reatitis. is halted before all tissue is regenerate. darkness (color of tea) and check ay color; these findings suggest ay be blocked. nish with age, and the gradual loss decrease appetite. Poor dentition icult for the older adult. ct appetite and digestion. simethicone are helpful in reducing cause fluid and electrolyte dration. s, and exercise helps prevent or igned to mimic and restore the el pattern. esources Guide for additional learning activities chapter content. te (http://evolve.elsevier.com/deWit/ ng FREE learning resources: nd video es for questions and activities ciations in English and Spanish uestions and more! the NCLEX® Examination liver toxicity is: thiazide administration for ion of a high-fat diet throughout g of a pack of cigarettes per day. gth acetaminophen at doses of siological Integrity: Pharmacological each patients to prevent s include: nt of routine alcohol consumption. e use of aspirin for a headache. itor to decrease stomach acid food at least once each day. alth Promotion and Maintenance re for several patients who had Which patient will require the most ural care? an ultrasound hepatobiliary scintigraphy a liver biopsy a Helicobacter pylori antibody test siological Integrity: Reduction of Risk 2. Checking for procedure 3. Assessing for dehydration and electrolyte imbalance 4. Positioning on right side 5. Checking coagulation studies for bleeding problems 6. Noting any allergy to local anesthetics NCLEX Client Need: Physiological Integrity: Reduction of Risk Potential 5. An 82-year-old patient is undergoing bowel preparation for a diagnostic procedure. What are potential complications of the bowel prep? (Select all that apply.) 1. Constipation 2. Rashes / 3. Dehydration 4. Muscle cramps 5. Chest pains 6. Hypotension NCLEX Client Need: Physiological Integrity: Pharmacological Therapies 6. A decreased secretion of intrinsic factor is a physiologic change associated with the aging process; therefore, you suspect decreased intrinsic factor should assess for which behavior? 1. A refusal to eat salty or sweet foods 2. A change in stools after eating fatty foods Fatigue and activity intolerance 4. Difficulties with mastication NCLEX Client Need: Physiological Integrity: Physiological Adaptation 7. Which laboratory values would you use to assess liver function? 1. CBC, BUN, creatinine 2. Lipase, amylase, WBC 3. Troponin, CPK, myoglobin 4. ALT, ammonia, INR NCLEX Client Need: Physiological Integrity: Reduction of Risk Potential 8. You emphasize the importance of eating natural sources of fiber to a patient who has frequent constipation. Which patient statement indicates effective health teaching? 1. "I will consider eating more white bread." 2. "I will drink fluids only while consuming meals." 3. "I will add more milk to my morning cereal." 4. "I will eat more fruits and vegetables." NCLEX Client Need: Health Promotion and Maintenance 9. A 30-year-old woman is admitted with complaints of severe nausea and vomiting over the past 2 days. On admission she is hypotensive and extremely weak. What is the priority problem? 1. Altered breathing pattern 2. Altered activity tolerance 3. Deficient fluid volume 4. Altered cardiac output NCLEX Client Need: Physiological Integrity: Physiological Adaptation

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
Please answer the question below
660 UNIT IX Gastrointestinal System
10. A nurse is discussing healthy lifestyle measures with
a group of older adults during a senior seminar.
What instruction(s) should you include as accurate
information? (Select all that apply.)
1. Consume sufficient fiber.
2. Eat a normal, well-balanced diet.
3. Exercise regularly.
4. Drink at least three glasses of fluids a day.
5. Take laxatives regularly.
NCLEX Client Need: Health Promotion and Maintenance
11. An older adult woman of Puerto Rican descent is
admitted for persistent anorexia and dehydration.
There are no apparent underlying organic causes
for loss of appetite. Which intervention(s) would be
culturally appropriate? (Select all that apply.)
1. Dett
1.
Determine food preferences.
2. Encourage family visits.
3. Provide small amounts of food and fluid frequently.
4. Consider parenteral nutrition.
5. Consult a dietitian and speech therapy.
NCLEX Client Need: Psychosocial Integrity
12. A patient who is dehydrated because of vomiting
and diarrhea needs IV fluid therapy. The health care
provider orders 1000 mL normal saline to infuse over
6 hours. The drop factor is 10 gtt/mL. You calculate
the rate to infuse per gravity at
drops per minute. (Fill in the blank.)
NCLEX Client Need: Physiological Integrity: Pharmacological
Therapies
Critical Thinking Questions
Scenario A
Mr. Achaba, 68 years old, was admitted with jaundice,
abdominal distention, abdominal pain, and malaise. He is to
undergo an ERCP. He is apprehensive and frightened about
what may be wrong with him.
1. What is involved in an ERCP procedure?
2. Explain pretest care to help alleviate Mr. Achaba's
apprehension.
3. What is included in post-test care?
4. What could be possible causes of his jaundice?
Scenario B
Ms. Hopgood is a resident in your extended care facility.
She has been losing weight, has no appetite, and is becoming
more withdrawn. Her daughter has a new job and is not able
to visit as many times a week as she had been.
