Question

Select the right answer: QUES: Which assessment should the nurse perform FIRST for a patient who just vomited bright red blood?

1) taking the blood pressure and pulse

2) measuring the quantity of emesis

3) auscultating the chest for breath sounds

4) palpating the abdomen for distention

QUES: complications of hepatitis may include, choose the most correct answer

1) cirrhosis

2) hepatocellular carcinoma

3) acute liver failure

4)chronic hepatitis

5) all of above

QUES: the nursing management of GORD may include , choose the four most correct answer

1) education regarding weight reduction if necessary

2) elevation of the be head to 30 degrees or greater if tolerated

3) observing for side effects of medication

4) small frequent meals

5) lying down for 1-2 hours after eating

Answer 1

●Hemetemesis which are bright red in color signifies that there is an active bleeding which needes immediate intervention and care.Delay in this can lead to alteration on the heart beat,highly risking the patient to aspirate and change the breathing pattern usually causing shallow breath.

Measurement has to be done at the end after assessment of patient.

Palpation of abdomen can aggravate the condition

Ans:Auscultating the chest for breath sounds

● The complications of hepatitis are

• Cirrhosis
• Hepatic failure
• Liver cancer
• Chronic inflammation of the liver

Acute liver failure happens suddenly where it is not applicable for chronic condition

Ans:cirrhosis, hepatocellular carcinoma, chronic hepatitis

●GORD can be effectively managed with proper diet modifications, having small and frequent meals than larger meals,lying after eating can increase the symptoms of GORD ,so these patients has to be kept in propped up ,head elevated or in Fowler's position to avoid regurgitation. Weight management is strictly necessary in controlling symptoms. Every medication has it's own side effects ,so it has to be observed

Ans:educating regarding weight reduction if necessary,

Elevation of the head to 30 degrees or greater if tolerated

Observing for side effects of medication

Small frequent meals