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Questions and Answers
The initial course of treatment for a patient with cholecystitis may include:
The initial course of treatment for a patient with cholecystitis may include:
A patient with cholecystitis is limited to low-fat liquids only. As foods are added to the diet, the patient must know that the following should be avoided:
A patient with cholecystitis is limited to low-fat liquids only. As foods are added to the diet, the patient must know that the following should be avoided:
Postoperative nursing observation includes assessing for:
Postoperative nursing observation includes assessing for:
Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?
Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?
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Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
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A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID). Which statement by one of the attendees indicates a need for further teaching?
A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID). Which statement by one of the attendees indicates a need for further teaching?
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A client with PID asks the nurse about the main cause of the condition. How should the nurse respond?
A client with PID asks the nurse about the main cause of the condition. How should the nurse respond?
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A client who has been diagnosed with PID asks the nurse about treatment options. Which response by the nurse is correct?
A client who has been diagnosed with PID asks the nurse about treatment options. Which response by the nurse is correct?
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A nurse is conducting a nursing assessment for a patient with PID. Which assessment findings should the nurse prioritize during the initial assessment?
A nurse is conducting a nursing assessment for a patient with PID. Which assessment findings should the nurse prioritize during the initial assessment?
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A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID). The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse. Which statement by the patient is consistent with the clinical presentation of PID?
A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID). The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse. Which statement by the patient is consistent with the clinical presentation of PID?
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During the nursing assessment of a patient with suspected PID, the nurse observes the patient experiencing fever and chills. Which statement by the patient supports the clinical presentation of PID?
During the nursing assessment of a patient with suspected PID, the nurse observes the patient experiencing fever and chills. Which statement by the patient supports the clinical presentation of PID?
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Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?
Jerry has diagnosed with appendicitis. He develops a fever, hypotension, and tachycardia. The nurse suspects which of the following complications?
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Which of the following complications should the nurse carefully monitor a client with acute pancreatitis?
Which of the following complications should the nurse carefully monitor a client with acute pancreatitis?
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Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
Which of the following symptoms during the icteric phase of viral hepatitis should the nurse expect the client to inhibit?
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Nurse Rachel teaches a client who has been recently diagnosed with Hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is:
Nurse Rachel teaches a client who has been recently diagnosed with Hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. The one that should be reported immediately to the physician is:
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The nurse was assigned a patient with acute appendicitis complaining pain of 9 in a scale of 1-10 in the RLQ. Which of the following assessment findings need to be reported immediately?
The nurse was assigned a patient with acute appendicitis complaining pain of 9 in a scale of 1-10 in the RLQ. Which of the following assessment findings need to be reported immediately?
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Following an acute episode of pancreatitis, the nurse needs to report immediately if she observed?
Following an acute episode of pancreatitis, the nurse needs to report immediately if she observed?
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A patient with Chron's was assigned to the nurse. Upon assessment, the nurse would note that the stool consistency from the patient is:
A patient with Chron's was assigned to the nurse. Upon assessment, the nurse would note that the stool consistency from the patient is:
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The characteristic pattern of progression of Ulcerative Colitis is:
The characteristic pattern of progression of Ulcerative Colitis is:
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Study Notes
Examination Questions and Answers
- NCM-112-A Unit Examination: This is a first semester examination covering various nursing concepts.
- 1st Semester SY 2024-2025: The specific academic year this examination is for.
- Superimposition is not allowed: Students are instructed not to copy answers from other sources.
Cholecystitis Treatment
- Initial Treatment: Includes analgesics, antibiotics, intravenous fluids, and potentially nasogastric suctioning.
- Dietary Restrictions: Patients with cholecystitis are often limited to low-fat liquids initially, with specific foods like eggs, cheese, and cooked fruits avoided as the diet progresses.
- Post-operative Monitoring: Key observations include checking for infection indicators, bile leakage, and bile drainage issues.
- Nutritional Management: A successful dietary approach involves a low-fat, high-carbohydrate meal plan (4-6 small meals daily for a patient with cholecystitis).
Pelvic Inflammatory Disease (PID)
- Cause: Bacterial spread from the vagina and cervix to the upper genital tract is the primary cause, not hormonal imbalances or fibroids.
- Treatment: Antibiotics are the typical treatment for PID.
- Risk Factors: Multiple sexual partners are a risk factor for PID.
- Prevention: Using protection during sex can prevent PID.
- Assessment: Sexual history, recent partners and assessment of lower abdominal pain and vaginal discharge are important.
- Symptoms: Irregular menstrual bleeding, lower abdominal pain, vaginal discharge, dyspareunia (painful intercourse).
