PCN 101 FINAL Correct 100%

1. The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the: a. gastric lining of the stomach. b. villi of the small intestine. c. bile of the liver in the large intestine. d. excretion from the cecum. - ANSWER ANS: B The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-6 OBJ: 2 TOP: Digestive KEY: Nursing Process Step: Assessment ventrogluteal site - ANSWER deltoid site - ANSWER vastus lateralis site - ANSWER Z track injection technique - ANSWER prevents medication from leaking back into the subQ tissue - ventrogluteal site is prefered 2. A 56 -year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102° F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock? a. Chest pain b. Seizure c. Tachycardia d. Massive diarrhea - ANSWER ANS: C The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension. PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-98 OBJ: 9 TOP: Diverticulitis KEY: Nursing Process Step: Assessment 3. Because bowel contents from an ileostomy are virtually liquid, what should the nurse include in the plan of care? a. Evaluation and assessment of dietary intake of fiber b. Evaluation and assessment of patient cleanliness c. Evaluation and assessment of periostomal skin integrit