Client centered care EXAM 2 Questions with 100% Verified Answers (Latest Update 2025) 103, Exams of Nursing

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Verified Answers (Latest Update 2025) 103 Questions

GI Tract is made up of what - Correct Answers ✅The mouth, pharynx, esophagus, stomach, small and large intestines, rectum, and anus. Accessory organs of the GI - Correct Answers ✅The liver, gallbladder, and pancreas Functions of the upper GI - Correct Answers ✅Chewing, swallowing, and breaking down food particles. Risk factors for oral cancer - Correct Answers ✅Cigarette smoking, tobacco use, pipe smoking, excessive alcohol use, infection with HPV, and genetic predisposition Signs and symptoms of oral cancer - Correct Answers ✅Lesions on the tongue or mucosa, sores or discoloration of the lips or mouth that don't heal treatment of oral cancer - Correct Answers ✅radiation, chemotherapy, surgery that may require the creation of a tracheostomy Nursing care of a patient with oral cancer - Correct Answers ✅Involves monitoring respiratory status, nutritional support, and comfort measures

Verified Answers (Latest Update 2025) 103 Questions

Esophageal cancer/ gastric cancer risk factors - Correct Answers ✅Smoking, excessive alcohol use cause of esophageal cancer - Correct Answers ✅Barrett esophagus Barrett esophagus - Correct Answers ✅Precancerous condition due to longstanding GERD, the constant irritation of the esophagus by stomach fluids can cause cells to become malignant. Signs and symptoms of esophageal cancer - Correct Answers ✅dysphagia, hoarseness, persistent cough, halitosis, regurgitation of foods, and weight loss. Treatment of esophageal cancer - Correct Answers ✅Endoscopic therapies and surgeries. Esophagectomy is less commonly done due to complication rate respiratory acidosis - Correct Answers ✅A drop in blood pH due to hypoventilation (too little breathing) and a resulting accumulation of Co2.

Verified Answers (Latest Update 2025) 103 Questions

causes of metabolic acidosis - Correct Answers ✅shock, DKA, lactic acidosis, renal failure, diarrhea, and starvation signs and symptoms of metabolic acidosis - Correct Answers ✅Kussmaul respirations; headache; confusion; malaise ABG values for metabolic acidosis - Correct Answers ✅low pH, HCO3 less than 22 Causes of respiratory alkalosis - Correct Answers ✅HYPERventilation caused by anxiety or pain, mechanical ventilation Signs and symptoms of respiratory alkalosis - Correct Answers ✅Hyperventilation; confusion; Lightheadedness ABG values for respiratory alkalosis - Correct Answers ✅ph greater than 7.45, paCO2 less than 35 metabolic alkalosis causes - Correct Answers ✅vomiting; prolonged gastric suction; hypokalemia; medications: diuretics, antacids or bicarbonate, mineralocorticoids

Verified Answers (Latest Update 2025) 103 Questions

signs and symptoms of metabolic alkalosis - Correct Answers ✅Hypoventilation; confusion; numbness/tingling; decreased LOC ABG values for metabolic alkalosis - Correct Answers ✅pH greater than 7.45, HCO greater than 26 Normal pH - Correct Answers ✅7.35-7. Normal PaO2 levels - Correct Answers ✅80-100 mmHg Normal PaCO2 levels - Correct Answers ✅35-45 mmHg Normal HCO3 levels - Correct Answers ✅22- A common cause of liver toxicity is? - Correct Answers ✅Taking extra strength acetaminophen at doses of 4500 mg per day

Verified Answers (Latest Update 2025) 103 Questions

Which laboratory values would you use to assess liver function? - Correct Answers ✅ALT, ammonia, INR You emphasize the importance of eating natural sources of fiber to a patient who has frequent constipation. which patient statement indicates effective health teaching? - Correct Answers ✅"I will eat more fruits and vegetables" A 30-year-old woman is admitted with complaints of severe nausea and vomiting over the past 2 days. On admission she is hypotensive and extremely weak. what is the priority problem? - Correct Answers ✅deficient fluid volume A nurse is discussing healthy lifestyle measures with a group of older adults during a senior seminar. What instructions should you include as accurate information? - Correct Answers ✅Consume sufficient fiber, eat a normal, well-balanced diet, and exercise regularly An older adult woman of Puerto Rican descent is admitted for persistent anorexia and dehydration. There are no apparent underlying organic causes for loss of appetite. Which interventions would be culturally appropriate? - Correct Answers

Verified Answers (Latest Update 2025) 103 Questions

✅Determine food preferences, encourage family visits, and provide small amounts of food and fluid frequently. When working with an obese patient who wants to lose weight, which statement would indicate that the teaching has been understood? - Correct Answers ✅"a program such as weight watchers will help me cut calories and keep on track" When screening for the presence of risk factors for oral and pharyngeal cancers, which questions would you ask? - Correct Answers ✅How much alcohol do you consume? Have you had any oral lesions? Do you have family members who have cancer? Do you smoke? You reinforce diet recommendations to a patient with GERD. Which patient statement indicates a need for further teaching? - Correct Answers ✅"I need to wait 30 minutes after eating before laying down" Patient should be waiting at least 3 hours before laying down A patient who has GERD for many years is diagnosed with Barrett esophagus. Etiologic factors for Barrett esophagus include? - Correct Answers ✅Long term gastroesophageal reflux causing mucosal irritation

