CCRN Nursing Exam Prep - Adult Critical Care - Question List

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81. Following gastrectomy, the nurse must observe for signs of pernicious anemia because:
  1. The extrinsic factor is produced in the stomach
  2. The extrinsic factor is absorbed in the antral portion of the stomach
  3. The intrinsic factor is produced in the stomach
  4. Decreased hydrochloride acid production inhibits vitamin B12 reabsorption
82. Following a thyroid scan with radioactive iodine for a thyroid nodule, the nurse should plan for:
  1. No special radiation precautions
  2. Full radiation precautions to be instituted, including segregating the client in a private room
  3. Radiation precautions that are limited to urine and feces
  4. Full radiation precautions to be instituted for 8 hours (the half-life of radioactive iodine)
83. A client receiving heparin sodium asks the nurse how the drug works. Which of the following points would the nurse include in the explanation to the client?
  1. It dissolves existing thrombi.
  2. It prevents the conversion of factors that are needed in the formation of clots.
  3. It inactivates thrombin that forms and dissolves existing thrombi.
  4. It interferes with vitamin K absorption.
84. For which complication of thyroidectomy would the nurse monitor?
  1. Hypercalcemia
  2. Respiratory obstruction
  3. Elevated serum T4
  4. Paralytic ileus
85.

Lanie, the new day-shift nurse, is developing a health promotion program for intestinal health. Which of the following pieces of information should the nurse include in the program?

  1. The addition of dietary fiber can reduce the risk of diverticulosis
  2. A diet high in fat increases the risk of developing Crohn's disease
  3. Irritable bowel syndrome is caused by a deficiency in soluble fiber
  4. Laxatives can improve motility and bowel health

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