What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?
a. High placement of incision
b. Excessive nausea
c. Weakened abdominal muscles
d. Poor oxygenation
Question 2A family member of a patient asks the nurse about the protein-restricted diet ordered because of advanced liver disease with hepatic encephalopathy. What statement by the nurse would best explain the purpose of the diet?
a. The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.
b. The liver heals better with a high-carbohydrate diet rather than with a diet high in protein.
c. Most people have too much protein in their diets. The amount in this diet is better for liver healing.
d. Because of portal hypertension, the blood flows around the liver, and ammonia made from protein collects in the brain, causing hallucinations.
Question 3The nurse would make provisions in the plan of care for a person who has had a liver transplant to prevent:
a. fluid congestion.
b. fatigue.
c. infection.
d. urinary retention.
Question 4The nurse takes into consideration that a proton pump inhibitor drug, such as ______________, will completely eradicate gastric acid production.
a. omeprazole (Prilosec)
b. ranitidine (Zantac)
c. sucralfate (Carafate)
d. olsalazine (Dipentum)
Question 5What is the most lethal complication of a peptic ulcer?
a. Bleeding
b. Perforation
c. Severe pain
d. Gastric outlet obstruction
Question 6The 100 lb patient who has been exposed to hepatitis A is to receive an injection of immune serum globulin. What should the dose (.02 mL/kg) be?
a. 0.9 mL
b. 1.4 mL
c. 1.6 mL
d. 1.8 mL
Question 7To assist a family with a bowel training program to reduce fecal incontinence, the nurse would suggest the use of a ___________ at an optimal time to stimulate defecation.
a. Warm bath
b. A tap water enema
c. Glycerin suppository
d. Large glass of warm lemonade
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