NUR 414 Review Test Questions 2023 Solutions All Correct

NUR 414 Review Test Questions 2023 Solutions All Correct A nurse reviews a medical record of a client with ascites. What does the nurse identify that may be causing the ascites? 1.) Portal hypotension 2.) Kidney malfunction 3.) Diminished plasma protein level 4.) Decreased production of potassium - ANSWER- 3 A client with ascites has a paracentesis, and 1500 mL of fluid is removed. The nurse recognizes that it is important to monitor the client for what signs of complications that may occur immediately after the procedure? Select all that apply. 1.) Temperature of 100.1 2.) Blood pressure of 90/40 3.) Heart rate of 110 4.) Hypoactive bowel sounds 5.) Pulmonary congestion - ANSWER- 2,3 A client diagnosed with viral hepatitis develops liver failure and hepatic encephalopathy. Which of these measures should the nurse healthcare provider include in this client's plan of care? 1.) weigh once a week 2.) provide high-protein feedings 3.) institute droplet precautions 4.) monitor the blood glucose - ANSWER- 4 A school health nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease? 1.) "people working at restaurants can give it to you if they don't wash their hands." 2.) "you're more likely to get it in crowded living conditions." 3.) "you can catch it while you're getting a tattoo." 4.) "the disease is passed from person to person by causal contact." - ANSWER- 3 The nurse is caring for a client who is scheduled to have a percutaneous liver biopsy. Which findings warrant the postponement of the procedure? Select all that apply. 1.) Ecchymosis and purpura 2.) Platelet count of 160,00/mm3 3.) Hepatic cirrhosis 4.) Marked ascites 5.) Hemoglobin less than 9 g/dL - ANSWER- 1,4,5 A client with cirrhosis of the liver develops ascites, and the health care provider prescribes spironolactone. What should the nurse monitor the client for? 1.) Hypoglycemia 2.) Tachycardia 3.) Ecchymosis 4.) Hyperkalemia - ANSWER- 4 A client with esophageal varices is admitted with hematemesis and two units of packed red blood cells are prescribed. The client complains of flank pain halfway through the first unit of blood. What action should the nurse complete first? 1.) Assess the pain further 2.) Obtain the vital sings 3.) Stop the transfusion 4.) Monitor the hourly urinary output - ANSWER- 3 A client with a 20-year history of excessive alcohol use is admitted to the hospital with jaundice and ascites. What is a priority nursing action during the first 48 hours after the client's admission? 1.) Determine the client's reasons for drinking 2.) Monitor the client's vital signs 3.) Increase the client's fluid intake 4.) Improve the client's nutritional status - ANSWER- 2 A child is diagnosed with hepatitis A. The client's parent expresses concern that the other members of the family may get hepatitis because they all share the same bathroom. The nurse's best reply is: 1.) "Your child may use the bathroom, but you need to use disposable toilet covers." 2.) "You will need to clean the bathroom from top to bottom every time a family member uses it." 3.) "I suggest that you buy a commode exclusively for your child's use." 4.) "All family members, including your child, need to wash their hands after using the bathroom ." - ANSWER- 4 A patient with late-stage cirrhosis develops portal hypertension. Identify the potential complications below. Select all that apply. 1.) Esophageal varices 2.) Ascites 3.) Elevated serum albumin levels 4.) Left arm blood pressure reading of 160/80 5.) Splenomegaly - ANSWER- 1,2,5 A client is admitted to the hospital with ascites. The client reports a quart of vodka in orange juice every day for the past three months. To assess the potential for withdrawal symptoms, which question would be appropriate for the nurse to ask the client? 1.) Why do you mix the vodka with orange juice? 2.) Do you also eat when you drink? 3.) When was your last drink of vodka? 4.) What prompts your drinking episodes? - ANSWER- 3 The nurse is providing discharge instructions to a client who is recovering from an acute case of viral hepatitis. Which statement by the client indicates a need for further education? 1.) I will take acetaminophen for pain 2.) I will be sure to take naps throughout the day 3.) I will eat small frequent meals 4.) I will avoid alcohol - ANSWER- 1 A health care provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan? 1.) Maintain a supine position during the procedure 2.) Stay on a liquid diet for 24 hours after the procedure 3.) consume a diet low in fat for three days before the procedure 4.) Empty the bladder immediately before the procedure - ANSWER- 4 A nurse is caring for a client with ascites who is to receive intravenous (IV) albumin. What changes should the nurse anticipate after the client receives the albumin? 1.) Venous stasis and blood urea nitrogen level 2.) Ascites and blood ammonia levels 3.) Peripheral edema and hematocrit level 4.) Capillary perfusion and blood pressure - ANSWER- 3 When caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a needle stick with a contaminated needle. Which of the following actions should the healthcare provider do first? 1.) Wash the area thoroughly with soap and water 2.) Report to the emergency room 3.) Contact employee health so antiretrovirals can be started 4.) Place the needle in a biohazard bag for testing - ANSWER- 1 A patient diagnosed with hepatitis develops splenomegaly. When reviewing the laboratory report, which of the following results will the healthcare provider anticipate? 1.) Leukocytosis 2.) Polycythemia 3.) Thrombocytopenia 4.) Neutrophilia - ANSWER- 3