Acute Gastro Quiz

A nurse cares for an older adult who is admitted to the hospital with complications of diverticulitis. Which actions would the nurse include in the client's plan of care? (Select all that apply.) A. Evaluate stools for occult blood. B. Palpate the abdomen for distention. C. Assess for sudden changes in mental status. D. Provide the client with a high-fiber diet. E. Administer pain medications as prescribed.

A. Evaluate stools for occult blood. B. Palpate the abdomen for distention. C. Assess for sudden changes in mental status. E. Administer pain medications as prescribed.

The nurse is caring for a client with peritonitis. What assessment findings would the nurse expect? (Select all that apply.) A. Fever B. Abdominal pain C. Distended rigid abdomen D. Nausea and vomiting E. Bradycardia F. Decreased urinary output

A. Fever B. Abdominal pain C. Distended rigid abdomen D. Nausea and vomiting F. Decreased urinary output

What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (Select all that apply.) A. Obtain consent for total parenteral nutrition. B. Ask the primary health care provider about folic acid replacement. C. Administer vitamin B12 injections. D. Educate the client on enteral feedings. E. Provide iron supplements for the client.

B. Ask the primary health care provider about folic acid replacement. C. Administer vitamin B12 injections. E. Provide iron supplements for the client.

A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect? A. Small Bowel Obstruction B. Dumping Syndrome C. Diverticulosis D. Peritonitis

B. Dumping Syndrome

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes? A. Prevention of infection B. Maintenance of skin integrity C. Maintenance of fluid and electrolyte balance D. Prevention of nausea and vomiting

C. Maintenance of fluid and electrolyte balance

A client who had surgery for gallbladder disease has just returned to the post surgical unit from postanesthetic recovery. The nurse caring for this client knows to immediately report what assessment finding to the health care provider? A. Acute pain with movement B. Drainage of bile-colored fluid onto the abdominal dressing C. Rigidity of the abdomen D. Decreased breath sounds

C. Rigidity of the abdomen

A nurse is assessing a client who has been diagnosed with cholecystitis, and is experiencing localized abdominal pain. When assessing the characteristics of the client's pain, the nurse should anticipate that it may radiate to what region? A. Inguinal Area B. Neck or Jaw C. Left Upper Chest D. Right Shoulder

D. Right Shoulder

A client who underwent a gastric resection 3 weeks ago is having their diet progressed on a daily basis. Following the latest meal, the client reports dizziness and palpitations. Inspection reveals that the client is diaphoretic. What is the nurse's best action? A. Monitor the client closely for further signs of dumping syndrome. B. Assess the client for signs and symptoms of aspiration. C. Reposition the client supine. D. Insert a nasogastric tube promptly.

A. Monitor the client closely for further signs of dumping syndrome.

A client admitted with acute diverticulitis has experienced a sudden increase in temperature and reports a sudden onset of exquisite abdominal tenderness. The nurse's rapid assessment reveals that the client's abdomen is uncharacteristically rigid on palpation. What is the nurse's best response? A. Page the primary provider and report that the client may be obstructed. B. Position the client supine and insert an NG tube. C. Contact the primary care provider promptly. D. Administer a Fleet enema as prescribed and remain with the client.

C. Contact the primary care provider promptly.

After teaching a client who has a history of cholelithiasis, the nurse assesses the client's understanding. Which menu selection indicates that the client understands the dietary teaching? A. Lasagna, tossed salad with Italian dressing, and low-fat milk B. Grilled cheese sandwich, tomato soup, and coffee with cream C. Roasted chicken breast, baked potato with chives, and orange juice D. Cream of potato soup, Caesar salad with chicken, and a diet cola

C. Roasted chicken breast, baked potato with chives, and orange juice