1. What assessments would you think appropriate for Ms.
Hopgood at this time?
2. What nursing interventions could you institute that
might improve her nutritional status?
3. What could you do to help her loneliness now that her
daughter cannot visit as often?
Scenario C
You are making home visits to an older adult to check his
blood pressure. During the visit he tells you that he is having
trouble with constipation.
1. What questions should you ask to further assess the
problem?
2. Why is constipation a common problem for people
older than 60 years?
3. Would you recommend the use of an over-the-counter
laxative? Why or why not?
4. What dietary and lifestyle recommendations would you
make?
Transcribed Image Text:660 UNIT IX Gastrointestinal System 10. A nurse is discussing healthy lifestyle measures with a group of older adults during a senior seminar. What instruction(s) should you include as accurate information? (Select all that apply.) 1. Consume sufficient fiber. 2. Eat a normal, well-balanced diet. 3. Exercise regularly. 4. Drink at least three glasses of fluids a day. 5. Take laxatives regularly. NCLEX Client Need: Health Promotion and Maintenance 11. An older adult woman of Puerto Rican descent is admitted for persistent anorexia and dehydration. There are no apparent underlying organic causes for loss of appetite. Which intervention(s) would be culturally appropriate? (Select all that apply.) 1. Dett 1. Determine food preferences. 2. Encourage family visits. 3. Provide small amounts of food and fluid frequently. 4. Consider parenteral nutrition. 5. Consult a dietitian and speech therapy. NCLEX Client Need: Psychosocial Integrity 12. A patient who is dehydrated because of vomiting and diarrhea needs IV fluid therapy. The health care provider orders 1000 mL normal saline to infuse over 6 hours. The drop factor is 10 gtt/mL. You calculate the rate to infuse per gravity at drops per minute. (Fill in the blank.) NCLEX Client Need: Physiological Integrity: Pharmacological Therapies Critical Thinking Questions Scenario A Mr. Achaba, 68 years old, was admitted with jaundice, abdominal distention, abdominal pain, and malaise. He is to undergo an ERCP. He is apprehensive and frightened about what may be wrong with him. 1. What is involved in an ERCP procedure? 2. Explain pretest care to help alleviate Mr. Achaba's apprehension. 3. What is included in post-test care? 4. What could be possible causes of his jaundice? Scenario B Ms. Hopgood is a resident in your extended care facility. She has been losing weight, has no appetite, and is becoming more withdrawn. Her daughter has a new job and is not able to visit as many times a week as she had been. 1. What assessments would you think appropriate for Ms. Hopgood at this time? 2. What nursing interventions could you institute that might improve her nutritional status? 3. What could you do to help her loneliness now that her daughter cannot visit as often? Scenario C You are making home visits to an older adult to check his blood pressure. During the visit he tells you that he is having trouble with constipation. 1. What questions should you ask to further assess the problem? 2. Why is constipation a common problem for people older than 60 years? 3. Would you recommend the use of an over-the-counter laxative? Why or why not? 4. What dietary and lifestyle recommendations would you make?
atitis A and B prevents liver
and C are risk factors for liver
onsumption helps prevent cirrhosis
reatitis.
is halted before all tissue is
regenerate.
darkness (color of tea) and check
ay color; these findings suggest
ay be blocked.
nish with age, and the gradual loss
decrease appetite. Poor dentition
icult for the older adult.
ct appetite and digestion.
simethicone are helpful in reducing
cause fluid and electrolyte
dration.
s, and exercise helps prevent or
igned to mimic and restore the
el pattern.
esources
Guide for additional learning activities
chapter content.
te (http://evolve.elsevier.com/deWit/
ng FREE learning resources:
nd video
es for questions and activities
ciations in English and Spanish
uestions and more!
the NCLEX® Examination
liver toxicity is:
thiazide administration for
ion of a high-fat diet throughout
g of a pack of cigarettes per day.
gth acetaminophen at doses of
siological Integrity: Pharmacological
each patients to prevent
rs include:
nt of routine alcohol consumption.
e use of aspirin for a headache.
itor to decrease stomach acid
food at least once each day.
alth Promotion and Maintenance
re for several patients who had
Which patient will require the most
ural care?
an ultrasound
hepatobiliary scintigraphy
a liver biopsy
a Helicobacter pylori antibody test
siological Integrity: Reduction of Risk
The Gastrointestinal System CHAPTER 27
659
4. You are preparing a patient for a liver biopsy. Which
nursing interventions should be included? (Select all
that apply.)
1. Attending to patient's fears and anxiety
2. Checking for a signed consent form for the
procedure
3. Assessing for dehydration and electrolyte imbalance
4. Positioning on right side
5. Checking coagulation studies for bleeding problems
6. Noting any allergy to local anesthetics
NCLEX Client Need: Physiological Integrity: Reduction of Risk
Potential
5. An 82-year-old patient is undergoing bowel
preparation for a diagnostic procedure. What are
potential complications of the bowel prep? (Select all
that apply.)
