Question

27. A patient is being worked up for esophageal cancer. Which of the clinical mani festations would help confirm the diagnosis? Progressive dysphagia b. Projectile vomiting c. Right lower quadrant pain d. Intolerance to fatty foods a. 28. A patient with acute GI bleeding is receiving normal saline IV at a rate of 500 mL/hour. Which assessment data obtained by the nurse are most important to communicate immediately to the health care provider? a. The NG suction is returning yellow/green fluid b. The patient's lungs have bilateral crackles audible to the midline c. The patient's BP is 142/94 mm Hg. d. The bowel sounds are hyperactive in all four quadrants 29. A patient hospitalized with an acute exacerbation of ulcerative colitis is having frequent diarrhea (15 stools per day) and a weight loss of 15 pounds (4.5 KG) over 2 months. The nurse will plan to teach the patient about the treatment plan which may include: Activity restrictions b. Pain control limited to acetaminophen c. Total parenteral nutrition (TPN) d. Enteral feedings a. 30. The nurse is caring for a patient suffering from hepatic encephalopathy secondary to cirrhosis. The nurse knows this is associated with: High potassium levels b. High ammonia levels High creatinine levels d. High calcium levels a. c. 31. The nurse is caring for a patient who has ascites, and the health care provider orders spironolactone (Aldactone). The patient asks why this drug is being used. What is the best response by the nurse? a. "This drug will help increase the level of protein in your blood." b. "The drug will cause an increase in the amount of the hormone aldosterone your body produces." c. "This medication is a diuretic but does not make the kidneys excrete potassium." d. "This will help you excrete larger amounts of ammonia."

Answer 1

27. A patient is being worked up for esophageal cancer. Which of the clinical manifestations would help confirm the diagnosis? V Progressive dysphagia b. Projectile vomiting c. Right lower quadrant pain d. Intolerance to fatty foods 28. A patient with acute GI bleeding is receiving normal saline IV at a rate of 500 ml/hour. Which assessment data obtained by the nurse are most important to communicate immediaty to the health care provider? V . The NG suction is returning yellow/green fluid b. The patient's lungs have bilateral crackles audible to the midline c. The patient's BP is 142/94 mm Hg. d. The bowel sounds are hyperactive in all four quadrants 29. A patient hospitalized with an acute exacerbation of ulcerative colitis is having frequent diarrhea (15 stools per day) and a weight loss of 15 pounds (4.5 KG) over 2 months. The nurse will plan to teach the patient about the treatment plan which may include: a. Activity restrictions b. Pain control limited to acetaminophen . Total parenteral nutrition (TPN) d. Enteral feedings 30. The nurse is caring for a patient suffering from hepatic encephalopathy secondary to cirrhosis. The nurse knows this is associated with: a. High potassium levels High ammonia levels c. High creatinine levels d. High calcium levels 31. The nurse is caring for a patient who has ascites, and the health care provider orders spironolactone (Aldactone). The patient asks why this drug is being used. What is the best response by the nurse? a. "This drug will help increase the level of protein in your blood." b. "The drug will cause an increase in the amount of the hormone aldosterone your body produces." This medication is a diuretic but does not make the kidneys excrete potassium." "This will help you excrete larger amounts of ammonia."