when preparing the client with hepatitis a for extended convalescence the nurse teaches the client about problems that may occur the nurse knows that

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Gastrointestinal System Nursing Exam Questions

1. When preparing the client with hepatitis A for extended convalescence, the nurse teaches the client about problems that may occur. The nurse knows that the client has understood the teaching when he says that he is most likely to have difficulty:

A. Controlling abdominal pain.
B. Maintaining a regular bowel elimination pattern.
C. Preventing respiratory complications.
D. Maintaining a positive, optimistic outlook.

Correct answer: D

Rationale: Convalescence after hepatitis A may take weeks or even months. Boredom and depression are common problems that the client should anticipate. Abdominal pain is not usually a symptom of hepatitis A. Maintaining a regular bowel elimination pattern is not usually a problem with hepatitis. Problems preventing respiratory complications are unlikely. To support healing, activity is strictly limited but bed rest is not prescribed.

2. In the ED, a homeless client is brought in with severe hypothermia. The police officers also state that they found a 'bottle of booze' on the sidewalk next to him. This puts the nurse on high alert since alcohol contributes to hypothermia by:

A. interfering with the appetite center in the brain, causing the person to not respond to hunger cues.
B. causing the person to have less insulation from body fat.
C. dulling mental awareness, impairing judgment to seek shelter.
D. increasing the basal metabolic rate, leading to faster depletion of ATP.

Correct answer: C

Rationale: Alcohol impairs judgment and dulls mental awareness, making a person less likely to seek shelter when experiencing hypothermia. This impaired judgment can lead to risky behaviors that exacerbate the effects of cold exposure. Choice A is incorrect because alcohol does not directly interfere with the appetite center in the brain to the extent described. Choice B is incorrect as alcohol consumption does not directly impact the amount of body fat present. Choice D is incorrect because alcohol does not increase the basal metabolic rate but rather slows it down.

3. A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?

A. Administer prescribed anxiolytic medication.
B. Ensure informed consent is on the chart.
C. Reinforce any teaching done previously.
D. Start the preoperative antibiotic infusion.

Correct answer: B

Rationale: The priority action for the nurse is to ensure that informed consent is on the chart. Before any surgical procedure, it is essential to have the client's informed consent documented. While administering anxiolytics, starting antibiotic infusion, and reinforcing teaching may also be necessary, obtaining informed consent takes precedence to ensure the client's understanding and agreement to proceed with the tracheostomy.

4. An emerging technique in screening for Breast Cancer in developing countries like the Philippines is:

A. Mammography once a year starting at the age of 50
B. Clinical BSE Once a year
C. BSE Once a month
D. Pap smear starting at the age of 18 or earlier if sexually active

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

5. The nurse is preparing the plan of care for a client with fluid volume deficit. Which interventions should the nurse include in the plan of care?

A. Monitor vital signs every two (2) hours until stable
B. Weigh the client in the same clothing at the same time daily
C. Administer mouth care every eight (8) hours
D. A, B, and C

Correct answer: D

Rationale: The correct interventions to include in the plan of care for a client with fluid volume deficit are monitoring vital signs every two hours until stable, weighing the client in the same clothing at the same time daily, and assessing skin turgor. These interventions are crucial for managing and detecting fluid volume changes. Administering mouth care every eight hours is not directly related to managing fluid volume deficit and does not address the key aspects of monitoring and assessing fluid status, making it an incorrect choice.

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ATI RN

Gastrointestinal System Nursing Exam Questions

1. When preparing the client with hepatitis A for extended convalescence, the nurse teaches the client about problems that may occur. The nurse knows that the client has understood the teaching when he says that he is most likely to have difficulty:

2. In the ED, a homeless client is brought in with severe hypothermia. The police officers also state that they found a 'bottle of booze' on the sidewalk next to him. This puts the nurse on high alert since alcohol contributes to hypothermia by:

3. A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?

4. An emerging technique in screening for Breast Cancer in developing countries like the Philippines is:

5. The nurse is preparing the plan of care for a client with fluid volume deficit. Which interventions should the nurse include in the plan of care?

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