[Verified Answer]: d. Decreased urination and constipation 32. A

d. Decreased urination and constipation 32. A client who has just been diagnosed with hepatitis A asks, “How did I get this disease?” What is the nurse’s best response? a. “You could have gotten it by using I.V. drugs.” b. “You must have received an infected blood transfusion.” c. “You probably got it by engaging in unprotected sex.” d. “You may have eaten contaminated restaurant food.” 33. A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct? a. “Maintain a high-fat diet and drink at least 3 L of fluid a day.” b. “Maintain a high-sodium, high-calorie diet.” c. “Maintain a high-carbohydrate, low-fat diet.” d. “Maintain a high-fat, high-carbohydrate diet.” 34. A client with cirrhosis is at risk for developing esophageal varices. Which of the following instructions should a nurse provide the client to minimize such risk? a. Abstain from drinking alcohol. b. Use aspirin at least once a day. c. Avoid intake of sodium-rich food. d. Increase intake of potassium-rich food. 35. A client and spouse are visiting the clinic. The client recently experienced a seizure and says she has been having difficulty writing. Before the seizure, the client says that for several weeks she was sleeping late into the day but having restlessness and insomnia at night. The client’s husband says that he has noticed the client has been moody and slightly confused. Which of the following problems is most consistent with the client’s clinical manifestations? a. Hepatic encephalopathy b. Esophageal varices c. Hepatitis C d. Portal hypertension 36. A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority? a. Acute pain related to biliary spasms b. Deficient knowledge related to prevention of disease recurrence c. Anxiety related to unknown outcome of hospitalization d. Imbalanced nutrition: Less than body requirements related to biliary inflammation 37. A patient with liver cancer is undergoing radiation therapy. The patient asks the nurse if the radiation therapy is going to cure the cancer. What is the best answer the nurse could give? a. “The radiation therapy will hopefully prolong your life, but the major effect is palliative.” b. “The radiation therapy is going to give you a second chance at life.” c. “The radiation therapy will cure your cancer.” d. “The radiation therapy will take away your pain and discomfort.” 38. During chronic pancreatitis, the patient’s stool may become frothy and foul-smelling. This would be documented as which of the following? a. Steatorrhea b. Diarrhea c. Rhinorrhea d. Otorrhea 39. The most common cause of esophageal varices includes which of the following? a. Jaundice b. Portal hypertension c. Ascites d. Alcohol 40. The triage nurse in the emergency department is assessing a patient who presented with complaints of not feeling well. The patient has ascites and an enlarged liver. The patient reports a history of drinking a 12 pack of beer every evening for the past 15 years. The nurse is aware that the patient is at risk for which disease? a. Cirrhosis b. Renal failure c. Hepatitis d. Cardiovascular disease 41. The nurse receives a call from the caregiver of a client with a spinal cord injury. The caregiver informs you that the client has a reddened, softened area at the base of their sacrum. What would the nurse suspect is going on with the client? a. They are getting spinal contractures. b. They are gaining weight. c. They have the beginning of a pressure sore. d. They need a bath. 42. A client is admitted with a cervical spine injury sustained during a diving accident. When planning this client’s care, the nurse should assign highest priority to which nursing diagnosis? a. Impaired physical mobility b. Ineffective breathing pattern c. Disturbed sensory perception d. Dressing or grooming self-care deficit 43. The nursing instructor is discussing quadriplegia with the senior nursing students. The instructor explains that goals for a quadriplegic patient might include what? a. Maintenance of skin integrity b. Improved nutritional status c. Maintenance of socialization d. Prevention of neurologic deterioration 44. Following a spinal cord injury a patient is placed in halo traction. While performing pin site care, the nurse notes that one of the traction pins has become detached. The nurse would be correct in implementing what priority nursing action? a. Complete the pin site care to decrease risk of infection b. Notify the neurosurgeon of the occurrence c. Stabilize the head in a lateral position d. Reattach the pin to prevent further head trauma 45. A nursing instructor is teaching the senior nursing class