NUR 265 ADVANCED MEDICAL SURGICAL NURSING EXAM 4 2025
UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(COMPLETE SOLUTIONS) ASSURED SUCCESS/GRADED A+!!!
traditional cholecystectomy - CORRECT ANSWER-◦ Abd incision/gen anesthesia
◦ Pain controlled with opoids-PCA pump
◦ Usually have JP drain to prevent fluid accumulation
◦ Antiemetics
◦ NPO-can be advanced as soon as abd peristalsis returns
◦ Discharged 3-7 days after surgery
- T tube may be placed in common bile duct when there is exploration of common
bile duct during surgery
How is viral hepatitis transmitted? - CORRECT ANSWER-- fecal-oral (Hep A&E)
- blood & body fluids (Hep B,C,D,&G)
Risk factors for development of liver cancer - CORRECT ANSWER-- colon cancer
metastasizes to liver
- chronic infection with hep B or C
- alcohol consumption
,hepatitis b needle stick action - CORRECT ANSWER-- Wash needlesticks & cuts
with soap and water
- Flush splashes to the nose, mouth, or skin with water
- Irrigate eyes with clean water, saline, or sterile irrigates
- Report the incident to your supervisor
- receive HBIG & hepatitis B vaccine w/in 24hrs
- Immediately seek medical treatment
ulcerative colitis (UC) - CORRECT ANSWER-- disease characterized by
inflammation of the colon with the formation of ulcers, which can cause bloody
diarrhea
Crohn's disease - CORRECT ANSWER-- a chronic autoimmune disorder that is
most often found in the ileum & in the colon
Hepatitis prevention - CORRECT ANSWER-- avoid alcohol & meds that are toxic
to the liver
- good hand hygiene (fecal-oral)
- avoid risky behavior
- vaccinations (hep a & hep b)
laprascopic cholecystectomy - CORRECT ANSWER-◦ Minimally invasive/gen
anesthesia
, ◦ Decrease in complications
◦ Bile duct injuries rare
◦ Quicker recovery
◦ Less postop pain
◦ Pt may c/o discomfort from 3-4 L of CO2 used to inflate abd during surg
◦ Usually discharged same day
◦ Return to work sooner
Obstructed bile duct - CORRECT ANSWER-- clay colored stools.
- dark & foamy urine (tea) d/t excess bilirubin circulation
- jaundice
What do you monitor in a patient with liver failure? - CORRECT ANSWER--
ammonia , biliruibin, & albumin
- I&O
- potassium levels
- BM
Highest priority to monitor for patient with liver failure - CORRECT ANSWER--
LOC
UPDATE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS
(COMPLETE SOLUTIONS) ASSURED SUCCESS/GRADED A+!!!
traditional cholecystectomy - CORRECT ANSWER-◦ Abd incision/gen anesthesia
◦ Pain controlled with opoids-PCA pump
◦ Usually have JP drain to prevent fluid accumulation
◦ Antiemetics
◦ NPO-can be advanced as soon as abd peristalsis returns
◦ Discharged 3-7 days after surgery
- T tube may be placed in common bile duct when there is exploration of common
bile duct during surgery
How is viral hepatitis transmitted? - CORRECT ANSWER-- fecal-oral (Hep A&E)
- blood & body fluids (Hep B,C,D,&G)
Risk factors for development of liver cancer - CORRECT ANSWER-- colon cancer
metastasizes to liver
- chronic infection with hep B or C
- alcohol consumption
,hepatitis b needle stick action - CORRECT ANSWER-- Wash needlesticks & cuts
with soap and water
- Flush splashes to the nose, mouth, or skin with water
- Irrigate eyes with clean water, saline, or sterile irrigates
- Report the incident to your supervisor
- receive HBIG & hepatitis B vaccine w/in 24hrs
- Immediately seek medical treatment
ulcerative colitis (UC) - CORRECT ANSWER-- disease characterized by
inflammation of the colon with the formation of ulcers, which can cause bloody
diarrhea
Crohn's disease - CORRECT ANSWER-- a chronic autoimmune disorder that is
most often found in the ileum & in the colon
Hepatitis prevention - CORRECT ANSWER-- avoid alcohol & meds that are toxic
to the liver
- good hand hygiene (fecal-oral)
- avoid risky behavior
- vaccinations (hep a & hep b)
laprascopic cholecystectomy - CORRECT ANSWER-◦ Minimally invasive/gen
anesthesia
, ◦ Decrease in complications
◦ Bile duct injuries rare
◦ Quicker recovery
◦ Less postop pain
◦ Pt may c/o discomfort from 3-4 L of CO2 used to inflate abd during surg
◦ Usually discharged same day
◦ Return to work sooner
Obstructed bile duct - CORRECT ANSWER-- clay colored stools.
- dark & foamy urine (tea) d/t excess bilirubin circulation
- jaundice
What do you monitor in a patient with liver failure? - CORRECT ANSWER--
ammonia , biliruibin, & albumin
- I&O
- potassium levels
- BM
Highest priority to monitor for patient with liver failure - CORRECT ANSWER--
LOC
