Question 1 of 6
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The nurse has assigned the task of bowel care for a patient undergoing bowel preparation to an unlicensed assistive personnel (UAP). Which sign of complications would the nurse instruct the UAP to report? Select all that apply. One, some, or all responses may be correct.
- Correct
- DyspneaThe nurse would instruct the UAP to report signs of fluid and electrolyte imbalance, including dyspnea.
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- DiarrheaDiarrhea is to be expected during bowel preparation.
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- ConfusionThe nurse would instruct the UAP to report signs of fluid and electrolyte imbalance, including confusion.
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- Excessive hungerThe patient is likely to be hungry because their diet would be limited to the bowel preparation solution.
- Correct
- Muscle crampingThe nurse would instruct the UAP to report signs of fluid and electrolyte imbalance, including muscle cramping.
Question 2 of 6
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The nurse is educating a patient about gallbladder disorders. Which statement made by the patient indicates a need for further education?
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- “Gallstones can occur more frequently as I age.”Gallstones can increase in frequency with age, obesity, and having multiple children.
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- “I should limit my alcohol intake.”Consuming alcohol moderately can help decrease the incidence of gallbladder disorders.
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- “I am going to start a keto diet soon to prevent gallstones.”Very rapid weight loss has been associated with the development of gallstones.
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- “My history of diabetes mellitus could increase my risk of gallbladder disease.”People who have diabetes mellitus or Crohn disease are at an increased risk for developing gallbladder disease.
Question 3 of 6
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The nurse is performing a medication reconciliation on a patient admitted with hepatotoxicity. Which medication would the nurse suspect may have damaged the liver? Select all that apply. One, some, or all responses may be correct.
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- MorphineMorphine is metabolized by the kidneys.
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- IbuprofenIbuprofen is a medication known to be harmful to the liver.
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- AmiodaroneAmiodarone is a medication known to be harmful to the liver.
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- DiltiazemAlthough diltiazem is metabolized by the liver, it very rarely causes any liver injury.
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- AcetaminophenAcetaminophen is one of the most commonly known medications to lead to liver damage.
- Correct
- PhenytoinPhenytoin is a medication known to be harmful to the liver.
Question 4 of 6
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Which factor is a risk for the development of pancreatic disorders? Select all that apply. One, some, or all responses may be correct.
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- HyperlipidemiaElevated triglycerides can precipitate pancreatitis.
- Correct
- SmokingSmoking increases the risk of pancreatitis and pancreatic cancer.
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- HypertensionHypertension has no direct link to pancreatic disorders.
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- AlcoholismAlcoholism is a known risk factor for the development of pancreatic disorders.
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- Diabetes mellitus (DM)DM and obesity are known risk factors for the development of pancreatic cancer.
- Correct
- Peptic ulcer disease (PUD)PUD is a known risk factor for the development of pancreatic disorders.
Question 5 of 6
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Which information would the nurse include when completing preoperative teaching for a patient undergoing a barium enema?
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- Stool may be white for up to 3 days after the test.The stool may be white for 3 days after an upper gastrointestinal series, not a barium enema.
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- Patient will be NPO (nothing by mouth) for 4 hours.The patient will need to be NPO for 8 hours before the test.
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- Patient may take an antianxiety medication.This is more useful for magnetic resonance imaging (MRI), which is completed in an enclosed tube and can result in claustrophobia.
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- Bowel must be clear of stool.The patient will be given the ordered laxatives and enemas to ensure the bowel is clear of stool.
Question 6 of 6
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Which laboratory result might be indicative of liver disease?
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- Alanine aminotransferase (ALT) = 14 units/LThe normal range for ALT is 4 to 36 units/L.
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- Partial thromboplastin time (PTT) = 90 secThe normal range for PTT is 60 to 70 sec. Prolonged PTT can be indicative of lever disease.
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- Aspartate aminotransferase (AST) = 30 units/LThe normal range for AST is 0 to 35 units/L.
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- Ammonia = 25 mcg/dLThe normal range for ammonia is 10 to 80 mcg/dL.
