35 Questions
What is a major clinical finding indicative of pancreatitis?
Bruising around the belly button (Cullen's sign)
Why should clients with pancreatitis avoid alcohol?
Alcohol can worsen symptoms and complications
Which of the following positions is recommended for a client with pancreatitis for comfort?
Sitting up
What type of diet is advised for clients with pancreatitis post-pain resolution?
Bland, high protein, low-fat diet without stimulants
Why is the use of antacids advised 1hr before taking H2 antagonists for peptic ulcers?
To enhance the effectiveness of the H2 antagonist
What is the significance of a positive guaiac FOBT in clinical judgment for GI bleeding?
It confirms the presence of GI bleeding
What is the nurse's highest assessment priority before instilling enteral feeding to a client with an NG tube?
Verify the placement of the NG tube.
After cholecystectomy, what diet is encouraged for the client?
Low in fats and high in carbs and protein.
What is a risk factor for peptic ulcers?
H.Pylori infection, NSAID use, severe stress.
What should the nurse monitor to assess paralytic ileus in a post-op client?
Monitor for bowel sounds.
How can the nurse check if an NG tube is properly placed?
X-ray and pH testing of nasogastric tube drainage.
What is the purpose of encouraging ambulation in a client with paralytic ileus?
To improve bowel motility.
What is the most likely indication of perforation of a peptic ulcer?
Rigid, board-like abdomen
Which assessment data would best support a diagnosis of gastric ulcer?
Complains of pain with ingestion of food & sleep
What should a nurse instruct a client with epigastric pain to do when it frequently causes waking up during the night?
Sit up for 1 hour when awakened
What should a nurse instruct clients with intense episodes to do to promote bowel rest?
Obtain NPO and TPN help
When should a nurse empty a stoma post-op?
When ½ full
What is an important sign indicating the need for immediate physician notification in a person with a peptic ulcer?
Severe pain spreading over abdomen
What is the most common type of glaucoma?
Primary open-angle glaucoma
Which early sign of glaucoma is considered an ocular emergency?
Pain and nausea
What is the initial action a nurse should take when preparing to perform tonometry to measure intraocular pressure (IOP)?
Check the time the test was performed
Why is Atropine sulfate contraindicated in clients with glaucoma?
It increases intraocular pressure (IOP)
In glaucoma, why are mydriatics contraindicated?
They increase intraocular pressure (IOP)
What should a nurse educate clients about in terms of early identification of glaucoma?
Reduced vision and mild eye pain
Which client teaching should the nurse provide for a client diagnosed with diabetic retinopathy?
Avoid activities that increase intraocular pressure, such as bending over the waist and sneezing
What is a key step in the administration of prescribed eye meds every 12 hours?
Wait 30 seconds between each drop to prevent dilution
What is an important instruction for a client prescribed pilocar (miotics) eye drops for open angle glaucoma?
Apply punctal occlusion technique with each drop
What should a client with cataracts avoid doing to prevent complications?
Touch the tip of the bottle to the eye during medication administration
Which activity should be avoided by a client experiencing presbyopia to prevent worsening symptoms?
Reading small print in low light conditions without glasses
What is a critical emergency treatment measure to quickly decrease intraocular pressure (IOP) in primary angle-closure glaucoma?
Apply IV Mannitol to lower IOP rapidly
What is the first-line therapy for open-angle glaucoma with decreased aqueous humor production?
Beta-blocker (timolol/timoptic)
What medication is used as an emergency treatment for angle-closure glaucoma to quickly decrease intraocular pressure (IOP)?
IV Mannitol
When administering 3 drops of acetazolamide (Diamox) to a client's left eye, what should the nurse do?
Instruct the client to look up while administering the drops
How does chronic open-angle glaucoma (COAG) damage a client's eyesight?
It causes increased intraocular pressure (IOP)
What potential complication should the nurse explain to a client who instills eye drops by trying to 'hit the middle of the eyeball'?
Corneal injury
Test your knowledge on assessing peptic ulcers. Identify the key assessment finding that most likely indicates perforation of the ulcer, which is a medical emergency requiring immediate physician notification. Symptoms include sudden, sharp, intolerable severe pain starting in the mid-epigastric area and spreading over the abdomen.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
