Nurs 327 Exam 4 Newest Exam 2026 | All
Questions and Correct Answers | Graded
A+ | Verified Answers | Brand New
Version!
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds,
compared with a control time of 11 seconds. The nurse expects to administer: -----
----CORRECT ANSWER-----------------phytonadione (Mephyton).
A physician has ordered a liver biopsy for a client with cirrhosis whose condition
has recently deteriorated. The nurse reviews the client's recent laboratory
findings and recognizes that the client is at risk for complications due to: ---------
CORRECT ANSWER-----------------low platelet count
The nurse is teaching a client who was admitted to the hospital with acute hepatic
encephalopathy and ascites about an appropriate diet. The nurse determines that
the teaching has been effective when the client chooses which food choice from
the menu? ---------CORRECT ANSWER-----------------Pancakes with butter and
honey, and orange juice
Which position should be used for a client undergoing a paracentesis? ---------
CORRECT ANSWER-----------------supine
,A client with hepatitis C develops liver failure and GI hemorrhage. The blood
products that most likely bring about hemostasis in the client are ---------CORRECT
ANSWER-----------------cryoprecipitate and fresh frozen plasma.
A client has ascites. Which of the following interventions would the nurse prepare
to assist with implementing to help the client control this condition? Select all
that apply. ---------CORRECT ANSWER-----------------Instructing the client to remove
salty and salted foods from the diet
Administering prescribed spironolactone (Aldactone)
Assisting with placement of a transjugular intrahepatic portosystemic shunt
A client with carcinoma of the head of the pancreas is scheduled for surgery.
Which of the following should the nurse administer to the client before surgery? -
--------CORRECT ANSWER-----------------packed red blood cells
Which intervention should be included in the plan of care for a client who has
undergone a cholecystectomy? ---------CORRECT ANSWER-----------------assessing
the color of the sclera every shift
Management of a patient with ascites includes nutritional modifications and
diuretic therapy. Which of the following interventions would a nurse expect to be
part of patient care? Select all that apply. ---------CORRECT ANSWER-----------------
Aldactone, an aldosterone-blocking agent would be used.
,Daily salt intake would be restricted to 2 grams or less.
The diuretic will be held if the serum sodium level decreases to <134 m Eq/L.
The nurse is caring for a client with suspected chronic pancreatitis. Which
diagnostic test or imaging does the nurse recognize as the most useful in
diagnosing this condition? ---------CORRECT ANSWER-----------------ERCP
A very ill client with acute cholecystitis is scheduled for surgery. The surgeon plans
to create an incision in the common bile duct to remove stones. The nurse
correctly documents this surgery in the electronic medical record using which
term? ---------CORRECT ANSWER-----------------Choledochostomy
A client is admitted to the health care center with hyperglycemia, a 15-pound
weight loss, and reports of vague upper and midabdominal pain that increases in
intensity at night. The client' health history indicates alcoholism, smoking of a
pack of cigarettes daily, and diabetes for the past 20 years. Upon examination the
nurse finds swelling in the feet and abdominal ascites. Based on the clinical
manifestations, which condition is the most likely diagnosis? ---------CORRECT
ANSWER-----------------pancreatic carcinoma
A client is admitted to the health care center with severe abdominal pain rated 10
on a 1-to-10 scale, tachycardia, hypertension, and muscle spasms. The nurse
immediately administers morphine sulfate 4 mg slow intravenous pyelogram
(IVP), as ordered. The nurse plans for which goal after administration of this
, mediation? ---------CORRECT ANSWER-----------------to increase the patient's
threshold
A nurse is caring for a client with mild acute pancreatitis. Which health care
provider prescriptions will the nurse question as it relates to evidence based
practices in the treatment of acute pancreatitis? Select all that apply. ---------
CORRECT ANSWER-----------------Full liquid diet as tolerated.
Nasogastric tube to intermittent wall suction for removal of gastric secretions.
Initiate parenteral feedings first and advance to enteral feedings as tolerated.
A nurse cares for a client who is post op open cholecystectomy and has a T-tube
in place. Which clinical situation will the nurse notify the health care provider
about as a possible complication of the surgery? ---------CORRECT ANSWER----------
-------Significantly reduced bile output from the T-tube.
A nurse is caring for a client in the emergency department who is reporting severe
abdominal pain. The client is diagnosed with acute pancreatitis. Which laboratory
value indicates further investigation? ---------CORRECT ANSWER-----------------
elevated troponin
Which condition in a client with pancreatitis makes it necessary for the nurse to
check fluid intake and output, check hourly urine output, and monitor electrolyte
levels ---------CORRECT ANSWER-----------------Frequent vomiting, leading to loss of
fluid volume
Questions and Correct Answers | Graded
A+ | Verified Answers | Brand New
Version!
