Patient With Inflamed Explained for Students (Easy Guide)

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This question relates to patient with inflamed and requires a structured academic response.

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Key Explanation

This topic involves patient with inflamed. A strong answer should include explanation, application, and examples.

Original Question

1. A patient with an inflamed gallbladder complains of pain after eating due to contraction of the gallbladder. What is the mechanism responsible for this action? a . Production of bile by the liver b . Production of secretin by the duodenum c . Production of cholecystokinin by the duodenum d . Release of gastrin from the stomach antrum 1 points QUESTION 2 1. What is important for the nurse to teach while caring for a patient who has had most of the stomach surgically removed? a . Because of the absence of digestive enzymes, protein malnutrition is likely. b . Extra iron will need to be taken to prevent anemia. c . Lifelong supplementation of cobalamin (vitamin B12) will be needed. d . Avoid foods with lactose to prevent bloating and diarrhea. 1 points QUESTION 3 1. What is a manifestation of age-related changes in the GI system that the nurse may find in an older patient? a . Intolerance to fatty foods b . Yellowish tinge to the skin c . Gastric hyperacidity d . Reflux of gastric contents into the esophagus 1 points QUESTION 4 1. The nurse understands that which diagnostic test will confirm the diagnosis of malignancy for a patient recently diagnosed with bowel tumor? a . Biopsy of the tumor b . Abdominal ultrasound c . Computerized tomography scan d . Magnetic resonance imaging 1 points QUESTION 5 1. A patient who had bowel surgery 2 days ago has orders for morphine sulphate 4 mg IV every 2 hours and a clear liquid diet. The patient tells the nurse that she feels distended and has gas pains. What is the most appropriate intervention in response to the patient’s complaint? a . Assist the patient to ambulate in the hall. b . Administer the prescribed morphine sulphate. c . Obtain an order for a laxative. d . Withhold all oral fluid and food. 1 points QUESTION 6 1. Which preexisting condition obtained during the time the nurse is interviewing the patient about his past medical history may lead the nurse to suspect that a client has colorectal cancer? a . Duodenal ulcers b . Weight gain c . Hemorrhoid d . Polyps 1 points QUESTION 7 1. What is the characteristic manifestation with peptic ulcer pain? a . Burning sensation localized in the back or mid-epigastrium. b . Feeling of emptiness that precedes meals from 1 to 3 hours. c . Severe gnawing pain that increases in severity as the day progresses. d . Combination of all the above. 1 points QUESTION 8 1. During assessment the nurse is aware that a positive Rovsing’s sign is indicative of appendicitis. This is found by palpating a . Right upper quadrant. b . Left lower quadrant. c . Left upper quadrant d . Right lower quadrant. 1 points QUESTION 9 1. Which assessment should the nurse perform first in a patient in the emergency department who is alert and is vomiting blood? a . Taking the blood pressure (BP) and pulse b . Measuring the quantity of any emesis c . Checking the level of consciousness d . Auscultating the chest for heart sounds 1 points QUESTION 10 1. The nurse is taking the BP of a client with severe acute pancreatitis and notices carpal spasm of the client’s hand. Which of the following actions should the nurse take next? a . Retake the client blood pressure. b . Check the calcium level on the chart. c . Notify the health care provider immediately. d . Ask the client about any arm pain. 1 points QUESTION 11 1. A client who has advanced cirrhosis and receiving lactulose is being cared for by the nurse, which findings indicates that the medication is effective? a . The client denies nausea or anorexia. b . The client has at least one stool daily c . The client is alert and oriented d . The client’s bilirubin level decreases. 1 points QUESTION 12 1. The nurses teaches a patient with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which diet choice for a snack 2 hours before bedtime indicates that the teaching has been effective? a . Peanut butter sandwich b . Chocolate pudding c . Cherry gelatin and fruit d . Glass of low-fat milk 1 points QUESTION 13 1. Which of these assessment findings in a patient with a hiatal hernia who returned from a laparoscopic Nissen fundoplication a few hours ago is most important for the nurse to address immediately? a . The patient complains of 6/10 (0 to 10 scale) abdominal pain b . The patient has absent breath sounds throughout the left lung. c . The patient is experiencing intermittent waves of nausea. d . The patient has decreased bowel sounds in all four quadrants. 1 points QUESTION 14 1. Which of the following clients should alert the nurse that screening for hepatitis C should be done? a . The client eats frequent meals in fast-food restaurants. b . The client had a blood transfusion after surgery in 2018. c . The client reports a one-time use of IV drugs 20 years ago. d . The client recently travelled to a developed country. 1 points QUESTION 15 1. A patient is being admitted with acute cholecystitis by the unit nurse. Which of the following findings is most important for the nurse to report to the health care provider? a . The client’s stools are clay coloured. b . The client’s urine is bright yellow. c . The client complains of chronic heartburn. d . The client has an increase in pain after eating. 