1. Constipation
2. Rashes
/
3. Dehydration
4. Muscle cramps
5. Chest pains
6. Hypotension
NCLEX Client Need: Physiological Integrity: Pharmacological
Therapies
6. A decreased secretion of intrinsic factor is a
physiologic change associated with the aging process;
therefore, you suspect decreased intrinsic factor
should assess for which behavior?
1. A refusal to eat salty or sweet foods
2. A change in stools after eating fatty foods
3. Fatigue and activity intolerance
4. Difficulties with mastication
NCLEX Client Need: Physiological Integrity: Physiological
Adaptation
7. Which laboratory values would you use to assess liver
function?
1. CBC, BUN, creatinine
2. Lipase, amylase, WBC
3. Troponin, CPK, myoglobin
4. ALT, ammonia, INR
NCLEX Client Need: Physiological Integrity: Reduction of Risk
Potential
8. You emphasize the importance of eating natural
sources of fiber to a patient who has frequent
constipation. Which patient statement indicates
effective health teaching?
1. "I will consider eating more white bread."
2. "I will drink fluids only while consuming meals."
3. "I will add more milk to my morning cereal."
4. "I will eat more fruits and vegetables."
NCLEX Client Need: Health Promotion and Maintenance
9. A 30-year-old woman is admitted with complaints of
severe nausea and vomiting over the past 2 days. On
admission she is hypotensive and extremely weak.
What is the priority problem?
1. Altered breathing pattern
2. Altered activity tolerance
3. Deficient fluid volume
4. Altered cardiac output
NCLEX Client Need: Physiological Integrity: Physiological
Adaptation
Transcribed Image Text:atitis A and B prevents liver and C are risk factors for liver onsumption helps prevent cirrhosis reatitis. is halted before all tissue is regenerate. darkness (color of tea) and check ay color; these findings suggest ay be blocked. nish with age, and the gradual loss decrease appetite. Poor dentition icult for the older adult. ct appetite and digestion. simethicone are helpful in reducing cause fluid and electrolyte dration. s, and exercise helps prevent or igned to mimic and restore the el pattern. esources Guide for additional learning activities chapter content. te (http://evolve.elsevier.com/deWit/ ng FREE learning resources: nd video es for questions and activities ciations in English and Spanish uestions and more! the NCLEX® Examination liver toxicity is: thiazide administration for ion of a high-fat diet throughout g of a pack of cigarettes per day. gth acetaminophen at doses of siological Integrity: Pharmacological each patients to prevent rs include: nt of routine alcohol consumption. e use of aspirin for a headache. itor to decrease stomach acid food at least once each day. alth Promotion and Maintenance re for several patients who had Which patient will require the most ural care? an ultrasound hepatobiliary scintigraphy a liver biopsy a Helicobacter pylori antibody test siological Integrity: Reduction of Risk The Gastrointestinal System CHAPTER 27 659 4. You are preparing a patient for a liver biopsy. Which nursing interventions should be included? (Select all that apply.) 1. Attending to patient's fears and anxiety 2. Checking for a signed consent form for the procedure 3. Assessing for dehydration and electrolyte imbalance 4. Positioning on right side 5. Checking coagulation studies for bleeding problems 6. Noting any allergy to local anesthetics NCLEX Client Need: Physiological Integrity: Reduction of Risk Potential 5. An 82-year-old patient is undergoing bowel preparation for a diagnostic procedure. What are potential complications of the bowel prep? (Select all that apply.) 1. Constipation 2. Rashes / 3. Dehydration 4. Muscle cramps 5. Chest pains 6. Hypotension NCLEX Client Need: Physiological Integrity: Pharmacological Therapies 6. A decreased secretion of intrinsic factor is a physiologic change associated with the aging process; therefore, you suspect decreased intrinsic factor should assess for which behavior? 1. A refusal to eat salty or sweet foods 2. A change in stools after eating fatty foods 3. Fatigue and activity intolerance 4. Difficulties with mastication NCLEX Client Need: Physiological Integrity: Physiological Adaptation 7. Which laboratory values would you use to assess liver function? 1. CBC, BUN, creatinine 2. Lipase, amylase, WBC 3. Troponin, CPK, myoglobin 4. ALT, ammonia, INR NCLEX Client Need: Physiological Integrity: Reduction of Risk Potential 8. You emphasize the importance of eating natural sources of fiber to a patient who has frequent constipation. Which patient statement indicates effective health teaching? 1. "I will consider eating more white bread." 2. "I will drink fluids only while consuming meals." 3. "I will add more milk to my morning cereal." 4. "I will eat more fruits and vegetables." NCLEX Client Need: Health Promotion and Maintenance 9. A 30-year-old woman is admitted with complaints of severe nausea and vomiting over the past 2 days. On admission she is hypotensive and extremely weak. What is the priority problem? 1. Altered breathing pattern 2. Altered activity tolerance 3. Deficient fluid volume 4. Altered cardiac output NCLEX Client Need: Physiological Integrity: Physiological Adaptation
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