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds,
compared with a control time of 11 seconds. The nurse expects to administer: -----
----CORRECT ANSWER-----------------phytonadione (Mephyton).
A physician has ordered a liver biopsy for a client with cirrhosis whose condition
has recently deteriorated. The nurse reviews the client's recent laboratory
findings and recognizes that the client is at risk for complications due to: ---------
CORRECT ANSWER-----------------low platelet count
The nurse is teaching a client who was admitted to the hospital with acute hepatic
encephalopathy and ascites about an appropriate diet. The nurse determines that
the teaching has been effective when the client chooses which food choice from
the menu? ---------CORRECT ANSWER-----------------Pancakes with butter and
honey, and orange juice
Which position should be used for a client undergoing a paracentesis? ---------
CORRECT ANSWER-----------------supine
,A client with hepatitis C develops liver failure and GI hemorrhage. The blood
products that most likely bring about hemostasis in the client are ---------CORRECT
ANSWER-----------------cryoprecipitate and fresh frozen plasma.
A client has ascites. Which of the following interventions would the nurse prepare
to assist with implementing to help the client control this condition? Select all
that apply. ---------CORRECT ANSWER-----------------Instructing the client to remove
salty and salted foods from the diet
Administering prescribed spironolactone (Aldactone)
Assisting with placement of a transjugular intrahepatic portosystemic shunt
A client with carcinoma of the head of the pancreas is scheduled for surgery.
Which of the following should the nurse administer to the client before surgery? -
--------CORRECT ANSWER-----------------packed red blood cells
Which intervention should be included in the plan of care for a client who has
undergone a cholecystectomy? ---------CORRECT ANSWER-----------------assessing
the color of the sclera every shift
Management of a patient with ascites includes nutritional modifications and
diuretic therapy. Which of the following interventions would a nurse expect to be
part of patient care? Select all that apply. ---------CORRECT ANSWER-----------------
Aldactone, an aldosterone-blocking agent would be used.
,Daily salt intake would be restricted to 2 grams or less.
The diuretic will be held if the serum sodium level decreases to <134 m Eq/L.
The nurse is caring for a client with suspected chronic pancreatitis. Which
diagnostic test or imaging does the nurse recognize as the most useful in
diagnosing this condition? ---------CORRECT ANSWER-----------------ERCP
A very ill client with acute cholecystitis is scheduled for surgery. The surgeon plans
to create an incision in the common bile duct to remove stones. The nurse
correctly documents this surgery in the electronic medical record using which
term? ---------CORRECT ANSWER-----------------Choledochostomy
A client is admitted to the health care center with hyperglycemia, a 15-pound
weight loss, and reports of vague upper and midabdominal pain that increases in
intensity at night. The client' health history indicates alcoholism, smoking of a
pack of cigarettes daily, and diabetes for the past 20 years. Upon examination the
nurse finds swelling in the feet and abdominal ascites. Based on the clinical
manifestations, which condition is the most likely diagnosis? ---------CORRECT
ANSWER-----------------pancreatic carcinoma
A client is admitted to the health care center with severe abdominal pain rated 10
on a 1-to-10 scale, tachycardia, hypertension, and muscle spasms. The nurse
immediately administers morphine sulfate 4 mg slow intravenous pyelogram
(IVP), as ordered. The nurse plans for which goal after administration of this
, mediation? ---------CORRECT ANSWER-----------------to increase the patient's
threshold
A nurse is caring for a client with mild acute pancreatitis. Which health care
provider prescriptions will the nurse question as it relates to evidence based
practices in the treatment of acute pancreatitis? Select all that apply. ---------
CORRECT ANSWER-----------------Full liquid diet as tolerated.
Nasogastric tube to intermittent wall suction for removal of gastric secretions.
Initiate parenteral feedings first and advance to enteral feedings as tolerated.
A nurse cares for a client who is post op open cholecystectomy and has a T-tube
in place. Which clinical situation will the nurse notify the health care provider
about as a possible complication of the surgery? ---------CORRECT ANSWER----------
-------Significantly reduced bile output from the T-tube.
A nurse is caring for a client in the emergency department who is reporting severe
abdominal pain. The client is diagnosed with acute pancreatitis. Which laboratory
value indicates further investigation? ---------CORRECT ANSWER-----------------
elevated troponin
Which condition in a client with pancreatitis makes it necessary for the nurse to
check fluid intake and output, check hourly urine output, and monitor electrolyte
levels ---------CORRECT ANSWER-----------------Frequent vomiting, leading to loss of
fluid volume
