ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 41 Questions
Question 1 of 5
The nurse is caring for a patient who has an obstruction of the common bile duct. Which of the following findings should the nurse monitor in this patient?
Correct Answer: B
Rationale: A common bile duct obstruction will reduce the absorption of fat in the small intestine, leading to fatty stools. Gastrointestinal (GI) bleeding is not caused by common bile duct obstruction. Serum cholesterol levels are increased with biliary obstruction. Direct bilirubin level is increased with biliary obstruction.
Question 2 of 5
During change-of-shift report, the nurse receives the following information about a patient who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the patient for the procedure?
Correct Answer: D
Rationale: If the patient has had inadequate bowel preparation, the colon cannot be visualized and the procedure should be rescheduled. Because contrast solution is not used during colonoscopy, the iodine allergy is not pertinent. A pacemaker is a contraindication to magnetic resonance imaging (MRI), but not to colonoscopy. The nurse should instruct the patient about the sedation used during the examination to decrease the patient's anxiety about discomfort.
Question 3 of 5
The nurse is obtaining a history from a patient who is admitted with jaundice. Which of the following statements is most indicative of a need for patient teaching?
Correct Answer: D
Rationale: Persistent use of high doses of acetaminophen can be hepatotoxic and may have caused the patient's jaundice. The other patient statements require further assessment by the nurse, but do not indicate a need for patient education.
Question 4 of 5
The nurse is preparing to assess a patient's liver. When palpating the liver, which of the following techniques should the nurse implement?
Correct Answer: A
Rationale: The liver is normally not palpable below the costal margin, the nurse needs to push inward below the right costal margin while lifting the patient's back slightly with the left hand. The other methods will not allow palpation of the liver.
Question 5 of 5
The nurse is listening to a patient's abdomen. Which of the following findings indicate a need for a focused abdominal assessment?
Correct Answer: C
Rationale: Absent bowel sounds are abnormal and require further assessment by the nurse. The other sounds may be heard normally.