A nurse is caring for a patient newly diagnosed with hepatitis C. Which nursing interventions does the nurse include in the plan of care? (Select all that apply)  

A 22-year-old college student is diagnosed with acute hepatitis A after presenting with fatigue, anorexia, nausea, and jaundice. The patient works at a daycare center caring for toddlers. Which instruction by the nurse regarding return to work is most appropriate?  

A nurse is developing a plan of care for a 7-year-old child newly diagnosed with celiac disease who continues to have abdominal distention and poor weight gain despite initial dietary teaching. Which nursing action is the priority to address the child’s ongoing symptoms?

A nurse is caring for a 10-year-old child admitted with abdominal pain of unclear origin. Over the past 6 hours, the child reports that the pain initially began around the umbilicus and has now localized to the right lower quadrant. The child is guarding the abdomen and has a temperature of 38.3°C. Which nursing action is the priority?

A 47-year-old patient with cholelithiasis is admitted for acute biliary colic. The provider prescribes: Morphine 2 mg IV every 2 hours PRN for severe pain (≥7/10) Oxycodone 5 mg PO every 4 hours PRN for moderate pain (4–6/10) At 1000, the patient reports pain of 8/10 and receives morphine IV. At 1030, the nurse reassesses: pain is 6/10, respiratory rate is 16/min, oxygen saturation is 98% on room air, and the patient requests additional medication. Which action by the nurse is most appropriate?  

A 58-year-old patient with long-standing alcohol-related cirrhosis is admitted with increasing abdominal distention and confusion. Assessment findings include ascites, jaundice, and asterixis. Vital signs: BP 90/58 mmHg, HR 118 bpm. Laboratory results: serum albumin 2.1 g/dL, ammonia 75 µg/dL (normal 15 to 45 µg/dL), sodium 128 mEq/L, INR 2.8. The provider prescribes: Lactulose 30 mL PO TID Spironolactone 100 mg daily Propranolol 20 mg BID Large-volume paracentesis Which nursing action is highest priority prior to implementing these orders?  

A 52-year-old patient with chronic pancreatitis reports persistent epigastric pain rated 5/10 despite taking prescribed oxycodone every 4 hours as directed. The patient also reports greasy, foul-smelling stools and a 10-pound weight loss over the past month and states, “The pain is worst after I eat.” Which action by the nurse is most appropriate?  

A 44-year-old patient presents to the emergency department with sudden onset severe epigastric pain radiating to the back, nausea, and vomiting after eating a high-fat meal. The patient denies alcohol use. Vital signs: BP 100/60 mmHg, HR 118 bpm, Temp 37.3 C. An abdominal ultrasound shows no gallstones. Laboratory results reveal lipase 740 U/L (normal 23–300 U/L) and triglycerides 1,240 mg/dL. Which conclusion by the nurse is most accurate?  

A nurse is caring for a patient admitted with acute cholecystitis. On assessment the nurse notes a positive Murphy’s sign, RUQ tenderness, temperature of 38.2°C, and nausea after eating. Which nursing interventions does the nurse include in the plan of care? (Select all that apply)  

A patient with cirrhosis and hepatic encephalopathy is receiving dietary teaching. Which lunch tray selection indicates the patient has understood the teaching?