Verified Answers (Latest Update 2025) 103 Questions

A patient is receiving continuous enteral feedings. Which intervention will address the most serious problem associated with the feeding therapy? - Correct Answers ✅Raise the head of the bed You are supervising a nursing student during the care of a patient with a gastrostomy tube. You should intervene if the student: - Correct Answers ✅Changes the tubing and bag every 4 hours. Should be changed every 24 hours. A family member tells you, "dad seems to be having some trouble swallowing lately." What is your priority action? - Correct Answers ✅Observe during "practice swallows" The older adult is at greater risk for dehydration than the middle-aged adult is because? - Correct Answers ✅Older adults have a diminished sense of thirst, and compensatory mechanisms work less efficiently An 82-year old male patient is admitted with vomiting and diarrhea. On assessment, you note that he is apprehensive and his skin is cool, dry, and pale. His pulse is rapid, and his blood pressure is lower than normal. These symptoms are indicative of? - Correct Answers ✅Dehydration

Verified Answers (Latest Update 2025) 103 Questions

Your male patient has been ill with pneumonia and was admitted yesterday to start IV antibiotic therapy. He has a history of heart failure adn is taking digitalis and fuosemide. He has not been eating well the past 3 days because he was feeling so bad. The primary care provider ordered fluids and daily lab work yesterday. The patient seems more confused this morning and is very weak. His urine output has fallen. To determine what is causing these symptoms, you would first? - Correct Answers ✅Check the morning electrolyte levels. A patient with heart failure has lost 4.6 pounds. This represents a fluid loss of approximately? - Correct Answers ✅2 Liters Patients who are undergoing diuretic therapy to decrease excess bod fluid tend to lose potassium. If too much potassium is lost, the patient will have which electrolyte and acid-base imbalance? - Correct Answers ✅Hypokalemia, and metabolic alkalosis. One of the best methods to assess whether peripheral edema is increasing or decreasing is to? - Correct Answers ✅Measure the circumference of the affected extremity in the same location each day.

Verified Answers (Latest Update 2025) 103 Questions

What should nurses monitor when a patient is receiving a diuretic regularly? - Correct Answers ✅Skin turgor, daily weight, and electrolyte status Which patients can be considered at high risk for fluid and electrolyte imbalance?

• Correct Answers ✅A 45-year-old woman with thyroid crisis, A 35-year-old trauma victim on a ventilatory, a 30-year-old complaining of persistent diarrhea. An older adult man is admitted for severe disorientation, confusion, and general weakness. His souse reports that he is not able to tolerate any food or fluids and has had several episodes of vomiting and diarrhea. Which imbalances is the patient most likely experiencing? - Correct Answers ✅Hypokalemia, and hyponatremia In planning care for a patient with cogestive heart failure, you choose the problem statement: fluid volume overload due to altered cardiac output. The problem statement woul dmost likely be supported by which sign or symptom? - Correct Answers ✅Fine crackles in the lung sounds. A patient who has congestive heart failure has a fluid excess with a weight gain of 1.5 pounds since yesterday and edematous ankles. Which providers order has the highest priority? - Correct Answers ✅Administer furosemide 40mg po once daily

Verified Answers (Latest Update 2025) 103 Questions

The new patient on the floor has been diagnosed with gastroenteritis. What would be the most critical level to assess? - Correct Answers ✅Potassium You appropriately elicit a sign of hypocalcemia by? - Correct Answers ✅tapping the face about 1 inch from the ear. What would be the most accurate way to assess for dehydration in an older adult patient? - Correct Answers ✅urine output Inflammation of the tongue is called? - Correct Answers ✅glossitis Nutritional therapy for gallbladder disorders include? - Correct Answers ✅low fat intake Crohns disease is a type of? - Correct Answers ✅inflammatory bowel disease The term used to describe difficulty swallowing is? - Correct Answers ✅Dysphagia

Verified Answers (Latest Update 2025) 103 Questions

Dietary care of a patient with GERD includes - Correct Answers ✅Lower intake of fat Compared with healthy children, children with cystic fibrosis need? - Correct Answers ✅More kilocalories Dryness of the mouth form lack of normal secretions is called? - Correct Answers ✅Xerostomia An example of a meal that may cause an increase in symptoms for a patient with peptic ulcer disease is? - Correct Answers ✅Chicken curry Achalasia - Correct Answers ✅failure of the lower esophagus sphincter (LES) muscle to relax What are common contributors to chronic GERD? - Correct Answers ✅impaired esophageal peristalsis, prolonged LES relaxation, and hiatal hernias What medication class is the mainstay of pharmacologic treatment for GERD? - Correct Answers ✅Proton pump inhibitors (PPI's)

Verified Answers (Latest Update 2025) 103 Questions

If PPI's are unsuccessful, patients can get the surgical procedure done that restores the LES function and esophageal peristalsis - Correct Answers ✅Laparoscopic fundoplication hiatal hernia - Correct Answers ✅protrusion of a part of the stomach upward through the opening in the diaphragm Patients with hiatal hernias are advised to? - Correct Answers ✅Eat small amounts of food at a time, avoid lying down after meals, and sleep with the head of the bed elevated. The frequent use of what helps to control the symptoms of heartburn? - Correct Answers ✅Antacids Ulcers are common in where? - Correct Answers ✅Duodenal bulb because the gastric contents emptying are the most concentrated. Most common causes of peptic ulcer disease are? - Correct Answers ✅H. pylori infection and long term use of NSAIDs.

Verified Answers (Latest Update 2025) 103 Questions

production by inhibiting the hydrogen ion (Prazole medications) Mucosal protectors, which deactivate pepsin and produce a gel-like substance to cover the ulcer and protect it (bismuth, subsalicylate, sucralfate) Nutrition intervention for patients with PUD - Correct Answers ✅Eat a well- balanced healthy diet Avoid acid stimulation- dont eat large quantities at meals, avoid eating immediately before going to bed. Spicy foods, chocolate, caffeine, prevent healing Stop smoking.