
in fulminant hepatic failure with hepatic encephalitis? Select all that
apply
A. Perform neuro checks every 4 hours.
B. Keep the patient in bed in the supine position.
C. Place the patient on fall precautions.
D. Encourage intake of high protein foods.
E. Administer Lactulose to the patient TID.: A. Perform neuro checks
every 4 hours.
C. Place the patient on fall precautions.
E. Administer Lactulose to the patient TID.
8. When caring for a patient who is post-op total pancreatectomy, the
nurse knows that the patient needs further reinforcement and nutritional
education when the patient states...
A. "I will monitor my blood sugar levels and keep a log to show my doctor
at every visit."
B. "I am excited to be able to eat the vegetables that I am currently growing
2023 Questions and Answers (Verified Answers)
1. When caring for a patient with Acute Viral Hepatitis B, the nurse
should implement which of the following precautions?: Standard
percautions
2. You are the nurse caring for a 60 year old female patient who is post-
op laparoscopic cholecystectomy. Which of the following dietary
recommenda- tions would be most important to include in your discharge
teaching?
A.
"Use caution when eating high fiber
foods." B.
"It is best to eat three balanced meals a
day." C.
"Check gastric residuals before your next enteral bolus
feeding." D.
"You will need to avoid high fat foods from now on.": D- you will need to
avoid high fat foods from now on
,3. A patient admitted with ascites and peripheral edema from cirrhosis is
ex- periencing shortness of breath. Which of the following could help to
decrease the patient's shortness of breath? Select all that apply.
A. Encouraging a high sodium diet.
B. Undergoing a paracentesis
C. Elevating the head of the bed
D. Increasing the rate of the IV fluids
E. Administering diuretics: B. Undergoing a paracentesis
C. Elevating the head of the bed
E. Administering diuretics
4. A patient newly diagnosed with Acute Viral Hepatitis C asks the nurse
how this virus was contracted. Which of the following could have led to
the contraction of Acute Viral Hepatitis C? Select all that apply.
A. Abusing intravenous drugs
B. Drinking contaminated water
C. Eating undercooked foods
D. Engaging in unprotected sex: A. Abusing intravenous drugs
E. Engaging in unprotected sex
5. A patient with cirrhosis has esophageal varices. The patient has
developed a mild cough. Which intervention would be most appropriate for
this patient?
,A. Keep the patient NPO.
B. Maintain strict bedrest
C. Administer a cough suppressant.
D. Consult infectious disease (ID) for an antibiotic.: C. Administer a
cough suppressant.
, 6. Which of the following best describes the etiology of ascites in a
patient with cirrhosis?
A. Decreased albumin
B. Increased PT
C. Increased AST
D. Decreased aldosterone: A. Decreased albumin
7. Which of the following should be included when caring for a patient
in fulminant hepatic failure with hepatic encephalitis? Select all that
apply
A. Perform neuro checks every 4 hours.
B. Keep the patient in bed in the supine position.
C. Place the patient on fall precautions.
D. Encourage intake of high protein foods.
E. Administer Lactulose to the patient TID.: A. Perform neuro checks
every 4 hours.
C. Place the patient on fall precautions.
E. Administer Lactulose to the patient TID.
8. When caring for a patient who is post-op total pancreatectomy, the
nurse knows that the patient needs further reinforcement and nutritional
education when the patient states...
A. "I will monitor my blood sugar levels and keep a log to show my doctor
at every visit."
B. "I am excited to be able to eat the vegetables that I am currently growing
