SLCC Med Surg 2 Exam 2 UPDATED
ACTUAL Questions and CORRECT
Answers
The nurse instructs a client with diverticulitis to which of the following?
a. eating a diet low in digestible fiber until the system resolves
b. limiting fluid intake
c. using enemas to relieve constipation
d. increasing fat and dairy intake - CORRECT ANSWER - A. eating a diet low in
digestible fiber
When treating a client with apendicitis, which of the following is most important?
a. Give IV fluids, NPO, apply heat to abd for comfort
b. Give IV fluids, NPO, give enema to prep client for emergency surgery
c. Give IV fluids, NPO, give analgesics judiciously, place in fowlers position
d. give clear liquids along with heat on abd for comfort - CORRECT ANSWER - c. Give
IV fluids, NPO, give analgesics judiciously, place in fowlers position
The nurse knows the following is standard interventions for a PT with a GI bleed... - CORRECT
ANSWER - b. Two large-bore PIVs
The nurse charts that the client has brown, coffee ground emesis as which of the following? -
CORRECT ANSWER - c. Hematemesis
The nurse knows that the main cause of GI bleeding is? - CORRECT ANSWER - Peptic
Ulcers
, After a percutaneous trans hepatic cholangiography (insertion of a needle into the liver) the nurse
monitors for? - CORRECT ANSWER - Bleeding
The nurse understands that a hiatal hernia is caused from? - CORRECT ANSWER -
Stomach passing through the diaphragm
The nurse is explaining what melena is to the client, he describes it as? - CORRECT
ANSWER - Dark tarry or maroon stool
Which of the following interventions would be expected for the PT with pancreatitis?
a. maintain NPO status
b. give small, frequent high-calorie feedings
c. maintain the client in a supine and flat position
d. give hydromorphone every 8 hours for pain - CORRECT ANSWER - a. maintain NPO
status
Which of these clinical manifestations support he diagnosis of cholecystitis?
a. fever
b. positive Cullen's sign
c. Palpable mass in the left upper quadrant
d. vague lower right quadrant abdominal discomfort - CORRECT ANSWER - a. fever
Who is at most risk for developing hep. A infection? - CORRECT ANSWER - Children
Which of the following would be expected for a PT with fluminant hepatic failure?
a. endoscopic sclerotherapy
b. liver lobectomy
c. liver transplant
ACTUAL Questions and CORRECT
Answers
The nurse instructs a client with diverticulitis to which of the following?
a. eating a diet low in digestible fiber until the system resolves
b. limiting fluid intake
c. using enemas to relieve constipation
d. increasing fat and dairy intake - CORRECT ANSWER - A. eating a diet low in
digestible fiber
When treating a client with apendicitis, which of the following is most important?
a. Give IV fluids, NPO, apply heat to abd for comfort
b. Give IV fluids, NPO, give enema to prep client for emergency surgery
c. Give IV fluids, NPO, give analgesics judiciously, place in fowlers position
d. give clear liquids along with heat on abd for comfort - CORRECT ANSWER - c. Give
IV fluids, NPO, give analgesics judiciously, place in fowlers position
The nurse knows the following is standard interventions for a PT with a GI bleed... - CORRECT
ANSWER - b. Two large-bore PIVs
The nurse charts that the client has brown, coffee ground emesis as which of the following? -
CORRECT ANSWER - c. Hematemesis
The nurse knows that the main cause of GI bleeding is? - CORRECT ANSWER - Peptic
Ulcers
, After a percutaneous trans hepatic cholangiography (insertion of a needle into the liver) the nurse
monitors for? - CORRECT ANSWER - Bleeding
The nurse understands that a hiatal hernia is caused from? - CORRECT ANSWER -
Stomach passing through the diaphragm
The nurse is explaining what melena is to the client, he describes it as? - CORRECT
ANSWER - Dark tarry or maroon stool
Which of the following interventions would be expected for the PT with pancreatitis?
a. maintain NPO status
b. give small, frequent high-calorie feedings
c. maintain the client in a supine and flat position
d. give hydromorphone every 8 hours for pain - CORRECT ANSWER - a. maintain NPO
status
Which of these clinical manifestations support he diagnosis of cholecystitis?
a. fever
b. positive Cullen's sign
c. Palpable mass in the left upper quadrant
d. vague lower right quadrant abdominal discomfort - CORRECT ANSWER - a. fever
Who is at most risk for developing hep. A infection? - CORRECT ANSWER - Children
Which of the following would be expected for a PT with fluminant hepatic failure?
a. endoscopic sclerotherapy
b. liver lobectomy
c. liver transplant
