GI bleeds/pancreatitis

The nurse teaches a patient with a history of upper gi bleeding how to check for bloody stools. Which statement by the nurse is appropriate?

"stools that are black and tarry occur with slow bleeding from the stomach."

Which order from the health care provider will the nurse implement first for a patient who has vomited 1200 mL of blood?

Administer 1000 mL of lactated Ringer's solution.

A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition?

Alcohol use

What client problem has a priority for the client diagnosed with acute pancreatitis?

Alteration in comfort

A nurse in the emergency department is assessing a client who has pancreatitis. In which of the following laboratory results should the nurse expect to see an elevation?

Amylase

A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should return to the expected reference range within 72 hours of treatment beginning?

Amylase

A nurse working in the ED is admitting a client who has a gastric ulcer and GI bleeding. Which of the following factors in the client's medical history should the nurse report to the provider?

Arthritis treated with ibuprofen every 8 hours as needed

The teaching plan for the patient being discharged after an acute episode of upper GI bleeding includes information concerning the importance of (SATA)

Avoiding taking aspirin and drugs containing aspirins Only taking drugs prescribed by the health care provider

The client diagnosed with acute pancreatitis is being discharged home. What statement by the client indicates the teaching has been effective?

I will eat a low fate diet and avoid spicy food

A nurse is reviewing the dietary choices of a client who has chronic pancreatitis. Which of the following food items should the nurse suggest removing from the client's menu for the following day?

Ice cream

Nursing management of the patient with acute pancreatitis includes: (SATA)

Check for signs of hypocalcemia Monitoring for infection, particularly respiratory tract infection

The nurse is completing discharge teaching to the client diagnosed with acute pancreatitis. What instruction should the nurse discuss with the client?

Discuss the importance of stopping smoking

A nurse is addressing a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect?

Emesis with a coffee-ground appearance

A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following is an expected finding?

Epigastric pain radiating to left shoulder

A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following findings is the priority to be reported to the provider?

Hand spasms present when blood pressure is checked

A nurse is completing nutritional teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching? (SATA)

I plan to eat small, frequent meals. I will eat easy-to-digest foods with limited spice I will use skim milk when cooking

A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the following laboratory results should the nurse identify as an indication of pancreatitis?

Increased serum lipase level

The patient with sudden pain in the left upper quadrant radiating to the back and vomiting was diagnosed with acute pancreatitis. What intervention(s) should the nurse expect to include in the patient's plan of care?

Insert an NG and maintain NPO status to allow pancreas to rest.

A nurse is reviewing the health record of a client who has pancreatitis. The physical exam report by the provider indicates the presence of Cullen's sign. Which of the following is an appropriate action by the nurse to identify this finding?

Inspect the skin around the umbilicus.

The nurse is caring for a 55-year-old man patient with acute pancreatitis resulting from gallstones. Which clinical manifestation would the nurse expect the patient to exhibit?

Left upper abdominal pain

The client is diagnosed with acute pancreatitis. What health-care provider's admitting order should the nurse question?

Low fat, low car diet

A nurse is caring for a client who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks the nurse why he has to stay in bed, which of the following responses should the nurse provide?

Lying quietly in bed helps slow down the activity in your intestines

The client diagnosed with acute pancreatitis is in pain. Which position should the nurse assist the client to assume to help decrease the pain?

Plance in side-lying position with knees flexed

A nurse is admitting a client who has an active gastrointestinal bleeding. Which of the following tasks is appropriate for the nurse to delegate to an assistive personnel?

Show the client how to use the nurse call light

Which assessment should the nurse perform first for a patient who just vomited bright red blood?

Taking the blood pressure (BP) and pulse

A nurse is caring for an adult client who has pancreatitis. The client tells the nurse, "I've decided that I want to go home. I don't want anymore treatment." The nurse should recognize that which of the following legal principles applies to the client?

The client has the right to make the decision to leave the hospital

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?

The patient's lungs have crackles audible to the midchest.

A nurse in the ED is caring for a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Vasopressin

A 50-year-old patient who underwent a gastroduodenostomy (Billroth I) earlier today complains of increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red nasogastric (NG) drainage in the last hour. The highest priority action by the nurse is to

contact the surgeon

The nurse will anticipate preparing a 71-year-old female patient who is vomiting "coffee-ground" emesis for

endoscopy.

A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To determine possible risk factors for gastritis, the nurse will ask the patient about

use of nonsteroidal antiinflammatory drugs (NSAIDs).