CLASSROOM CLASSROOM CLASSROOM
NURS-3068 Exam 6 Quizzes And
Verified Solutions 2023-2024 Graded
A+
Chapter 48: Assessment and Management
of Patients with Obesity
Which statement by the nurse is most likely to help a morbidly obese 22-
year-old man in losing weight on a 1000-calorie diet? C) You are likely to
notice changes in how you feel with just a few weeks of diet and exercise.
After the nurse teaches a patient about the recommended amounts of
foods from animal and plant sources, which menu selections indicate that
the initial instructions about diet have been understood? B) 3 oz of
roasted pork, a cup of corn, and a cup of carrot sticks
Which nursing action is appropriate when coaching obese adults enrolled
in a behavior modification program? Asking the adults about situations
that tend to increase appetite
The nurse is coaching a community group for individuals who are
overweight. Which participant behavior is an example of the best exercise
plan for weight loss?
Walking for 40 minutes 6 or 7 days/week
A few months after bariatric surgery, a 56-year-old man tells the nurse,
My skin is hanging in folds. I think I need cosmetic surgery. Which
response by the nurse is most appropriate? C) Cosmetic surgery is a
possibility once your weight has stabilized.
After vertical banded gastroplasty, a 42-year-old male patient returns to the
surgical nursing unit with a nasogastric tube to low, intermittent suction and
a patient- controlled analgesia (PCA) machine for pain control. Which
nursing action should be included in the postoperative plan of care?
Support the surgical incision during patient coughing and turning in bed.
The nurse will be teaching self-management to patients after gastric
bypass surgery. Which information will the nurse plan to include? Drink
fluids between meals but not with meals.
Which assessment action will help the nurse determine if an obese patient
has metabolic syndrome? B) Check the patients blood pressure.
When teaching a patient about testing to diagnose metabolic syndrome,
which topic would the nurse include? A) Blood glucose test
What information will the nurse include for an overweight 35-year-old
woman who is starting a weight- loss
CLASSROOM plan? Low carbohydrate diets lead CLASSROOM
CLASSROOM to
,CLASSROOM CLASSROOM CLASSROOM
rapid weight loss but are difficult to maintain.
Which adult will the nurse plan to teach about risks associated with
obesity? Man with a 42 in waist and 44 in hips
A 61-year-old man is being admitted for bariatric surgery. Which nursing
action can the nurse delegate to unlicensed assistive personnel (UAP)?
Assist with IV insertion by holding adipose tissue out of the way.
After successfully losing 1 lb weekly for several months, a patient at the
clinic has not lost any weight for the last month. The nurse should first
? ask the patient whether there have been any changes in exercise or
diet patterns.
Which finding for a patient who has been taking orlistat (Xenical) is most
important to report to the health care provider? B) The patient is pale and
has many bruises.
A 40-year-old obese woman reports that she wants to lose weight. Which
question should the nurse ask first? A) What factors led to your obesity?
The nurse is caring for a 54-year-old female patient on the first
postoperative day after a Roux-en-Y gastric bypass procedure. Which
assessment finding should be reported immediately to the surgeon? C)
Emesis of bile-colored fluid past the nasogastric (NG) tube
Which information will the nurse prioritize in planning preoperative
teaching for a patient undergoing a Roux-en-Y gastric bypass? Instructing
the patient on coughing and breathing techniques
After bariatric surgery, a patient who is being discharged tells the nurse, I
prefer to be independent. I am not interested in any support groups. Which
response by the nurse is best? Tell me what types of resources you think
you might use after this surgery.
A client has been prescribed lorcaserin (Belviq). What teaching is most
appropriate? A) Increase the fiber and water in your diet
A client just returned to the surgical unit after a gastric bypass. What action
by the nurse is the priority? C) Ensure an adequate airway.
CLASSROOM CLASSROOM CLASSROOM
,CLASSROOM CLASSROOM CLASSROOM
A client is in the bariatric clinic 1 month after having gastric bypass
surgery. The client is crying and says I didnt know it would be this hard to
live like this. What response by the nurse is best? A) Assess the clients
coping and support systems.
A client is awaiting bariatric surgery in the morning. What action by the
nurse is most important? Beginning venous thromboembolism prophylaxis
Chapter 49: Assessment and Management
of Patients with Hepatic Disorders
A nurse is caring for a patient with liver failure and is performing an
assessment in the knowledge of the patients increased risk of bleeding. The
nurse recognizes that this risk is related to the patients inability to
synthesize prothrombin in the liver.
What factor most likely contributes to this loss of function? D) Inability of
the liver to use vitamin K
A nurse is performing an admission assessment of a patient with a
diagnosis of cirrhosis. What technique should the nurse use to palpate the
patients liver? C)
Place hand under right lower rib cage and press down lightly with the other
hand.
A patient with portal hypertension has been admitted to the medical
floor. The nurse should prioritize which of the following assessments
related to the manifestations of this health problem? Daily weights
and abdominal girth measurement
A nurse educator is teaching a group of recent nursing graduates about
their occupational risks for contracting hepatitis B. What preventative
measures should the educator promote? Select all that apply
1. Immunization
2. Use of standard precautions
A nurse is caring for a patient with cancer of the liver whose condition has
required the insertion of a percutaneous biliary drainage system. The
nurses most recent assessment reveals the presence of dark green fluid in
the collection container.
