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CHA2 Exam 1 Quiz CHA2 Exam 1 | Comprehensive Questions and Answers Latest Updated 2025/2026 With 100% Verified Solutions The client diagnosed with inflammatory bowel disease has a potassium level of 3.4mEq/L. Which action should the nurse implement first? a. Notify the health care provider b. Assess the client for muscle weakness c. Request telemetry for the client d. Prepare to administer IV potassium - b. Assess the client for muscle weakness The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement first? a. Provide a low-residue diet b. Rest the client's bowel c. Assess VS daily d. Administer antacids orally - b. Rest the client's bowel The client with ulcerative colitis is prescribed a low-residue diet. Which meal selection indicates the client understands the diet teaching? a. Grilled hamburger on wheat bun and friend potatoes b. A chicken salad sandwich and lettuce and tomato salad c. Roast pork, white rice and plain custard d. Fried fish, whole grain pasta and fruit salad - c. Roast pork, white rice and plain custard The nurse is assigned to care for a client with peptic ulcer disease. Which assessment requires further intervention? a. Bowel sounds auscultated fifteen times in one minute b. Belching after eating heavy and fatty meal late at night c. A decrease in systolic BP of 20mmHg from lying to sitting d. A decreased frequency of distress located in the epigastric area - c. A decrease in systolic BP of 20mmHg from lying to sitting
The client had had a liver biopsy. Which post procedure intervention should the nurse implement? a. Instruct the client to void immediately b. Keep the client NPO for 8 hours c. Place the client on the right side d. Monitor BUN and Creatinine levels - c. Place the client on the right side The client with DM2 is prescribed prednisone for an acute exacerbation of IBD. Which intervention should the nurse discuss with the client? a. Take this medication on an empty stomach b. Notify the HCP if experiencing a moon face c. Take the steroid medication as prescribed d. Notify the HCP if the BG > 130 - c. Take the steroid medication as prescribed The nurse is analyzing the pre-procedure labs for a client undergoing a liver biopsy. Which labs require follow up with the HCP before the procedure? [Select all that apply] a. Hematocrit 40% b. Platelets 80K c. INR 3 d. Bleeding time 3 minutes - b. Platelets 80K c. INR 3 The client with diverticulitis is complaining of severe pain in the left lower quadrant and has an oral temp of 101.6F. Which intervention should the nurse do first? a. Notify the health care provider b. Document the finding in the chart c. Administer an oral antipyretic d. Assess the client's abdomen - d. Assess the client's abdomen
b. Fluid and electrolyte imbalance c. Altered bowel elimination d. Altered body image - b. Fluid and electrolyte imbalance The client has a paralytic ileus after abdominal surgery. Which intervention should the nurse include in the plan of care? a. Administer a laxative of choice b. Encourage client to increase oral fluids c. Encourage client to take deep breaths d. Maintain a patent NG tube - d. Maintain a patent NG tube The nurse is caring for clients on a surgical unit. Which client should the nurse assess first? a. The client who had an inguinal hernia repair and has not voided in 4 hours b. The client who was admitted with abdominal pain who suddenly has no pain c. The client 4 hours postop abdominal surgery who has no bowel sounds d. The client who is 1 day post appendectomy and is being discharged - b. The client who was admitted with abdominal pain who suddenly has no pain The client is in end stage liver failure and has an INR of 4. Which intervention should the nurse implement? [Select all that apply] a. Avoid rectal temperatures b. Use only a soft toothbrush c. Monitor platelet count d. use small gauge needles e. Assess for axterixis - a. Avoid rectal temperatures b. Use only a soft toothbrush c. Monitor platelet count d. use small gauge needles
The client with end stage liver failure is prescribed lactulose (Chronulac). Which statement indicates the client needs more teaching about this medication? a. "I should have 2-3 soft stools per day." b. "I must check my ammonia level daily." c. "If I have diarrhea I will call my doctor." d. "I should check my stool for any blood." - b. "I must check my ammonia level daily." The client is admitted with a diagnosis of R/0 acute pancreatitis. Which HCP's admitting order should the nurse question? a.Bedrest with bathroom privileges b. Initiate IV therapy of D5W at 125ml/hr c. Daily weights d. Low-fat, low-carbohydrate diet - d. Low-fat, low-carbohydrate diet The client is admitted with a diagnosis of acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis? a. Creatinine and BUN b. Troponin and CK-MB c. Serum amylase and lipase d. Serum bilirubin and Ca - c. Serum amylase and lipase What is the primary goal of the ED nurse in caring for a client who has ingested poison? a. Remove or inactivate the poison before it is absorbed b. Provide long-term supportive care to prevent organ damage c. Administer an antidote to increase the effects of the poison d. Implement treatment prolonging the elimination of the poison - a. Remove or inactivate the poison before it is absorbed
