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Med surg 2 Exam review with complete solutions update.

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Med surg 2 Exam review with complete solutions update. When caring for a patient with Acute Viral Hepatitis B, the nurse should implement which of the following precautions? - Answer Standard precautions

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Med surg 2 Exam review with
complete solutions 2024\2025
update.
When caring for a patient with Acute Viral Hepatitis B, the nurse should
implement which of the following precautions? - Answer Standard precautions



You are the nurse caring for a 60-year-old female patient who is post-op
laparoscopic cholecystectomy. Which of the following dietary recommendations
would be most important to include in your discharge teaching?

A.

"Use caution when eating high fiber foods."

B.

"It is best to eat three balanced meals a day."

C.

"Check gastric residuals before your next enteral bolus feeding."

D.

"You will need to avoid high fat foods from now on." - Answer D- you will need to
avoid high fat foods from now on

,A patient admitted with ascites and peripheral edema from cirrhosis is
experiencing shortness of breath. Which of the following could help to decrease
the patient's shortness of breath? Select all that apply.

A. Encouraging a high sodium diet.

B. Undergoing a paracentesis

C. Elevating the head of the bed

D. Increasing the rate of the IV fluids

E. Administering diuretics - Answer B. Undergoing a paracentesis

C. Elevating the head of the bed

E. Administering diuretics



A patient newly diagnosed with Acute Viral Hepatitis C asks the nurse how this
virus was contracted. Which of the following could have led to the contraction of
Acute Viral Hepatitis C? Select all that apply.

A. Abusing intravenous drugs

B. Drinking contaminated water

C. Eating undercooked foods

D. Engaging in unprotected sex - Answer A. Abusing intravenous drugs

D. Engaging in unprotected sex

,A patient with cirrhosis has esophageal varices. The patient has developed a mild
cough. Which intervention would be most appropriate for this patient?

A. Keep the patient NPO.

B. Maintain strict bedrest

C. Administer a cough suppressant.

D. Consult infectious disease (ID) for an antibiotic. - Answer C. Administer a cough
suppressant.



Which of the following best describes the etiology of ascites in a patient with
cirrhosis?

A. Decreased albumin

B. Increased PT

C. Increased AST

D. Decreased aldosterone - Answer A. Decreased albumin



Which of the following should be included when caring for a patient in fulminant
hepatic failure with hepatic encephalitis? Select all that apply

A. Perform neuro checks every 4 hours.

B. Keep the patient in bed in the supine position.

C. Place the patient on fall precautions.

, D. Encourage intake of high protein foods.

E. Administer Lactulose to the patient TID. - Answer A. Perform neuro checks
every 4 hours.

C. Place the patient on fall precautions.

E. Administer Lactulose to the patient TID.



When caring for a patient who is post-op total pancreatectomy, the nurse knows
that the patient needs further reinforcement and nutritional education when the
patient states...

A. "I will monitor my blood sugar levels and keep a log to show my doctor at every
visit."

B. "I am excited to be able to eat the vegetables that I am currently growing in my
garden at home."

C. "I can't wait to go home and get back to normal, and especially have a beer
with dinner."

D. "I should take pancreatic enzymes with every meal & snack for the real of my
life." - Answer C. "I can't wait to go home and get back to normal, and especially
have a beer with dinner."



A patient returned to the medical surgical unit 2 hours after a percutaneous renal
biopsy of the left kidney. Which finding would alert the nurse that this patient is
experiencing a potential complication?

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