HCC II Exam 2 Questions With Complete Solutions
Acetaminophen Correct Answer <4g if more can cause liver
damage
Acute Correct Answer short term pain, respiratory,
cardiovascular, endocrine, immune, increases metabolic rate,
cardiac output, risk for physiologic disorder
Acute pancreatitis
Assessment Correct Answer history of abdominal pain, the
presence of known risk factors, physical examination findings,
and diagnostic findings, elevated serum amylase and lipase
levels
Acute pancreatitis
Diagnosis Correct Answer Acute pain
Ineffective breathing pattern
Imbalanced nutrition
Impaired skin integrity
•Fever, jaundice, confusion, agitation, ecchymosis in the flank
or umbilical area and abdominal guarding
Acute pancreatitis
Labs Correct Answer WBC > 16000
AST >250 (detect liver damage)
ALT (part of liver panel)
Acute pancreatitis
, Pain meds Correct Answer analgesia, opioids morphine,
fentanyl (sublimaze), hydromorphone, (no use of meperidine),
antiemetic agents (prevent V), unrelieved by antacids
Acute pancreatitis Correct Answer pancreatic and common bile
duct becomes obstructed, and enzymes back up, causing
autodigestion and inflammation of the pancreas
•Acutely ill and at risk for hypovolemic shock, fluid and
electrolyte disturbances, and sepsis
Bowel elimination Correct Answer Stool formation begins in
the colon where water and lytes are absorbed. Peristalsis moves
feces along. Forceful peristalsis presents as "cramping". Rapid
peristalsis presents as diarrhea, slowed peristalsis as
constipation. Urge to defecate is signaled by feeling of
"fullness" in the rectal vault which stimulates relaxation of the
anal sphincters.
Bowel elimination incontinence Correct Answer can occur in
response to anal injury or neuro deficits
Bowel elimination Labs Correct Answer occult blood, cultures
(bacterial/parasites), radiographic studies, Colonoscopy
Bowel elimination Negative consequences Correct Answer
incontinence (poor sphincter control),
retention/constipation/obstruction, (poor appetite, meds,
discomfort, impaction), homeostasis imbalance (toxins, Fe
imbalance, inflammation, infections viral or bacterial)
Acetaminophen Correct Answer <4g if more can cause liver
damage
Acute Correct Answer short term pain, respiratory,
cardiovascular, endocrine, immune, increases metabolic rate,
cardiac output, risk for physiologic disorder
Acute pancreatitis
Assessment Correct Answer history of abdominal pain, the
presence of known risk factors, physical examination findings,
and diagnostic findings, elevated serum amylase and lipase
levels
Acute pancreatitis
Diagnosis Correct Answer Acute pain
Ineffective breathing pattern
Imbalanced nutrition
Impaired skin integrity
•Fever, jaundice, confusion, agitation, ecchymosis in the flank
or umbilical area and abdominal guarding
Acute pancreatitis
Labs Correct Answer WBC > 16000
AST >250 (detect liver damage)
ALT (part of liver panel)
Acute pancreatitis
, Pain meds Correct Answer analgesia, opioids morphine,
fentanyl (sublimaze), hydromorphone, (no use of meperidine),
antiemetic agents (prevent V), unrelieved by antacids
Acute pancreatitis Correct Answer pancreatic and common bile
duct becomes obstructed, and enzymes back up, causing
autodigestion and inflammation of the pancreas
•Acutely ill and at risk for hypovolemic shock, fluid and
electrolyte disturbances, and sepsis
Bowel elimination Correct Answer Stool formation begins in
the colon where water and lytes are absorbed. Peristalsis moves
feces along. Forceful peristalsis presents as "cramping". Rapid
peristalsis presents as diarrhea, slowed peristalsis as
constipation. Urge to defecate is signaled by feeling of
"fullness" in the rectal vault which stimulates relaxation of the
anal sphincters.
Bowel elimination incontinence Correct Answer can occur in
response to anal injury or neuro deficits
Bowel elimination Labs Correct Answer occult blood, cultures
(bacterial/parasites), radiographic studies, Colonoscopy
Bowel elimination Negative consequences Correct Answer
incontinence (poor sphincter control),
retention/constipation/obstruction, (poor appetite, meds,
discomfort, impaction), homeostasis imbalance (toxins, Fe
imbalance, inflammation, infections viral or bacterial)