1 points QUESTION 16 1. In a patient with an episode of acute pancreatitis the nurse explains that the most effective means of relieving pain by suppressing pancreatic secretions is the use of? a . Antibiotics. b . Proton pump inhibitors c . Antispasmodics. d . Being NPO. 1 points QUESTION 17 1. A patient with a family history of stomach cancer is being taught about ways to decrease the risk of developing this cancer, the nurse will teach the patient to avoid: a . Chronic use of H2 blocking medications. b . Foods that cause abdominal distention. c . Smoked foods such as bacon and ham. d . Emotionally or physically stressful situations. 1 points QUESTION 18 1. Which problem is important to focus on first when caring for someone with a concurrent disorder? a . Both together b . You cannot treat either until the person is abstaining from any substances first. c . The substance use first d . The mental health disorder first 1 points QUESTION 19 1. Murna is a 40-year-old patient with major depressive disorder. She states to you, “My doctor told me something about the medicine she is ordering working on my neurotransmitters. What exactly are neurotransmitters?” Which is your best response? a . “Neurotransmitters are chemical messengers in the brain that help regulate specific functions.” b . “I will ask your provider to give you a more in-depth explanation.” c . “Neurotransmitters are too complicated to explain easily. Just know that the medication will help your mood.” d . “Neurotransmitters are the reason you are depressed.” 1 points QUESTION 20 1. Active listening is shown by the nurse, by doing which of the following? a . Smiling and nodding continuously throughout the interview b . Assuming a relaxed posture and leaning toward the client c . Agreeing with the client d . Repeating everything the client says to clarify 1 points QUESTION 21 1. The nurses assess and documents the findings that bowel sounds were absent in all 4 quadrants of the patient’s abdomen. How long should the nurse have auscultated the patient’s abdomen? a . 16 minutes b . 10 minutes c . 8 minutes d . 20 minutes 1 points QUESTION 22 1. What is the most effective method for the practical nurse to validate the effectiveness of pain relief with most clients? a . Ask clients to rate pain using a numeric rating scale, and additional pain assessment questions before and after analgesics b . Monitor their sad facial expressions before and after administration of analgesics. c . Ask clients to rate their pain verbally from mild to severe. d . Monitor their vital signs in response to analgesics given. 1 points QUESTION 23 1. Mrs. Smith has stomatitis due to her recent chemotherapy. The practical nurse assesses that Mrs. Smith understands instructions given for oral hygiene when she makes which of the following comments? a . “I use diluted Listerine mouthwash every 4 hours. It stings, so I know it is working.” b . “Rinsing my mouth with normal saline every 2 hours has helped me tremendously.” c . “I never need analgesics. If my mouth is too painful, I just do not brush or rinse for a day or two and the pain passes.” d . “I don’t brush my teeth every day, but when I do, I use my ordinary toothbrush.” 1 points QUESTION 24 1. Mrs. Lin, age 45 years, has end-stage breast cancer with metastases to her lungs and brain. Her family and the palliative care team are caring for her at home. Which of the following best describes palliative care for Mrs. Lin? a . Enteral feeds will be started to prevent starvation and malnutrition and prolonged life. b . Interventions will be focused only on the needs of Mrs. Lin. c . Services by the team terminate at the death of Mrs. Lin. d . Mrs. Lin will be kept comfortable, supportive, and free from pain. 1 points QUESTION 25 1. The nurse is caring for a patient who smokes 14 packs/week. Which action by the nurse could help reduce the patient’s risk of lung cancer? a . Teach the patient about the seven warning signs of cancer. b . Teach the patient about annual chest x-rays for lung cancer screening. c . Plan to monitor the patient’s carcinoembryonic antigen (CEA) level. d . Discuss risks associated with cigarette smoking during each patient encounter. 1 points QUESTION 26 1. A 48-yr-old patient during a routine health assessment tells the nurse about a family history of colon cancer. Which action should the nurse take next? a . Schedule a sigmoidoscopy to provide baseline data. b . Get more information about the family history. c . Teach the patient how to do home testing for fecal occult blood. d . Teach the patient about the need for a colonoscopy at age 50. 1 points QUESTION 27 1. The nurse teaches the patient who is undergoing external radiation and has developed a dry desquamation of the treatment area about the management of the skin reaction. Which statement, made by the patient, indicates the teaching was effective? a . “I can use ice packs to relieve itching.” b . “I will scrub the area with warm water.” c . “I can buy aloe vera gel to use on my skin.” d . “I will expose my skin to a sun lamp each day.” 1 points QUESTION 28 1. Which of the following is consistent with recent trends in the incidence and death rates of cancer? a . As the population ages, the incidence of cancer increases. b . Breast cancer is the leading cause of cancer deaths in women. c . Lung cancer is the most common type of cancer in men. d . A higher percentage of women than men have lung cancer. 1 points QUESTION 29 1. Which of following patients should the nurse assess first after receiving a change-of-shift report? a . 