NEW- MED SURG II EXAM #2

The nurse assesses a patient for a possible pulmonary embolism. The nurse looks for the most frequent sign of:

A nurse assess arterial blood gas results for a patient in acute respiratory failure (ARF). Which results are consistent with this disorder?

Which of the following causes low compliance or distensibility of the lungs (6)

Which of the following are complications the nurse should be aware may occur during a bronchoscopy?

The nurse is educating the patient in the use of a mini-nebulizer. What should the nurse encourage the patient to do? (Select all that apply.)

Cirrhosis results in shunting of portal system blood into collateral blood vessels in the GI tract. The most common sites are the esophagus, lower rectum, and stomach.

The nurse is caring for a patient who experiences frequent generalized tonic-clonic seizures associated with periods of apnea. The nurse must be alert for which acid-base imbalance?

Which visualizes the pancreas via endoscopy

Which visualizes the biliary structure

The patient admitted with acute pancreatitis has passed the acute stage and is now able to tolerate solid foods. What type of diet will increase caloric intake without stimulating pancreatic enzymes beyond the ability of the pancreas to respond?

Which identifies small tumors and facilitates fine needle aspiration biopsy

Which visualizes the liver and pancreas

The client diagnosed with end-stage liver disease is admitted with hepatic encephalopathy. Which dietary restriction should be implemented by the nurse to address this complication?

The public health nurse is teaching day-care workers. Which type of hepatitis is transmitted by the fecal-oral route via contaminated food, water, or direct contact with an infected person?

The nurse is assessing a client with cirrhosis for signs and symptoms of low albumin. Which sign or symptom would the nurse expect to note?

Lactulose is prescribed for a hospitalized client with a diagnosis of hepatic encephalopathy. Which assessment finding indicates that the client is responding to this medication therapy as anticipated?

The nurse is providing dietary instructions to a client hospitalized for pancreatitis. Which food would the nurse instruct the client to avoid?

The nurse is caring for a client with cirrhosis. As part of dietary teaching to minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the material if the client states to increase intake of which food?

A client with chronic kidney disease (CKD) is prescribed aluminum hydroxide. Which information would the nurse include while instructing the client regarding the action of this medication?

The nursing student is assigned to care for a client with a diagnosis of acute kidney injury (AKI), diuretic phase. The nursing instructor asks the student about the primary goal of the treatment plan for this client. Which goal, if stated by the nursing student, indicates an adequate understanding of the treatment plan for this client?

A client who is performing peritoneal dialysis at home calls the clinic and reports that the outflow from the dialysis catheter seems to be decreasing in amount. The clinic nurse would ask which question first?

The nurse who is participating in a client care conference with other members of the health care team is discussing the condition of a client with acute respiratory distress syndrome (ARDS). The primary health care provider (PHCP) states that as a result of fluid in the alveoli, surfactant production is falling. What does the nurse anticipate as a physiological consequence?

The client diagnosed with liver problems asks the nurse, “Why are my stools clay-colored?” On which scientific rationale should the nurse base the response?

 The client has end-stage liver disease secondary to alcoholic cirrhosis. Which complication indicates the client is at risk for developing hepatic encephalopathy?

The client has had a liver biopsy. Which postprocedure interventions should the nurse implement? Select all that apply.