Digestive & Gastrointestinal System Disorders | NCLEX Quiz 63

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1. You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?

Explanation

Hepatitis B can recur. Patients who have had hepatitis are permanently barred from donating blood. Alcohol is metabolized by the liver and should be avoided by those who have or had hepatitis B.

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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 63 - Quiz

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2. Hepatic encephalopathy develops when the blood level of which substance increases?

Explanation

Ammonia levels increase d/t improper shunting of blood. causing ammonia to enter systemic circulation. which carries it to the brain.

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3. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching. Gail states."If I lie still and avoid turning after the operation. I'll avoid pain. Do you think this is a good idea?" What is the best response?

Explanation

To prevent venous stasis and improve muscle tone. circulation. and respiratory function. encourage her to move after surgery.

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4. Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care?

Explanation

Rest periods and small frequent meals are indicated during the acute phase of hepatitis B.

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5. Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell. followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?

Explanation

Saline solution is isotonic. or close to body fluids in content. and is used along with sterile dressings to cover an eviscerated wound and keep it moist.

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6. Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?

Explanation

For pruritus. care should include tepid sponge baths and use of emollient creams and lotions.

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7. Annabelle is being discharged with a colostomy. and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?

Explanation

For the first few days to a week. slight bleeding normally occurs when the stoma is touched because the surgical site is still new. She should report profuse bleeding immediately.

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8. You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?

Explanation

Telling her not to worry minimizes her feelings.

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9. Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote an order for 5mg of I.V. diazepam(Valium). Which order is correct regarding diazepam?

Explanation

Diazepam is absorbed by the plastic I.V. tubing and should be given in the port closest to the vein.

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10. A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution. using a piston syringe?

Explanation

To wash away tissue debris and drainage effectively. irrigate the wound until the solution becomes clear or all the solution is used.

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You're discharging Nathaniel with hepatitis B. Which statement...
Hepatic encephalopathy develops when the blood level of which...
Gail is scheduled for a cholecystectomy. After completion of...
Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis...
Your patient recently had abdominal surgery and tells you that he...
Nathaniel has severe pruritus due to having hepatitis B. What is the...
Annabelle is being discharged with a colostomy. and you're teaching...
You're caring for a 28 y.o. woman with hepatitis B. She's concerned...
Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote...
A patient who underwent abdominal surgery now has a gaping incision...
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