Term
| A client with advanced cirrhosis has been diagnosed with hepatic encephalopathy. The nurse expects to assess for: |
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Definition
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Term
| The nurse reviews the I & O of a client who had a cholecystectomy and choledochotomy who is 24-hours post-op. The output of the T-tube as 445 ml. The nurse should: |
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Definition
| recognize that this is normal and do not intervene. |
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Term
| The initial treatment plan for a client with acute pancreatitis included insertion of an NG tube. The nurse explains to the client that the rationale for this procedure is to: |
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Definition
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Term
| A client was admitted to the hospital with a diagnosis of acute cholecystitis due to cholelithiasis. The client complains of severe abdominal pain, nausea, and has vomited 3 times. What is the priority nursing diagnosis for this client? |
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Definition
| Acute pain related to biliary spasm |
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Term
| A client diagnosed with chronic cirrhosis who has ascites and pitting peripheral edema also has hepatic encephalopathy. Which of the following nursing interventions are appropriate to prevent skin breakdown? Select all that apply. |
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Definition
Turn and reposition every 2 hours
Alternating air pressure mattress |
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Term
| A client with chronic pancreatitis is being discharged from the hospital. Which of the following statements by the client demonstrates that the client understands how to take prescribed pancreatic enzyme replacements? |
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Definition
| “I must take the medication with meals and snacks.” |
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Term
| The nurse is preparing a staff development program about caring for clients with hepatitis A. Which of the following interventions will the nurse include? |
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Definition
| Wear gloves when providing direct care. |
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Term
| The nurse is preparing discharge instructions for a client with hepatitis B. The discharge plan should include which of the following instructions for the client? |
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Definition
| Use a condom during sexual intercourse. |
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Term
| Which of the following will the nurse include in the care plan for a client hospitalized with viral hepatitis? |
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Definition
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Term
| Spironolacctone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects? |
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Definition
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