NUR 355 Exam 5 questions with correct answers
What is a specific intervention for the treatment of acute pancreatitis?
Correct Answer-NPO status to reduce GI activity and reduce pancreatic
enzyme production
What is administered in order to prevent dehydration in a client with
acute pancreatitis? Correct Answer-IV fluids
When a client has acute pancreatitis with severe or persistent nausea and
vomiting, what action intervention is needed? Correct Answer-NGT to
low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis? Correct
Answer--Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis?
Correct Answer-Opioid analgesics for pain
When are opioid analgesics administered for acute pancreatitits? Correct
Answer--Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort?
Correct Answer-Fetal position
,What is the standard surgical procedure for patients with cholecystitis?
Correct Answer-Laparoscopic cholecystectomy
What is a laparoscopic cholecystectomy? Correct Answer--Uses several
small incisions (up to 1/2 in. long) in the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the
surgical instruments and a laparoscope (a small thin telescope, camera,
and surgical equipment) are placed through the incisions to remove the
gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic
cholecystectomy? Correct Answer-Assist with early ambulation to
promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic
cholecystectomy follow? Correct Answer-Low-fat
When can a client who is post-op laparoscopic cholecystectomy remove
the dressing? Correct Answer-After 24 hours
When can a client who is post-op laparoscopic cholecystectomy shower?
Correct Answer--After the first 48 hours
-It is okay to get the incision a little wet in the shower, but patients
should not let the water pressure flow directly on the incision, which can
increase chances of infection at the incision site
, What discharge teaching should a nurse provide to a client who is post-
op laparoscopic cholecystectomy? Correct Answer--Light lifting of less
than 10 pounds
-No driving while taking narcotics
What color should a stoma be post-op? Correct Answer-Reddish pink
When should you contact the healthcare provider after assessing a
client's stoma? Correct Answer-If the stoma is pale, dark red, purplish,
or black (dark)
What can you expect the stool consistency from an ascending colostomy
to be? Correct Answer-Liquid because only a little, large bowel is
available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support? Correct
Answer-Local chapter of the UOAA has resources for patients and their
families, including specially trained visitors who provide support
What kinds of foods should a client with a colostomy avoid? Correct
Answer--Foods that can cause gas such as dark green leafy vegetables,
beer, carbonated beverages, dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied? Correct Answer-When there
is gas or if it is one-third to one-half full of stool
What is a specific intervention for the treatment of acute pancreatitis?
Correct Answer-NPO status to reduce GI activity and reduce pancreatic
enzyme production
What is administered in order to prevent dehydration in a client with
acute pancreatitis? Correct Answer-IV fluids
When a client has acute pancreatitis with severe or persistent nausea and
vomiting, what action intervention is needed? Correct Answer-NGT to
low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis? Correct
Answer--Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis?
Correct Answer-Opioid analgesics for pain
When are opioid analgesics administered for acute pancreatitits? Correct
Answer--Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort?
Correct Answer-Fetal position
,What is the standard surgical procedure for patients with cholecystitis?
Correct Answer-Laparoscopic cholecystectomy
What is a laparoscopic cholecystectomy? Correct Answer--Uses several
small incisions (up to 1/2 in. long) in the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the
surgical instruments and a laparoscope (a small thin telescope, camera,
and surgical equipment) are placed through the incisions to remove the
gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic
cholecystectomy? Correct Answer-Assist with early ambulation to
promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic
cholecystectomy follow? Correct Answer-Low-fat
When can a client who is post-op laparoscopic cholecystectomy remove
the dressing? Correct Answer-After 24 hours
When can a client who is post-op laparoscopic cholecystectomy shower?
Correct Answer--After the first 48 hours
-It is okay to get the incision a little wet in the shower, but patients
should not let the water pressure flow directly on the incision, which can
increase chances of infection at the incision site
, What discharge teaching should a nurse provide to a client who is post-
op laparoscopic cholecystectomy? Correct Answer--Light lifting of less
than 10 pounds
-No driving while taking narcotics
What color should a stoma be post-op? Correct Answer-Reddish pink
When should you contact the healthcare provider after assessing a
client's stoma? Correct Answer-If the stoma is pale, dark red, purplish,
or black (dark)
What can you expect the stool consistency from an ascending colostomy
to be? Correct Answer-Liquid because only a little, large bowel is
available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support? Correct
Answer-Local chapter of the UOAA has resources for patients and their
families, including specially trained visitors who provide support
What kinds of foods should a client with a colostomy avoid? Correct
Answer--Foods that can cause gas such as dark green leafy vegetables,
beer, carbonated beverages, dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied? Correct Answer-When there
is gas or if it is one-third to one-half full of stool