What is the nurses best response to this assessment finding?
Document the presence of normal bile output.
CLASSROOM CLASSROOM CLASSROOM
, CLASSROOM CLASSROOM CLASSROOM
A patient who has undergone liver transplantation is ready to be
discharged home. Which outcome of health education should the nurse
prioritize? C) The patient will take immunosuppressive agents as
required.
A triage nurse in the emergency department is assessing a patient who
presented with complaints of general malaise. Assessment reveals the
presence of jaundice and increased abdominal girth. What assessment
question best addresses the possible etiology of this patients
presentation? How many alcoholic drinks do you typically consume in a
week?
A nurse is participating in the emergency care of a patient who has just
developed variceal bleeding. What intervention should the nurse
anticipate? IV administration of octreotide (Sandostatin)
A nurse is caring for a patient with hepatic encephalopathy. While making
the initial shift assessment, the nurse notes that the patient has a flapping
tremor of the hands. The nurse should document the presence of what
sign of liver disease? A)
Asterixis
A local public health nurse is informed that a cook in a local restaurant has
been diagnosed with hepatitis A. What should the nurse advise individuals
to obtain who ate at this restaurant and have never received the hepatitis
A vaccine? An immune globulin injection
A participant in a health fair has asked the nurse about the role of drugs in
liver disease. What health promotion teaching has the most potential to
prevent drug- induced hepatitis? B) Adhere to dosing recommendations of
OTC analgesics
Diagnostic testing has revealed that a patients hepatocellular carcinoma
(HCC) is limited to one lobe. The nurse should anticipate that this patients
plan of care will focus on what intervention? C) Lobectomy
A patient has been diagnosed with advanced stage breast cancer and will
soon begin aggressive treatment. What assessment findings would most
strongly suggest that the patient may have developed liver metastases?
B) Abdominal pain and hepatomegaly
A patient is being discharged after a liver transplant and the nurse is
performing discharge education. When planning this patients continuing
care, the nurse should prioritize which of the following risk diagnoses? A)
Risk for Infection Related to Immunosuppressant Use
15. A patient with a liver mass is undergoing a percutaneous liver biopsy.
What action should the nurse perform when assisting with this procedure?
A) Position the patient on the right side with a pillow under the costal
margin after the procedure.
CLASSROOM CLASSROOM CLASSROOM
NURS-3068 Exam 6 Quizzes And
Verified Solutions 2023-2024 Graded
A+
Chapter 48: Assessment and Management
of Patients with Obesity
Which statement by the nurse is most likely to help a morbidly obese 22-
year-old man in losing weight on a 1000-calorie diet? C) You are likely to
notice changes in how you feel with just a few weeks of diet and exercise.
After the nurse teaches a patient about the recommended amounts of
foods from animal and plant sources, which menu selections indicate that
the initial instructions about diet have been understood? B) 3 oz of
roasted pork, a cup of corn, and a cup of carrot sticks
Which nursing action is appropriate when coaching obese adults enrolled
in a behavior modification program? Asking the adults about situations
that tend to increase appetite
The nurse is coaching a community group for individuals who are
overweight. Which participant behavior is an example of the best exercise
plan for weight loss?
Walking for 40 minutes 6 or 7 days/week
A few months after bariatric surgery, a 56-year-old man tells the nurse,
My skin is hanging in folds. I think I need cosmetic surgery. Which
response by the nurse is most appropriate? C) Cosmetic surgery is a
possibility once your weight has stabilized.
After vertical banded gastroplasty, a 42-year-old male patient returns to the
surgical nursing unit with a nasogastric tube to low, intermittent suction and
a patient- controlled analgesia (PCA) machine for pain control. Which
nursing action should be included in the postoperative plan of care?
Support the surgical incision during patient coughing and turning in bed.
The nurse will be teaching self-management to patients after gastric
bypass surgery. Which information will the nurse plan to include? Drink
fluids between meals but not with meals.
Which assessment action will help the nurse determine if an obese patient
has metabolic syndrome? B) Check the patients blood pressure.
When teaching a patient about testing to diagnose metabolic syndrome,
which topic would the nurse include? A) Blood glucose test
What information will the nurse include for an overweight 35-year-old
woman who is starting a weight- loss
CLASSROOM plan? Low carbohydrate diets lead CLASSROOM
CLASSROOM to
,CLASSROOM CLASSROOM CLASSROOM
rapid weight loss but are difficult to maintain.
Which adult will the nurse plan to teach about risks associated with
obesity? Man with a 42 in waist and 44 in hips
A 61-year-old man is being admitted for bariatric surgery. Which nursing
action can the nurse delegate to unlicensed assistive personnel (UAP)?
Assist with IV insertion by holding adipose tissue out of the way.
After successfully losing 1 lb weekly for several months, a patient at the
clinic has not lost any weight for the last month. The nurse should first
? ask the patient whether there have been any changes in exercise or
diet patterns.
