Nurse Berlinda is assigned to a 41-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of: A. 45 units/L B. 100 units/L C. 300 units/L D. 500 units/L Correct Answer: C.… Read More »
During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with the synthesis of which vitamin and may lead to hypoprothrombinemia? A. Vitamin A B. Vitamin D C. Vitamin E D. Vitamin K Correct Answer: D. Vitamin K… Read More »
A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient’s blood pressure because of which change that is associated with liver failure? A. Hypoalbuminemia B. Increased capillary permeability C. Abnormal peripheral vasodilation D. Excess renin release from the kidneys Correct Answer:… Read More »
Which of the following complications is thought to be the most common cause of appendicitis? A. A fecalith B. Bowel kinking C. Internal bowel occlusion D. Abdominal bowel swelling Correct Answer: A. A fecalith A fecalith is a fecal calculus, or stone, that occludes the lumen of… Read More »
In a client with diarrhea, which outcome indicates that fluid resuscitation is successful? A. The client passes formed stools at regular intervals. B. The client reports a decrease in stool frequency and liquidity. C. The client exhibits firm skin turgor. D. The client no longer experiences perianal burning. … Read More »
Which of the following conditions can cause a hiatal hernia? A. Increased intrathoracic pressure. B. Weakness of the esophageal muscle. C. Increased esophageal muscle pressure. D. Weakness of the diaphragmatic muscle. Correct Answer: D. Weakness of the diaphragmatic muscle. A hiatal hernia is caused by weakness of… Read More »
Which of the following laboratory values would be the most important to monitor for a patient with pancreatic cancer? A. Serum glucose B. Radioimmunoassay (RIA) C. Creatine phosphokinase (CPK) D. Carcinoembryonic antigen (CEA) Correct Answer: A. Serum glucose In pancreatitis, hypersecretion of the insulin from a tumor… Read More »
Dr. Smith has determined that the client with hepatitis has contracted the infection from contaminated food. The nurse understands that this client is most likely experiencing what type of hepatitis? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D Correct Answer: A. Hepatitis A… Read More »
A male client with pancreatitis complains of pain. The nurse expects the physician to prescribe meperidine (Demerol) instead of morphine to relieve pain because: A. Meperidine provides a better, more prolonged analgesic effect. B. Morphine may cause spasms of Oddi’s sphincter. C. Meperidine is less addictive than morphine. D. Morphine may… Read More »
Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, “I know that I have colon cancer, too.” Which response is most therapeutic? A. “I know just how you feel.” B. “You seem upset.” C. “Oh, don’t worry about it,… Read More »