Nokea
Dietary teaching for a patient who is treated conservatively for cholecystitis is necessary to keep the patient comfortable. Which food should be avoided?
- A. Peanut butter
- B. Grilled chicken
- C. Rice and pasta
- D. Bananas, apples, oranges
- E. Whole milk
- F. Glazed chocolate doughnuts
Correct Answer: A,E,F
Rationale: Peanut butter, nuts, chocolate, whole milk, fried foods, and cream and other fatty foods should be avoided.
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Why is it advantageous for a live person to be a liver donor?
- A. Because the donor is not at risk for any complication.
- B. Because the recipient is more likely to avoid rejection.
- C. Because the donor donates only a part of the liver.
- D. Because the blood supply is more dependable in the donated liver.
Correct Answer: C
Rationale: A live donor may donate only a portion of their liver and within weeks the donor's liver has grown to the size to meet the body's needs. The same is true for the recipient.
A patient with pancreatitis is on nothing by mouth status (NPO). The patient asks the nurse 'Why am I unable to have anything by mouth?'. Which is the best response?
- A. Diagnostic tests depend on you not eating anything.'
- B. The pancreas is stimulated whenever you eat or drink and causes pain.'
- C. Eating causes the need for a bowel movement, which excretes your medication too rapidly.'
- D. Resting your gastrointestinal tract will cure your pancreatitis.'
Correct Answer: B
Rationale: Food and fluids are withheld to avoid stimulating pancreatic activity, and IV fluids are administered.
The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug has which benefit?
- A. increases the rate of the regeneration of liver cells.
- B. can overcome complications presented by hepatitis C.
- C. increases blood supply to transplant.
- D. does not suppress bone marrow.
Correct Answer: D
Rationale: Cyclosporine is an immunosuppressant that does not cause bone marrow suppression nor does it impede healing.
Which should the nurse explain is the major purpose of the Sengstaken-Blakemore tube (S/B tube)?
- A. Decompress the stomach.
- B. Control esophageal varices bleeding.
- C. A route for tube feedings.
- D. Obtain specimen for gastric analyzing.
Correct Answer: B
Rationale: The major purpose of the S/B tube is to control bleeding by pressure against the vessels in the esophagus. The two balloons of the tube are inflated to put direct pressure on the esophagus and are anchored by the inflated balloon in the stomach. The tube can suction blood from the stomach as well.
A patient returning from a 2-week camping trip a few days ago, reports having nausea, anorexia, and dark urine. Which additional information would assist in diagnosing hepatitis A?
- A. Exposure to blood
- B. Recent ingestion of raw fish
- C. History of intravenous drug use
- D. Multiple sex partners
Correct Answer: B
Rationale: Hepatitis A spreads by direct contact through the oral-fecal route, usually by food and water contaminated with feces.