Which finding for a patient who has been taking orlistat (Xenical) is most
important to report to the health care provider? B) The patient is pale and
has many bruises.
A 40-year-old obese woman reports that she wants to lose weight. Which
question should the nurse ask first? A) What factors led to your obesity?
The nurse is caring for a 54-year-old female patient on the first
postoperative day after a Roux-en-Y gastric bypass procedure. Which
assessment finding should be reported immediately to the surgeon? C)
Emesis of bile-colored fluid past the nasogastric (NG) tube
Which information will the nurse prioritize in planning preoperative
teaching for a patient undergoing a Roux-en-Y gastric bypass? Instructing
the patient on coughing and breathing techniques
After bariatric surgery, a patient who is being discharged tells the nurse, I
prefer to be independent. I am not interested in any support groups. Which
response by the nurse is best? Tell me what types of resources you think
you might use after this surgery.
A client has been prescribed lorcaserin (Belviq). What teaching is most
appropriate? A) Increase the fiber and water in your diet
A client just returned to the surgical unit after a gastric bypass. What action
by the nurse is the priority? C) Ensure an adequate airway.
CLASSROOM CLASSROOM CLASSROOM
,CLASSROOM CLASSROOM CLASSROOM
A client is in the bariatric clinic 1 month after having gastric bypass
surgery. The client is crying and says I didnt know it would be this hard to
live like this. What response by the nurse is best? A) Assess the clients
coping and support systems.
A client is awaiting bariatric surgery in the morning. What action by the
nurse is most important? Beginning venous thromboembolism prophylaxis
Chapter 49: Assessment and Management
of Patients with Hepatic Disorders
A nurse is caring for a patient with liver failure and is performing an
assessment in the knowledge of the patients increased risk of bleeding. The
nurse recognizes that this risk is related to the patients inability to
synthesize prothrombin in the liver.
What factor most likely contributes to this loss of function? D) Inability of
the liver to use vitamin K
A nurse is performing an admission assessment of a patient with a
diagnosis of cirrhosis. What technique should the nurse use to palpate the
patients liver? C)
Place hand under right lower rib cage and press down lightly with the other
hand.
A patient with portal hypertension has been admitted to the medical
floor. The nurse should prioritize which of the following assessments
related to the manifestations of this health problem? Daily weights
and abdominal girth measurement
A nurse educator is teaching a group of recent nursing graduates about
their occupational risks for contracting hepatitis B. What preventative
measures should the educator promote? Select all that apply
1. Immunization
2. Use of standard precautions
A nurse is caring for a patient with cancer of the liver whose condition has
required the insertion of a percutaneous biliary drainage system. The
nurses most recent assessment reveals the presence of dark green fluid in
the collection container.
What is the nurses best response to this assessment finding?
Document the presence of normal bile output.
CLASSROOM CLASSROOM CLASSROOM
, CLASSROOM CLASSROOM CLASSROOM
A patient who has undergone liver transplantation is ready to be
discharged home. Which outcome of health education should the nurse
prioritize? C) The patient will take immunosuppressive agents as
required.
A triage nurse in the emergency department is assessing a patient who
presented with complaints of general malaise. Assessment reveals the
presence of jaundice and increased abdominal girth. What assessment
question best addresses the possible etiology of this patients
presentation? How many alcoholic drinks do you typically consume in a
week?
A nurse is participating in the emergency care of a patient who has just
developed variceal bleeding. What intervention should the nurse
anticipate? IV administration of octreotide (Sandostatin)
A nurse is caring for a patient with hepatic encephalopathy. While making
the initial shift assessment, the nurse notes that the patient has a flapping
tremor of the hands. The nurse should document the presence of what
sign of liver disease? A)
Asterixis
A local public health nurse is informed that a cook in a local restaurant has
been diagnosed with hepatitis A. What should the nurse advise individuals
to obtain who ate at this restaurant and have never received the hepatitis
A vaccine? An immune globulin injection
A participant in a health fair has asked the nurse about the role of drugs in
liver disease. What health promotion teaching has the most potential to
prevent drug- induced hepatitis? B) Adhere to dosing recommendations of
OTC analgesics
Diagnostic testing has revealed that a patients hepatocellular carcinoma
(HCC) is limited to one lobe. The nurse should anticipate that this patients
plan of care will focus on what intervention? C) Lobectomy
A patient has been diagnosed with advanced stage breast cancer and will
soon begin aggressive treatment. What assessment findings would most
strongly suggest that the patient may have developed liver metastases?
B) Abdominal pain and hepatomegaly
A patient is being discharged after a liver transplant and the nurse is
performing discharge education. When planning this patients continuing
care, the nurse should prioritize which of the following risk diagnoses? A)
Risk for Infection Related to Immunosuppressant Use
15. A patient with a liver mass is undergoing a percutaneous liver biopsy.
What action should the nurse perform when assisting with this procedure?
A) Position the patient on the right side with a pillow under the costal
margin after the procedure.
CLASSROOM CLASSROOM CLASSROOM
