A patient gives the nurse health information before a scheduled intravenous pyelogram (IVP). Which item has the most immediate implications for the patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night.
Question 2The nurse assessing the urinary system of a 45-year-old female would use auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention.
Question 3A patient born in 1955 had hepatitis A infection 1 year ago. According to Centers for Disease Control and Prevention (CDC) guidelines, which action should the nurse include in care when the patient is seen for a routine annual physical exam?
a. Start the hepatitis B immunization series.
b. Teach the patient about hepatitis A immune globulin.
c. Ask whether the patient has been screened for hepatitis C.
d. Test for anti-hepatitis-A virus immune globulin M (anti-HAV-IgM).
Question 4Which action will the nurse include in the plan of care for a patient who has been diagnosed with chronic hepatitis B?
a. Advise limiting alcohol intake to 1 drink daily.
b. Schedule for liver cancer screening every 6 months.
c. Initiate administration of the hepatitis C vaccine series.
d. Monitor anti-hepatitis B surface antigen (anti-HBs) levels annually.
Question 5For a patient with cirrhosis, which of the following nursing actions can the registered nurse (RN) delegate to unlicensed assistive personnel (UAP)?
a. Assessing the patient for jaundice
b. Providing oral hygiene after a meal
c. Palpating the abdomen for distention
d. Assisting the patient to choose the diet
Question 6The nurse is providing preoperative teaching for a 61-year-old man scheduled for an abdominal-perineal resection. Which information will the nurse include?
a. Another surgery in 8 to 12 weeks will be used to create an ileal-anal reservoir.
b. The patient will begin sitting in a chair at the bedside on the first postoperative day.
c. The patient will drink polyethylene glycol lavage solution (GoLYTELY) preoperatively.
d. IV antibiotics will be started at least 24 hours before surgery to reduce the bowel bacteria.
Question 7The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about
a. endoscopy.
b. colonoscopy.
c. computerized tomography screening.
d. carcinoembryonic antigen (CEA) testing.
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