MED SURG III EXAM #3

The nurse is educating a patient with cirrhosis about the importance of maintaining a low-sodium diet. What food item would be permitted on a low sodium diet?

The nurse is caring for a patient with ascites as a result of hepatic dysfunction. What intervention can the nurse provide to determine if the ascites is increasing? (Select all that apply.)

3. The nurse is concerned about potassium loss when a diuretic is prescribed for a patient with ascites and edema. What diuretic may be ordered that spares potassium and prevents hypokalemia?

 patient is scheduled for a diagnostic paracentesis, but when coagulation studies are reviewed, the nurse observes results outside of normal parameters. How does the nurse anticipate the healthcare provider will proceed with the paracentesis?

What intervention does the nurse anticipate providing for the patient with ascites that will help correct the decrease in effective arterial blood volume that leads to sodium retention?

A patient who had a recent myocardial infarction was brought to the emergency department with bleeding esophageal varices and is presently receiving fluid resuscitation. What first-line pharmacologic therapy does the nurse anticipate administering to control the bleeding from the varices?

A patient with bleeding esophageal varices has had pharmacologic therapy with octreotide and endoscopic therapy with esophageal varices banding, but the patient has continued to have bleeding. What procedure that will lower portal pressure does the nurse prepare the patient for?

The nurse is educating a patient who has been treated for hepatic encephalopathy about dietary restrictions to prevent ammonia accumulation. What should the nurse include in the teaching?

The nurse is caring for a patient with cirrhosis of the liver and observes that the patient is having hand-flapping tremors. What does the nurse document this finding as?

A patient with severe chronic liver dysfunction comes to the clinic with bleeding of the gums and blood in the stool. What vitamin deficiency does the nurse suspect the patient may be experiencing?

While assessing the patient, the nurse observes constant bubbling in the water-seal chamber of the patients closed chest-drainage system. What should the nurse conclude?

For a male client who has a chest tube connected to a closed water-seal drainage system, the nurse should include which action in the plan of care?

A client is returned to the nursing unit after thoracic surgery with chest tubes in place. During the first few hours postoperatively, what type of drainage should the nurse expect?

Which information regarding the care of a cutaneous ileal conduit should the nurse discuss with the client?

While providing mouth care to a patient with late-stage cirrhosis, you note a pungent, sweet, musty smell to the breath. This is known as:

A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:

The client with a continent urinary diversion is being discharged. Which discharge instructions should the nurse include in the teaching?

For a client with hepatic cirrhosis who has altered clotting mechanisms, which intervention would be most important?

A client is diagnosed with prostate cancer. Which test is used to monitor the progression of this disease?

For a male client with an endotracheal (ET) tube, which nursing action is most essential?

[[1]] is air delivered with each inspiration that is preset

[[2]] terminates or controls inspiration after a preset time

[[3]] Delivers a flow of air during inspiration until it reaches a preset pressure, and then it cycles off to allow passive expiration

he physician prescribes the patient a potassium-sparing diuretic. Which statement below best describes how this medication works to cause diuresis?

A patient is recovering from a pneumothorax and has a chest tube present. Which of the following is an appropriate finding when assessing the chest tube drainage system?

While helping a patient with a chest tube reposition in the bed, the chest tube becomes dislodged. What is your immediate nursing intervention?

A patient with a chest tube has no fluctuation of water in the water seal chamber. What could be the cause of this?