NUR 1009 STUDY GUIDE WITH
COMPLETE SOLUTION
The nurse is monitoring a client admitted to the hospital with a diagnosis of
appendicitis who is scheduled for surgery in 2 hours. The client begins to
complain of increased abdominal pain and begins to vomit. On assessment,
the nurse notes that the abdomen is distended and bowel sounds are
diminished. Which is the most appropriate nursing intervention?
a. Notify the surgeon.
b. Administer the prescribed pain medication.
c. Call and ask the operating room team to perform surgery as soon as
possible.
d. Reposition the client and apply a heating pad on the warm setting to the
client's abdomen. - ANSWER a. Notify the surgeon.
A client admitted to the hospital with a suspected diagnosis of acute
pancreatitis is being assessed by the nurse. Which assessment findings would
be consistent with acute pancreatitis? Select all that apply.
a. Diarrhea
b. Black, tarry stools
c. Hyperactive bowel sounds
d. Gray-blue color at the flank
e. Abdominal guarding and tenderness
,f. Left upper quadrant pain with radiation to the back - ANSWER d. Gray-blue
color at the flank
e. Abdominal guarding and tenderness
f. Left upper quadrant pain with radiation to the back
The nurse is assessing a client who is experiencing an acute episode of
cholecystitis. Which of these clinical manifestations support this
diagnosis?Select all that apply.
a. Fever
b. Positive Cullen's sign
c. Complaints of indigestion
d. Palpable mass in the left upper quadrant
e. Pain in the upper right quadrant after a fatty meal
f. Vague lower right quadrant abdominal discomfort - ANSWER a. Fever
c. Complaints of indigestion
e. Pain in the upper right quadrant after a fatty meal
A client diagnosed with viral hepatitis is complaining of "no appetite" and
"losing my taste for food." What instruction would the nurse give the client
to provide adequate nutrition?
a. Select foods high in fat.
b. Increase intake of fluids, including juices.
c. Eat a good supper, when anorexia is less severe.
, d. Eat less often, preferably only three large meals - ANSWER b. Increase
intake of fluids, including juices.
A client has developed hepatitis A after eating contaminated oysters. The
nurse assesses the client for which expected assessment finding?
a. Malaise
b. Dark stools
c. Weight gain
d. Left upper quadrant discomfort - ANSWER a. Malaise
A client has just had a hemorrhoidectomy. Which nursing interventions are
appropriate for this client?Select all that apply.
a. Administer stool softeners as prescribed.
b. Instruct the client to limit fluid intake to avoid urinary retention.
c. Encourage a high-fiber diet to promote bowel movements without
straining.
d. Apply cold packs to the anal-rectal area over the dressing until the packing
is removed.
e. Help the client to a Fowler's position to place pressure on the rectal area
and decrease bleeding. - ANSWER a. Administer stool softeners as
prescribed.
c. Encourage a high-fiber diet to promote bowel movements without
straining.
e. Help the client to a Fowler's position to place pressure on the rectal area
COMPLETE SOLUTION
The nurse is monitoring a client admitted to the hospital with a diagnosis of
appendicitis who is scheduled for surgery in 2 hours. The client begins to
complain of increased abdominal pain and begins to vomit. On assessment,
the nurse notes that the abdomen is distended and bowel sounds are
diminished. Which is the most appropriate nursing intervention?
a. Notify the surgeon.
b. Administer the prescribed pain medication.
c. Call and ask the operating room team to perform surgery as soon as
possible.
d. Reposition the client and apply a heating pad on the warm setting to the
client's abdomen. - ANSWER a. Notify the surgeon.
A client admitted to the hospital with a suspected diagnosis of acute
pancreatitis is being assessed by the nurse. Which assessment findings would
be consistent with acute pancreatitis? Select all that apply.
a. Diarrhea
b. Black, tarry stools
c. Hyperactive bowel sounds
d. Gray-blue color at the flank
e. Abdominal guarding and tenderness
,f. Left upper quadrant pain with radiation to the back - ANSWER d. Gray-blue
color at the flank
e. Abdominal guarding and tenderness
f. Left upper quadrant pain with radiation to the back
The nurse is assessing a client who is experiencing an acute episode of
cholecystitis. Which of these clinical manifestations support this
diagnosis?Select all that apply.
a. Fever
b. Positive Cullen's sign
c. Complaints of indigestion
d. Palpable mass in the left upper quadrant
e. Pain in the upper right quadrant after a fatty meal
f. Vague lower right quadrant abdominal discomfort - ANSWER a. Fever
c. Complaints of indigestion
e. Pain in the upper right quadrant after a fatty meal
A client diagnosed with viral hepatitis is complaining of "no appetite" and
"losing my taste for food." What instruction would the nurse give the client
to provide adequate nutrition?
a. Select foods high in fat.
b. Increase intake of fluids, including juices.
c. Eat a good supper, when anorexia is less severe.
, d. Eat less often, preferably only three large meals - ANSWER b. Increase
intake of fluids, including juices.
A client has developed hepatitis A after eating contaminated oysters. The
nurse assesses the client for which expected assessment finding?
a. Malaise
b. Dark stools
c. Weight gain
d. Left upper quadrant discomfort - ANSWER a. Malaise
A client has just had a hemorrhoidectomy. Which nursing interventions are
appropriate for this client?Select all that apply.
a. Administer stool softeners as prescribed.
b. Instruct the client to limit fluid intake to avoid urinary retention.
c. Encourage a high-fiber diet to promote bowel movements without
straining.
d. Apply cold packs to the anal-rectal area over the dressing until the packing
is removed.
e. Help the client to a Fowler's position to place pressure on the rectal area
and decrease bleeding. - ANSWER a. Administer stool softeners as
prescribed.
c. Encourage a high-fiber diet to promote bowel movements without
straining.
e. Help the client to a Fowler's position to place pressure on the rectal area
