Finall Exam:l NSGl 430/l NSG430l (Latestl
2025/l 2026l Update)l Adultl Healthl Nursingl IIl Reviewl |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l thel nursel hasl ordersl forl al liverl patientl withl esophageall varicesl tol administerl Dulcolaxl vial NGl tube.l whyl wouldl thel nursel questionl thesel orders?
Answer:
whilel laxativesl arel finel forl liverl patientsl tol avoidl strainingl andl rupturingl varices,l NGl tubel shouldl notl bel putl inl thisl patientl becausel itl canl rupturel varicesl andl causel bleeding
Q:l whatl isl thel nurse'sl actionl tol preparel al clientl gettingl al paracentesis
Answer:
havel thel patientl voidl before,l takel vitals,l HOBl elevated
Q:l whatl doesl thel transjugularl intrahepaticl portosystemicl shuntl do?
Answer:
relievesl hypertensionl inl thel portall system,l decreasingl thel riskl ofl rupturingl varices
Q:l al clientl withl liverl cirrhosisl hasl lowl BPl andl youl suspectl bleedingl froml esophageall varicesl asl thisl hasl happenedl 2l timesl before,l whatl treatmentl dol youl suspect?
Answer:
balloonl tamponadel tol putl pressurel onl bleedingl varicesl andl stopl thel bleed
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Q:l howl tol properlyl carel forl al clientl withl al balloonl tamponade?
Answer:
periodicallyl deflatel forl aboutl 5l minsl (everyl 8-12l hours),l deflatel veryl slowly
Q:l al clientl withl esophageall varicesl thatl hasl balloonl tamponadel tol helpl treatl it,l whatl isl thel nurse'sl priorityl assessment?
Answer:
alwaysl assessl ABC's,l vitals
Q:l pancreatitisl causes?
Answer:
-l *alcohol* -l *gallstones* -l cancer -l smoking -l hyperlipidemia -l trauma,l infection,l drugs
Q:l labsl thatl indicatel pancreatitis?
Answer:
amylasel andl lipase,l elevatedl glucose,l elevatedl WBC
Q:l al clientl withl pancreatitis,l whatl isl al concernedl findingl associatedl withl theirl calciuml levels?
Answer:
musclel twitchingl (tetany) 2 / 3
Q:l nursingl carel forl patientl withl pancreatitisl froml gallstones?
Answer:
-l painl relief -l semi-fowler,l sidel lying -l NPOl withl NGl suction -l small,l frequentl meals -l correctl fluid/electrolyte -l avoidl anticholinergics -l monitorl bloodl glucosel levels
Q:l thel nursel isl assessingl al clientl withl pancreatitis,l whatl arel somel assessmentl findingsl thatl mayl bel present?
Answer:
lungl crackles,l Grey-Turnerl (flankl bruising)l orl Cullen'sl signl (periumbilicall bruising),l shockl symptoms,l patientl hasl abdominall pain,l signsl ofl hypocalcemia
Q:l whatl isl al pancreaticl pseudocyst?
Answer:
fluidl filledl cystl thatl needsl promptl drainingl b/cl itl canl rupturel andl causel peritonitisl becausel anl infectedl abscess
Q:l whatl isl thel whipplel procedure?
Answer:
removall ofl headl ofl pancreas,l duodenum,l gallbladder,l andl bilel ductl b/cl ofl pancreaticl cancer
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