Which of the following laboratory results would be expected in a client with peritonitis? A. Partial thromboplastin time above 100 seconds B. Hemoglobin level below 10 mg/dL C. Potassium level above 5.5 mEq/L D. White blood cell count above 15,000 Correct Answer: D. White blood cell count… Read More »
A patient unable to tolerate oral medications may be prescribed which of the following proton pump inhibitors to be administered intravenously? A. lansoprazole (Prevacid) B. omeprazole (Prilosec) C. pantoprazole (Protonix) D. esomeprazole (Nexium) Correct Answer: C. pantoprazole (Protonix) Pantoprazole is the only proton pump inhibitor that is… Read More »
The pain of a duodenal ulcer can be distinguished from that of a gastric ulcer by which of the following characteristics? A. Early satiety B. Pain on eating C. Dull upper epigastric pain D. Pain on an empty stomach Correct Answer: D. Pain on an empty stomach… Read More »
A clinical manifestation of acute pancreatitis is epigastric pain. Your nursing intervention to facilitate relief of pain would place the patient in a: A. Knee-chest position B. Semi-Fowler’s position C. Recumbent position D. Low-Fowler’s position Correct Answer: A. Knee-chest position Flexion of the trunk lessens the pain… Read More »
Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective? A. There is no skin breakdown. B. Her appetite improves. C. She lost more than 10 lbs. D. Stools are less fatty and decrease in frequency. Correct Answer: D. Stools… Read More »
Which of the following therapies is not included in the medical management of a client with peritonitis? A. Broad-spectrum antibiotics B. Electrolyte replacement C. I.V. fluids D. Regular diet Correct Answer: D. Regular diet The client with peritonitis usually isn’t allowed anything orally until the source of… Read More »
When administering sucralfate (Carafate) to a patient with a nasogastric tube, it is important to: A. Crush the tablet into a fine powder before mixing with water. B. Administer with a bolus tube feeding. C. Allow the tablet to dissolve in water before administering. D. Administer with an antacid for maximum… Read More »
Mr. Hasakusa is in end-stage liver failure. Which interventions should the nurse implement when addressing hepatic encephalopathy? Select all that apply. A. Assessing the client’s neurologic status every 2 hours B. Monitoring the client’s hemoglobin and hematocrit levels C. Evaluating the client’s serum ammonia level D. Monitoring the client’s handwriting daily… Read More »
The client has orders for a nasogastric (NG) tube insertion. During the procedure, instructions that will assist in the insertion would be: A. Instruct the client to tilt his head back for insertion in the nostril, then flex his neck for the final insertion. B. After insertion into the nostril, instruct the client… Read More »
For a client with hepatic cirrhosis who has altered clotting mechanisms, which intervention would be most important? A. Allowing complete independence of mobility B. Applying pressure to injection sites C. Administering antibiotics as prescribed D. Increasing nutritional intake Correct Answer: B. Applying pressure to injection sites. The… Read More »