NUR2392 Final Exam: Multidimensional Care II
MDC 2 Final Exam Review A client with a history of esophageal varices has just been admitted to the emergency department after vomiting a large quantity of blood. Which action does the nurse take first?
- Obtain the charts from the previous admission.
- Listen for bowel sounds in all quadrants.
- Obtain pulse and blood pressure.
- Ask about abdominal pain.
(ANS- C
The nurse administers lactulose (Evalose) to a client with cirrhosis for which purpose?
- To aid in digestion of dairy products
- To reduce portal pressure
- To promote gastrointestinal (GI) excretion of ammonia
- To reduce the risk of GI bleeding
(ANS- C
- / 4
It is essential that the nurse monitor the client returning from hepatic artery embolization for hepatic cancer for which potential complication?
- Right shoulder pain
- Polyuria
- Bone marrow suppression
- Bleeding
(ANS- D
When caring for a client with Laennec's cirrhosis, which of these does the nurse expect to find on assessment? Select all that apply.
- Prolonged partial thromboplastin time
- Icterus of skin
- Swollen abdomen
- Elevated magnesium
- Currant jelly stool
- Elevated amylase level
(ANS- A, B, C
The RN has just received the change-of-shift report for the medical unit. Which client should the RN see first? 2 / 4
- Client with ascites who had a paracentesis 2 hours ago and is reporting a
- Client with portal-systemic encephalopathy (PSE) who has become increasingly
- Client with hepatic cirrhosis and jaundice who has hemoglobin of 10.9 g/dL
- Client with hepatitis A who has elevated alanine aminotransferase (ALT) and
headache
difficult to arouse
(109 mmol/l) and thrombocytopenia
aspartate aminotransferase (AST)
(ANS- B
How does the home care nurse best modify the client's home environment to manage side effects of lactulose (Evalose)?
- Provides small frequent meals for the client
- Suggests taking daily potassium supplements
- Elevates the head of the bed in high-Fowler's position
- Requests a bedside commode for the client
(ANS- D
Which activity by the nurse will best relieve symptoms associated with ascites?
- Administering oxygen 3 / 4
- Elevating the head of the bed
- Monitoring serum albumin levels
- Administering intravenous fluids
(ANS- B
When providing dietary teaching to a client with hepatitis, what practice does the nurse recommend?
- Having a larger meal early in the morning
- Consuming increased carbohydrates and moderate protein
- Restricting fluids to 1500 mL/day
- Limiting alcoholic beverages to once weekly
(ANS- B
Which problem for a client with cirrhosis takes priority?
- Insufficient knowledge related to the prognosis of the disease process
- Discomfort related to the progression of the disease process
- Potential for injury related to hemorrhage
- Inadequate nutrition related to an inability to tolerate usual dietary intake
(ANS- C
- / 4