Patient With Inflamed Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

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

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

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

Original Question

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? Production of bile by the liver Production of secretin by the duodenum Production of cholecystokinin by the duodenum Release of gastrin from the stomach antrum What is important for the nurse to teach a while caring for a patient who has had most of the stomach surgically removed? Because of the absence of digestive enzymes, protein malnutrition is likely Extra iron will need to be taken to prevent anemia Lifelong supplementation of cobalamin (vitamin B12) will be needed Avoid foods with lactose to prevent bloating and diarrhea. What is a manifestation of age-related changes in the GI system that the nurse may find in a older patient? Intolerance to fatty foods Yellowish tinge to the skin Gastric hyperacidity Reflux of gastric contents into the esophagus The nurse understands that which diagnostic test will confirm the diagnosis of malignancy for a patient recently diagnosed with bowel tumor? Biopsy of the tumor Abdominal ultrasound Computerized tomography scan Magnetic resonance imaging 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? Assist the patient to ambulate in the hall Administer the prescribed morphine sulphate Obtain an order for a laxative Withhold all oral fluid and food 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? Duodenal ulcers Weight gain Hemorrhoid Polyps What is the characteristic manifestation with peptic ulcer pain? Burning sensation localized in the back or mid-epigastrium Feeling of emptiness that precedes meals from 1 to 3 hours Severe gnawing pain that increases in severity as the day progresses Combination of all the above. During assessment the nurse is aware that a positive Rovsing’s sign is indicative of appendicitis. This is found by palpating Right upper quadrant Left lower quadrant. Left upper quadrant Right lower quadrant Which assessment should the nurse perform first in a patient in the emergency department who is alert and is vomiting blood? Taking the blood pressure (BP) and pulse Measuring the quantity of any emesis Checking the level of consciousness Auscultating the chest for heart sounds 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? Retake the client blood pressure Check the calcium level on the chart Notify the health care provider immediately Ask the client about any arm pain. A client who has advanced cirrhosis and receiving lactulose is being cared for by the nurse, which findings indicates that the medication is effective? The client denies nausea or anorexia The client has at least one stool daily The client is alert and oriented The client’s bilirubin level decreases 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? Peanut butter sandwich Chocolate pudding Cherry gelatin and fruit Glass of low-fat milk 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? The patient complains of 6/10 (0 to 10 scale) abdominal pain The patient has absent breath sounds throughout the left lung The patient is experiencing intermittent waves of nausea The patient has decreased bowel sounds in all four quadrants Which of the following clients should alert the nurse that screening for hepatitis C should be done? The client eats frequent meals in fast-food restaurants The client had a blood transfusion after surgery in 2018 The client reports a one-time use of IV drugs 20 years ago The client recently travelled to a developed country. 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? The client’s stools are clay coloured The client’s urine is bright yellow The client complains of chronic heartburn The client has an increase in pain after eating 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? Antibiotics Proton pump inhibitors Being NPO Antispasmodics 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: Chronic use of H2 blocking medications Foods that cause abdominal distention Smoked foods such as bacon and ham Emotionally or physically stressful situations. Which problem is important to focus on first when caring for someone with a concurrent disorder? Both together You cannot treat either until the person is abstaining from any substances first The substance use first The mental health disorder first 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? “Neurotransmitters are chemical messengers in the brain that help regulate specific functions.” “I will ask your provider to give you a more in-depth explanation.” . “Neurotransmitters are too complicated to explain easily. Just know that the medication will help . your mood.” “Neurotransmitters are the reason you are depressed.” Active listening is shown by the nurse, by doing which of the following? Smiling and nodding continuously throughout the interview Assuming a relaxed posture and leaning toward the client Agreeing with the client Repeating everything the client said to clarify 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? 16 mins 10 min 8 mins 20 mins What is the most effective method for the practical nurse to validate the effectiveness of pain relief with most clients? Ask clients to rate pain using a numeric rating scale, and additional pain assessment questions before and after analgesics Monitor their sad facial expressions before and after administration of analgesics Ask clients to rate their pain verbally from mild to severe Monitor their vital signs in response to analgesics given 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? “I use diluted Listerine mouthwash every 4 hours. It stings, so I know it is working.” “Rinsing my mouth with normal saline every 2 hours has helped me tremendously.” “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.” “I don’t brush my teeth every day, but when I do, I use my ordinary toothbrush.” 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? Enteral feeds will be started to prevent starvation and malnutrition and prolonged life. Interventions will be focused only on the needs of Mrs. Lin. Services by the team terminate at the death of Mrs. Lin Mrs. Lin will be kept comfortable, supportive, and free from pain. 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? Teach the patient about the seven warning signs of cancer Teach the patient about annual chest x-rays for lung cancer screening Plan to monitor the patient’s carcinoembryonic antigen (CEA) level Discuss risks associated with cigarette smoking during each patient encounter.

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