A nursing intervention for a patient with hepatitis B would include which of the following types of isolation. A. Universal precautions B. Blood transfusions C. Enteric isolation D. Strict isolation Correct Answer: A. Universal precautions Universal precautions are indicated for the patient with hepatitis B. Hepatitis B… Read More »
The nurse is teaching a female client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do? A. Increase fluid intake B. Place heat on the abdomen C. Perform the irrigation in the evening D.… Read More »
Which of the following factors can cause hepatitis A? A. Contact with infected blood. B. Blood transfusions with infected blood. C. Eating contaminated shellfish. D. Sexual contact with an infected person. Correct Answer: C. Eating contaminated shellfish. Hepatitis A can be caused by consuming contaminated water, milk,… Read More »
Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions? A. Restrict intake of high-carbohydrate foods. B. Increase fluid intake with meals. C. Increase fat intake. D. Eat three regular meals a day. … Read More »
Which of the following diagnostic tests should be performed annually over age 50 to screen for colon cancer? A. Abdominal CT scan B. Abdominal x-ray C. Colonoscopy D. Fecal occult blood test Correct Answer: D. Fecal occult blood test Surface blood vessels of polyps and cancers are… Read More »
When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to an unlicensed assistant? Select all that apply. A. Assessing the client’s bowel sounds. B. Providing skincare following bowel movements. C. Evaluating the client’s response to antidiarrheal medications. D.… Read More »
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 750ml of green-brown drainage. Which nursing intervention is most appropriate? A. Notify the physician. B. Document the findings. C. Irrigate the T-tube. D. Clamp the T-tube. Correct Answer:… Read More »
Christina is receiving an enteral feeding that requires a concentration of 80 ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding? A. 60 ml B. 70 ml C. 80 ml D. 90 ml … Read More »
For a client in hepatic coma, which outcome would be the most appropriate? A. The client is oriented to time, place, and person. B. The client exhibits no ecchymotic areas. C. The client increases oral intake to 2,000 calories/day. D. The client exhibits increased serum albumin level. … Read More »
The correct sequence for abdominal assessment is: A. Inspection, percussion, palpation, auscultation. B. Inspection, auscultation, palpation, percussion. C. Inspection, palpation, auscultation, percussion. D. Inspection, percussion, auscultation, palpation. Correct Answer: B. Inspection, auscultation, palpation, percussion. Auscultation is done before palpation to avoid stimulating peristaltic movements and distorting auscultatory… Read More »