Hepatitis (Viral Hepatitis)
- Symptoms and Complications: Yellow sclera (jaundice), watery stools, shortness of breath, and are symptoms of hepatitis. Restlessness, nausea, and clay-colored stools demand immediate physician notification.
Appendicitis
- Complications: Peritonitis and deficient fluid volume can develop as complications of appendicitis.
- Assessment: Monitoring for fever, hypotension, tachycardia, and potential pain in the lower right quadrant (RLQ) is crucial; these symptoms could indicate peritonitis.
Acute Pancreatitis
- Complications: Complications that nurses should monitor meticulously include myocardial infarction, cirrhosis, peptic ulcers, and infection; a nurse should be mindful of the patient's possible complications.
Viral Hepatitis
- Symptoms: Yellow sclera, watery stool, shortness of breath occur in the icteric phase of hepatitis. Restlessness, nausea, and clay-colored stools require immediate reporting.
- Transmission Prevention: Contact precautions, along with proper hand hygiene, are vital for preventing the spread of hepatitis.
Multiple Sclerosis (MS) and Plasmapheresis
- Treatment: Plasmapheresis is a treatment option for some clients with MS to diminish symptoms by removing plasma proteins.
- Symptoms: Symptoms range from neurological symptoms.
Glomerulonephritis
- Causation: Strep throat is a common trigger for glomerulonephritis.
Hepatitis B
- Transmission Prevention: Contact precautions are an appropriate preventative measure against the spread of hepatitis B.
Tuberculosis (TB)
- Nursing Diagnosis: For a patient diagnosed with active TB, the highest priority nursing diagnosis is risk of infection.
- Infection Control: Airborne precautions are essential for a patient with TB.
- Diagnosis Confirmation: A positive acid-fast bacillus sputum culture confirms active TB.
Multiple Myeloma
- Risk Factors: Certain demographic characteristics (e.g., age, race/ethnicity) can increase risk; further details are necessary for precise risk correlations.
Lung Cancer
- Surgery: Lung resection, e.g., wedge resection, removes a specific portion of a lung, including alveoli and bronchioles, to treat lung cancer.
- Type of Resection: Various types of lung resection exist (e.g., lobectomy, bilobectomy, sleeve resection, pneumonectomy, segmentectomy).
Leukemia
- Complications: Anemia, infection, bleeding, and potential bone deformities are possible complications. A spinal tap might be used to rule out or identify CNS involvement.
HIV/AIDS
- Diagnosis Confirmation: A Western blot test, along with other diagnostic procedures, can confirm a diagnosis of AIDS.
- Care: Reverse isolation and essential PPE usage (e.g., masks, gowns) are critical to prevent infection transmission.
Herpes Zoster (Shingles)
- Review of record: Healthcare professionals should review patient records to identify potential complications or risk factors.
Pediculosis Capitis (Head Lice)
- Treatment: Applying a pediculicide shampoo and repeat treatment 3 days later is essential for lice removal.
Organ Transplantation/Rejection
- Prevention: Immunosuppressant drugs aid in preventing rejection. A close match between donor and recipient tissues is necessary.
- Rejection: Acute rejection calls for prompt administration of immunosuppressants.
Brain Death
- Criteria: Brain death criteria are based on assessing brain stem reflexes, and are often formally diagnosed using neurological diagnostic assessments and procedures.
Various Other Procedures and Conditions (assorted)
- Various procedures and assessments: Various medical procedures and assessments (e.g., imaging, biopsies, cultures) are included in the notes for managing various conditions.
- Conditions and Procedures: Conditions and their related procedures are carefully outlined in managing various conditions, such as infection control measures for those with specific health needs.
Precaution Types
- Contact Precautions: Used for contagious infections.
- Airborne Precautions: Used for diseases spread through the air.
- Droplet Precautions: For infections spread in droplets from a cough or sneeze.
- Standard Precautions: Universal infection control measures for all patients.
- Reverse Isolation: Isolating a patient in a room designed so air cannot escape.
Infection Control Protocols
- General: Hygiene, sanitation, appropriate PPE use, proper handwashing, and disposal of contaminated materials are key for infection control.
Nursing Assessment (Additional Points)
- Subjective data (more details): Detailed patient history, including medications, past medical history, and any known allergies, is necessary.
- Objective data (more details): Physical examination findings, including vital signs, and any abnormal findings must be reported.
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Description
This quiz covers key concepts related to the treatment of cholecystitis as part of the NCM-112-A unit examination for the first semester SY 2024-2025. Topics include initial treatment methods, dietary restrictions, post-operative monitoring, and nutritional management for patients. Test your knowledge on essential nursing practices related to this condition.
