Nokea
is a condition characterized by yellowing of the sclera and the skin.
Correct Answer: Jaundice
Rationale: Jaundice is the discoloration of body tissues caused by abnormally high blood levels of bilirubin.
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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.
What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?
- A. High placement of incision
- B. Excessive nausea
- C. Weakened abdominal muscles
- D. Poor oxygenation
Correct Answer: A
Rationale: The high placement of the incision of the cholecystectomy makes the patient reluctant to cough. Splinting the incision is beneficial.
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.
Which patient statement indicates that the patient requires additional teaching about an endoscopic retrograde cholangiopancreatography?
- A. Right after the test, I want breakfast with black coffee.'
- B. The instrument will be put down my throat.'
- C. I haven't had anything to eat or drink since 9 p.m. last night.'
- D. My doctor said I could have medicine to relax me before the test.'
Correct Answer: A
Rationale: After the procedure, keep the patient at nothing by mouth status (NPO) until the gag reflex returns.
A patient with cirrhosis of the liver will have which blood test results monitored?
- A. Blood urea nitrogen (BUN)
- B. Platelet counts
- C. Aspartate aminotransferase (AST)
- D. Hemoglobin and Hematocrit (HGB and HCT)
Correct Answer: C
Rationale: The nurse will monitor the patient with cirrhosis for an elevated AST level which would indicate worsening liver function. The BUN monitors kidney function. The platelet count is part of the complete blood count which is not necessary to monitor with cirrhosis. The HGB and HCT monitor for anemia.