The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Check blood glucose every 4 hours

2 gram sodium diet

Bedrest

Insert indwelling urinary catheter

Answer and Explanation

The Correct Answer is B

A) Monitoring blood glucose is more relevant for diabetic care.

B)   A sodium diet is appropriate for managing fluid retention associated with liver disease.
C)   Bedrest may be prescribed but not as specific to the management of fluid retention.
D)   Insertion of an indwelling urinary catheter is not a standard intervention without additional justification.

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Correct Answer is A

Explanation

A) Weight loss is a common symptom of chronic pancreatitis due to malabsorption and decreased appetite.
B) Cool, clammy skin is not typically associated with chronic pancreatitis; it may indicate other conditions such as shock or hypotension.
C) Bruising on the flank is not a typical finding in chronic pancreatitis; it may suggest trauma or other underlying conditions.
D) Ascites, the accumulation of fluid in the abdominal cavity, is more commonly associated with advanced liver disease rather than chronic pancreatitis.

A. Monitor for hypertension B. Measure residual every 24 hours C. Check stools for diarrhea D. Check blood glucose every 12 hours

Correct Answer is C

Explanation

A) Monitoring for hypertension is not directly related to caring for a client with enteral feeding via a jejunostomy tube.
B) Measuring residual volume is a nursing intervention for clients with gastric feeding tubes, not jejunostomy tubes.
C) Diarrhea is a potential complication of enteral feeding, and monitoring stool output is essential to assess for this complication and adjust feeding accordingly.
D) Monitoring blood glucose levels is important for clients with diabetes but is not specific to caring for a client with enteral feeding via a jejunostomy tube.

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The nurse is admitting a client with liver disease who presents with dyspnea, weight gain and abdominal distention. Which order would the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is making a home visit to a client with chronic pancreatitis. Which data is consistent with this diagnosis?

Correct Answer is A

Explanation

When planning care for a client receiving an enteral feeding via jejunostomy tube, which intervention would the nurse include?

Correct Answer is C

Explanation

The client with acute pancreatitis asks why she is taking omeprazole. What is the nurse's best response?

A client with cirrhosis has the following laboratory results: albumin 4.9 g/dl. (3.5-5 g/dL), PT 13 seconds (11-12.5 sec), and serum ammonia 68 mcg/dL (15-45 mcg/dL). Based on this information, what is the nurse's next action?

A client with cirrhosis has the following current assessment data: jaundice, decreased appetite, hemoglobin 15 g/dL (14-18 g/dL) and PT of 20.6 seconds (11-12.5 sec). What does the nurse identify as the priority problem for this client?

An adult client is admitted to the emergency department with symptoms of acute pancreatitis. Which data support this diagnosis?

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

A client with cirrhosis is scheduled to receive a third dose of lactulose (Cephulac) at 1800. Which current finding would cause the nurse to question administering this medication?

The nurse notes these laboratory results for a client with cirrhosis: PT 20 seconds (11-12.5 sec) and serum ammonia 35 mcg/dL (15-45 mcg/dL). What action by the nurse would be a priority?

The nurse is providing care to a client admitted with chronic pancreatitis. Which items are appropriate to include in the discharge teaching for this client? Select all that apply.