Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas Ignatavicius: Medical-Surgical Nursing, 8th Edition. | Documents and Forms | Research Papers

Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas Ignatavicius: Medical-Surgical Nursing, 8th Edition.

Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas Ignatavicius: Medical-Surgical Nursing, 8th Edition. PLDZ-7
In Stock
$ 9.00 USD
Buy and Download   > Description

CLICK ON THE PRODUCT INFORMATION URL AT THE TOP RIGHT FOR MORE INFORMATION

 

 

        1.   A nurse cares for a client who has obstructive jaundice. The client asks, “Why is my skin so itchy?” How should the nurse respond?

 

“Bile salts accumulate in the skin and cause the itching.”

 

“Toxins released from an inflamed gallbladder lead to itching.”

 

“Itching is caused by the release of calcium into the skin.”

 

“Itching is caused by a hypersensitivity reaction.”

 

 

        2.   After teaching a client who is recovering from laparoscopic cholecystectomy surgery, the nurse assesses the client’s understanding. Which statement made by the client indicates a correct understanding of the teaching?

 

“Drinking at least 2 liters of water each day is suggested.”

 

“I will decrease the amount of fatty foods in my diet.”

 

“Drinking fluids with my meals will increase bloating.”

 

“I will avoid concentrated sweets and simple carbohydrates.”

 

 

 

        3.   A nurse cares for a client who is recovering from laparoscopic cholecystectomy surgery. The client reports pain in the shoulder blades. How should the nurse respond?

 

“Ambulating in the hallway twice a day will help.”

 

“I will apply a cold compress to the painful area on your back.”

 

“Drinking a warm beverage can relieve this referred pain.”

 

“You should cough and deep breathe every hour.”

 

 

 

        4.   After teaching a client who has a history of cholelithiasis, the nurse assesses the client’s understanding. Which menu selection made by the client indicates the client clearly understands the dietary teaching?

 

Lasagna, tossed salad with Italian dressing, and low-fat milk

 

Grilled cheese sandwich, tomato soup, and coffee with cream

 

Cream of potato soup, Caesar salad with chicken, and a diet cola

 

Roasted chicken breast, baked potato with chives, and orange juice

 

 

 

        5.   A nurse plans care for a client with acute pancreatitis. Which intervention should the nurse include in this client’s plan of care to reduce discomfort?

 

Administer morphine sulfate intravenously every 4 hours as needed.

 

Maintain nothing by mouth (NPO) and administer intravenous fluids.

 

Provide small, frequent feedings with no concentrated sweets.

 

Place the client in semi-Fowler’s position with the head of bed elevated.

 

 

 

        6.   After teaching a client who is prescribed pancreatic enzyme replacement therapy, the nurse assesses the client’s understanding. Which statement made by the client indicates a need for additional teaching?

 

“The capsules can be opened and the powder sprinkled on applesauce if needed.”

 

“I will wipe my lips carefully after I drink the enzyme preparation.”

 

“The best time to take the enzymes is immediately after I have a meal or a snack.”

 

“I will not mix the enzyme powder with food or liquids that contain protein.”

 

 

        7.   A nurse assesses a client who is recovering from an open Whipple procedure. Which action should the nurse perform first?

 

Assess the client’s endotracheal tube with 40% FiO2.

 

Insert an indwelling Foley catheter to gravity drainage.

 

Place the client’s nasogastric tube to low intermittent suction.

 

Start lactated Ringer’s solution through an intravenous catheter.

 

CLICK ON THE PRODUCT INFORMATION URL AT THE TOP RIGHT FOR MORE INFORMATION 1. A nurse cares for a client who has obstructive jaundice. The client asks, “Why is my skin so itchy?” How should the nurse respond?
Recent Reviews Write a Review
0 0 0 0 reviews