CAi week 12 quiz

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications?

Senna Laxatives are contraindicated for patients with a fecal impaction , bowel obstruction and acute abdominal surgery to prevent perforation.

The teaching plan for the client being discharged after an acute episode of upper GI bleeding includes information about the importance of (select all that apply). Teach the client and caregiver how to avoid future bleeding episodes. taking all drugs 1 hours before mealtime to prevent further bleeding. only taking aspirin with milk or bread products Avoiding taking aspirin and drugs containing aspirin Limiting alcohol intake to 1 serving per day

Teach the client and caregiver how to avoid future bleeding episodes. Avoiding taking aspirin and drugs containing aspirin

Which patient should the nurse assess first after receiving change-of-shift report? A patient with nausea who has a dose of metoclopramide (Reglan) due A patient with esophageal varices who has a rapid heart rate A patient with a history of gastrointestinal bleeding who has melena A patient who is crying after receiving a diagnosis of esophageal cancer

A patient with esophageal varices who has a rapid heart rate

A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first? Explain the procedure for an upper gastrointestinal series Assess orthostatic blood pressure Administer pain medication Test the client's emesis for blood

Assess orthostatic blood pressure

A nurse is caring for a client who has an active upper gastrointestinal bleed. After inserting a NG tube into the client, which of the following findings should the nurse anticipate? Greenish-yellow drainage Frothy pink drainage Dark amber drainage Coffee-ground drainage

Coffee-ground drainage

A nurse is teaching a client who has an order for a nasogastric (NG) tube to treat a bowel obstruction. Which of the following rationales for the use of the nasogastric tube (NG) should the nurse include in the teaching?

Decompress the stomach

A nurse is planning care for a client who has a small bowel obstruction and a NG tube in place. Which of the following interventions should the nurse include? (Select all that apply). Monitor NG tube for placement Irrigate the NG tube every 8 hours Document NG tube drainage with the client's output Provide oral hygiene every 2 hours Assess bowel sounds

Document NG tube drainage with the client's output Provide oral hygiene every 2 hours Assess bowel sounds

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

Elevated blood urea nitrogen (BUN)

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan? Restrict fluids Administer antibiotics Encourage short periods of ambulation Provide a diet high in fat

Encourage short periods of ambulation

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

Fatty stools

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Gallstones

After a laparoscopic cholecystectomy, what should the nurse expect to be part of the plan of care?

Have up to 4 small abdominal incisions covered with small dressings

The client has peritonitis, which is a major complication of a ruptured bowel. What treatment should the nurse plan to include? IV fluid replacement Periotneal dialysis Increased oral fluid intake Peritoneal lavage

IV fluid replacement

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

Increased serum amylase

A client in the emergency department has just been diagnosed with peritonitis from a ruptured diverticulum. Which prescribed intervention will the nurse implement first? Insert a urinary catheter to drainage Place a NG tube to intermittent low suction Infuse metronidazole (Flagyl) 500 mg IV Send the client for a CT scan

Infuse metronidazole (Flagyl) 500 mg IV

A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?

Manifestations of the virus are similar to flu-like symptoms

What treatment measure is used in managing the client with acute pancreatitis?

Nasogastric (NG) suction to prevent gastric contents from entering the duodenum

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?

Pantoprazole 80 mg IV bolus twice daily

A nurse is planning care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan of care?

Provide a high carbohydrate diet

A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) Report nausea and vomiting to the surgeon Resume a diet of choice Take baths rather than showers Cleanse the puncture site using mild soap and water Remove adhesive strips from the puncture site in 24 hours

Report nausea and vomiting to the surgeon Resume a diet of choice Cleanse the puncture site using mild soap and water

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

Roast turkey

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

Withold oral fluids and food

What is a likely finding in the nurse's assessment of a client who has a large bowel obstruction?

abdominal distention

A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

dark and foamy

A 28-year-old female comes to the emergency department with acute abdominal pain. What manifestation would make the nurse suspect appendicitis is the cause of the client's abdominal pain?

dull periumbilical pain that shifts to the RLQ