24-year-old who is receiving neck radiation and has red blood oozing from the neck post treatment b . 35-year-old who has wet desquamation associated with abdominal radiation c . 56-year-old who gets pericardial friction rub after each time receiving chest radiation d . 42-year-old who is sobbing after receiving a new diagnosis of ovarian cancer 1 points QUESTION 30 1. . In which of the following assessment findings is dental floss use contraindicated? Xerostomia Halitosis An increased white blood cell count A decreased platelet counts 1 points QUESTION 31 1. When teaching a patient with cancer about diet choices which are high in protein and calorie, which of the following snack choices by the patient indicates that the teaching has been ineffective? a . Strawberry yogurt b . Peanut butter and banana c . Trail mix d . Fresh fruit salad 1 points QUESTION 32 1. To determine the need for psychological support for a patient diagnosed with stage 1 cancer of the liver during the nurse’s assessment, which of the following questions by the nurse will provide the most information? a . “Can you tell me what has been helpful to you in the past when coping with stressful events?” b . “Do you have any concerns about body image changes?” c . “When were you diagnosed with this cancer?” d . “Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the liver?” 1 points QUESTION 33 1. When preparing a patient for a biopsy of a lump in the left breast, the patient asks the nurse about the difference between a benign tumor and a malignant tumor. Which of the following responses by the nurse is correct? a . “Malignant tumors may spread to other tissues or organs.” b . “Benign tumors do not cause damage to other tissues.” c . enign tumors are likely to recur in the same location.” d . “Malignant cells reproduce more rapidly than normal cells.” 1 points QUESTION 34 1. A client who has severe pain associated with terminal liver cancer is being cared for at home by family members. Which of the following findings indicates that teaching regarding pain management has been effective? a . The client uses the ordered opioid pain medication whenever the pain is greater than 5 (0-10 scale). b . The client agrees to take the medications by the IV route in order to improve analgesic effectiveness. c . The client takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. d . The client states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief. 1 points QUESTION 35 1. Which of the following nursing actions will be most effective in improving oral intake for a client with the nursing diagnosis of imbalanced nutrition: less than body requirements related to painful oral ulcers? a . Provide education about the importance of nutritional intake. b . Offer the client frequent small snacks between meals. c . Assist the client to choose favorite foods from the menu. d . Apply the ordered anesthetic gel to oral lesions before meals. 1 points QUESTION 36 1. A newly diagnosed patient with extensive lung cancer that has metastasized asks the nurse why he must be careful to avoid crowds and people who are ill. What is the nurse’s best response? a . “The large amount of mucus produced by the cancer cells is a good breeding ground for bacteria and other microorganisms.” b . “When lung cancer is in the bones, it can prevent the production of immune system cells, making you less resistant to infection.” c . “With lung cancer, you are more likely to develop pneumonia and could pass this on to other people who are already ill.” d . “When lung cancer is in the bones, it becomes a bone marrow malignancy, which stops producing immune system cells.” 1 points QUESTION 37 1. A nurse is administering IV chemotherapy to his patient and the patient ask what the reason is for wearing a mask, gloves, and a gown. What is the nurse’s best response? a . “I am preventing the spread of infection from you to me or any other client here.” b . “These coverings protect you from getting an infection from me.” c . “The policy is for any nurse giving these drugs to wear a gown, gloves, and the mask.” d . “The covering protests me from accidentally absorbing these drugs.” 1 points QUESTION 38 1. A client with a large stomach tumour that is attached to the liver is scheduled to have a debulking procedure. When teaching the client, which of the following is the expected outcome of this surgery? a . Relief of pain by cutting sensory nerves in the stomach b . Decrease in tumour size to improve the effects of other therapy c . Promotion of better nutrition by relieving the pressure in the stomach d . Control of the tumour growth by removal of malignant tissue 1 points QUESTION 39 1. Which of the following information obtained by the nurse about a client with colon cancer who is scheduled for external radiation therapy to the abdomen indicates a need for client teaching? a . The client eats frequently during the day. b . The client swims in a pool 5 days a week. c . The client has a history of dental caries. d . The client showers with Dove soap daily. 1 points QUESTION 40 1. The nurse is caring for a client with Hodgkin’s lymphoma who is undergoing external radiation therapy and tells the nurse, “I am so tired I can hardly get out of bed in the morning.” Which of the following interventions should the nurse implement? a . Establish a time to take a short walk almost every day. b . Minimize activity until the treatment is completed. c . Consult with a psychiatrist for treatment of depression d . Exercise vigorously when fatigue is not as noticeable.

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