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Worksheets13A NRG304 MIDTERM QUIZ 2
Total questions: 30
Worksheet time: 3600secs
You are taking care of patient Mar-mar who is admitted to the hospital due to acute pancreatitis and upon assessing the client's pain. Which type of pain would you expect to be consistent with this diagnosis?
The client complains of severe and unrelenting, located in the epigastric area and radiating to the back.
The client complains of burning and aching pain located in the left lower quadrant and radiating to the hip
The client is complaining of burning and aching pain located in the epigastric area and radiating to the back.
The client complains of severe and unrelenting, located in the left lower quadrant and radiating to the hip
You are assigned in the medical surgical ward, Upon is assessing a client who is experiencing an acute episode of cholecystitis. Which of the following location will you anticipate the pain will be?
Right upper quadrant, radiating to the right scapula and shoulder
Left upper quadrant, radiating to the right scapula and shoulder
Right lower quadrant, radiating to the right scapula and shoulder
Left lower quadrant, radiating to the right scapula and shoulder
You are taking care of Eren who is admitted to the hospital with viral hepatitis, he is complaining of "no appetite" and "losing my taste for food." Which of the following health teachings should you give the Eren to provide adequate nutrition?
Eat foods high in fat.
Increase intake of fluids, including juices.
Eat a good supper when anorexia is not as severe
Eat 3 large meals a day
Patient Hep-hep developed Hepatitis A after eating contaminated oysters. The nurse assesses Hep-hep for which of the following?
Malaise
Dark colored stool
Weight gain
Left upper quadrant pain
You are taking care of George who has Hepatitis, He asks you which of the following hepatitis can be contracted from contaminated food? Which of the following response is correct?
All of the hepatitis virus can be transferred to food
Hepatitis A
Hepatitis B
Hepatitis C
You are assessing patient Den-den, 24 hours following cholecystectomy. You noticed that the T-tube has drained 750ml of green-brown drainage since the surgery. Which of the following intervention is appropriate?
Clamp the T-tube
Irrigate the T-tube
Notify the physician
Document the findings
The nurse is reviewing the record of a client with a diagnosis of liver cirrhosis and notes that there is documentation of the presence of asterixis. Which of the following is the correct way to assess for the presence of asterixis?
Dorsiflex the client's foot
Measure for abdominal girth
Ask the patient to extend his arms
Instruct the client to lean forward
You are reviewing the laboratory results of patient Wat-wat with liver cirrhosis and noticed that the ammonia level is elevated. Which of the following is the appropriate diet for patient Wat-wat?
Low protein diet
High protein diet
High fat diet
High carbohydrate diet
You are taking care of patient Gordon who is diagnosed with liver cirrhosis. Which of the following laboratory results support his diagnosis? Select all that apply
Elevated ALT
Elevated AST
Elevated Serum amylase
Elevated Serum lipase
You are taking of a client who is taking Isoniazid (INH), Which of the following laboratory data needs to be reported to the physician?
Urine output of 30ml/hr
Elevated AST and ALT
Serum Potassium level of 4.5meq/L
Elevated Serum amylase
You are taking care of a patient diagnosed with hypertension having a BP of 180/100mmHg. The clients laboratory results are as follows : Na - 150mEq/L, K+ - 3.2mEq/L; Glucose 185 md/dl, Oxygen saturation of 93%. Which of the following doctors order should the nurse question?
Place patient in Low sodium diet
Give Furosemide in the morning
Monitor Blood sugar twice a day
Place patient on O2 supplementation with nasal canula @ 2lpm
You are talking with patient Ton-ton who has Ascites. Which of the following statement made by Ton-ton indicates effectiveness of Furosemide?
"I've gained much weight in a week"
"I can button my pants again"
"I feel shortness of breath"
"I am sleeping on a recliner at night"
Which of the following medication is the drug of choice in treating patients with Ascites?
Spironolactone
Furosemide
Amlodipine
Propranolol
Which of the following Hepatitis Virus has a severe effect on pregnant women?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
Hepatitis E
You are taking care of a patient with diagnosis of Liver cirrhosis. The client asks you if there are any specific medications that he should avoid. Which of the following medications should you specifically tell the client not to take?
Acetaminophen
Cimetidine
Neomycin sulfate
Spironolactone
Which of the following diagnostic test is the confirmatory test for liver cirrhosis?
USD
MRI
CT sacan
Biopsy
You are taking care of a patient with Liver cirrhosis, which of the following are appropriate nursing interventions? Select all that apply
Promote patient rest
Instruct patient to eat small frequent feedings
Provide adequate skin care
Advice to use soft bristle toothbrush
Which of the following is the most common type of primary liver cancer, and is also responsible for 75% of all liver cancers?
hepatocellular carcinoma
fibrolamellar carcinoma
hepatoblastoma
cholangiocellular carcinoma
Which of the following is considered as an early manifestation of liver cancer?
pain
weight lose
jaundice
Ascites
Which of the following is an immediate postoperative complication of liver transplantation? Select all that apply
bleeding
infection
rejection
malfunction
You are taking care of a patient post liver transplantation. It is important that you monitor the patient for signs of sepsis. All of the following are signs of sepsis, Except?
Fever
Shortness of breath
Lethargy
Hypertension
You are taking care of a patient with acute pancreatitis. He is currently complaining of nausea and vomiting. Which of the following diet should you place the patient?
NPO
Clear liquid diet
Low fat diet
Low protein diet
You are talking to the client about signs and symptoms of bile obstructions. Which of the following are signs of bile obstruction? Select all that apply
Abdominal pain
Yellow colored sclera
Dark colored stool
Light colored urine
You expect that which of the following vitamins will be deficient with a patient with Cholelithiasis? Select all that apply
Vitamin C
Vitamin A
Vitamin K
Vitamin B12
Which of the following is the diagnostic procedure of choice and the most useful diagnostic study in the diagnosis of chronic pancreatitis?
USD
ERCP
MRI
CT scan
You are giving a health teaching to patients with pancreatic cancer. Which of the following are classic signs of pancreatic carcinoma? Select all that apply
Pain
Jaundice
Weight lose
Edema
You are giving health teaching to Kokoy, a patient with pancreatic cancer. Which of the following health teaching will help Kokoy to be relieve of pain?
Try to sit up and lean forward
Do deep breathing exercises
Lay down on supine position with one pillow on your head
Sleep with knee chest position
Which of the following diagnostic test helps diagnose Insulinoma?
5hour glucose tolerance test
CBG test
FBS test
HbA1c
You are taking care of a patient with Hyperinsulinism. All of the following are clinical manifestations of this disorder, Except?
nervousness
sweating
headache
lose of appetite
You are taking care of a patient with a tumor on the head of the pancreas. You expect to see all of the following manifestations, EXCEPT?
Jaundice
dark colored stool
dark colored urine
weight lose
