Questions

Which patient is more likely to develop gallstones? 45-year-old caucasian female with a family history of gallstones 55-year-old african-american male with a history of diabetes mellitus 62-year-old hispanic/latina female with a history of irritable bowel syndrome 60-year-old obese, american-indian female with a history of diabetes mellitus

60-year-old obese, american-indian female with a history of diabetes mellitus

The nurse is caring for four clients. Which is at highest risk for Hepatitis B Infection? 24-year old with abdominal pain who just returned from central america 40-year old who is two days postpartum and is breastfeeding 65-year old who reports using street drugs ten years ago when homeless 81-year old who donated own blood prior to a surgical procedure

65-year old who reports using street drugs ten years ago when homeless

A nurse is caring for a client with a laparoscopic appendectomy. The patient is complaining of shoulder pain. What action should the nurse provide after surgery?

Ambulate patient to help patient pass gas

A nurse is caring for a client who has a new dx of GERD. The nurse should expect prescriptions for which of the following medications? SATA Antacids Histamine2 receptor antagonists Opioid analgesics Fiber laxatives PPI

Antacids Histamine2 receptor antagonists PPI

The nurse is educating a client on how to take prescribed pancreatic enzymes. Which statement by the client indicates that the teaching has been effective? "I will sprinkle my enzymes on my pork-chop" "I can add the enzymes to my sweet tea during a meal" "I will take my enzymes when I feel full" "I can take my enzymes before breakfast"

"I can add the enzymes to my sweet tea during a meal"

A nurse is planning care for a client who has gastric ulcer disease. Which of the following conditions should be of least concern to the nurse? The client: Develops hematemesis Exhibits signs of dehydration Manifests melena Complains of dyspepsia

Complains of dyspepsia

You are discharging a patient diagnosed with GERD, which patient statement indicates need for further teaching? "I will eat 3 small meals and 3 snacks a day" "I will not quit smoking" "I will lose desired weight, if overweight" "I will stop drinking coffee"

"I will not quit smoking"

A nurse is completing discharge teaching for a client who has an infection d/t H. Pylori. Which of the following statements by the client indicates understanding of the teaching? "I will continue my prescription of corticosteroids" "I will schedule a CT scan to monitor improvement" "I will take a combination of medications for treatment" "I will have my throat swabbed to recheck for this bacteria"

"I will take a combination of medications for treatment

The patient states, "I am afraid I'll never get to go out with my friends again because I cannot be away from the toilet" which is the appropriate nursing response? "What makes you say that" "Your friends will understand" "I would not worry about it if I were you" "It souls like you are concerned about managing this disorder when you are out"

"It souls like you are concerned about managing this disorder when you are out"

A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three specimens. Which of the following statements by the client indicates understanding? "I will continue taking my warfarin while I complete these test" "I'm glad I don't have to follow any special diet at this time" "This test determines if I have parasites in my bowel" "This is an easy way to screen for colon cancer"

"This is an easy way to screen for colon cancer"

The patient is preparing for discharge. She asked what is the best way to keep her skin from breaking down. What is the appropriate teaching the nurse will provide? "Add high-fiber or high-cellulose foods to your diet" "Apply a pectin-based skin barrier after each bowel movement" "Wash with mild soap and warm water after each bowel movement" "Take a laxative daily at bedtime to facilitate morning bowel movements"

"Wash with mild soap and warm water after each bowel movement"

After abdominal surgery, which question should the nurse ask the patient to determine whether peristaltic movement is returning? A)Have you passed flatus B)Are you hungry C)Do you have any nausea D)Is your pain level manageable

A)Have you passed flatus

When a patient is diagnosed with peritonitis which intervention is priority? Administer fluids - Make sure vascular system does not collapse (ABC) Administer antibiotics Take blood cultures Insert NG tube

Administer fluids

A client is experiencing pain from appendicitis. Which of these should the nurse implement as a priority intervention? Encourage fluid intake to help flush the infection out Ambulate the client as tolerated to promote peristalsis Assist the client into the supine position Administer prescribed pain medication as ordered

Administer prescribed pain medication as ordered

A nurse is providing care to a client who is 1 day postoperative following a paracentesis. The nurse observes, clear, pale-yellow fluid leaking from the operative site. Which of the following is an appropriate nursing action? Place a clean towel near the drainage site Apply a dry, sterile dressing Apply direct pressure to the site Place the client in supine position

Apply a dry, sterile dressing

A client who is 2 days post a partial bowel resection calls the nurse and reports, "something ripped in my belly when I coughed." Upon assessing the patient, the nurse discovers protrusion of the intestines through the stitches. What action should the nurse take first? Apply a wet sterile dressing to the incision Place the patient in a supine position Call the rapid response team Teach the client to brace the abdomen when coughing

Apply a wet sterile dressing to the incision

A nurse is caring for a client with Crohn's disease who has a heavily draining ileostomy. Which of the following interventions should the nurse implement to maintain skin integrity? Provide the client with a low fiber diet Apply skin barrier protectant around the stoma Change puch as soon as it is full Administer antibiotics as prescribed

Apply skin barrier protectant around the stoma

A nurse is admitting a client who has a GI bleed. Which of the following actions should the nurse take first? Check for a gag reflex Assess orthostatic blood pressure Administer pain medication Explain the procedure for an upper GI series

Assess orthostatic blood pressure

A nurse is admitting a client who has a GI bleed. Which of the following actions should the nurse take first? Assess orthostatic blood pressure Explain the procedure for an upper GI series Administer pain medication Check for a gag reflex

Assess orthostatic blood pressure

A nurse is having difficulty arousing a client following EGD. Which of the following is the priority action by the nurse? Assess the client's airway Allow the client to sleep Prepare to administer an antidote to the sedative Evaluate preprocedure laboratory findings

Assess the client's airway

When administering a new GI medication to an older patient, the nurse anticipates what? A)A higher-than-normal dose may be needed B)Close monitoring is needed because toxic levels may develop C)Older adults always require a lower-than-normal dose than younger patients D)Nausea and vomiting may develop rapidly and are common side effects in older adults

B) Close monitoring is needed because toxic levels may develop

A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include? Check with the provider about taking current medications when consuming bowel prep Consume a normal diet until starting the bowel prep Expect bowel prep to not begin acting until the day after all the bowel prep is consumed Discontinue bowel prep once feces starts to be expelled

Check with the provider about taking current medications when consuming bowel prep

A nurse is completing an assessment of a client who has gastric ulcer. Which of the following findings should the nurse expect? (SATA) Client reports pain relieved by eating Client states that pain often occurs at night Client reports a sensation of bloating Client states that pain occurs 30min-1hr after a meal Client experiences pain upon palpation of the epigastric region

Client reports a sensation of bloating Client states that pain occurs 30min-1hr after a meal Client experiences pain upon palpation of the epigastric region

A nurse is assessing a client who has been taking prednisone following an exacerbation of IBS. The nurse should recognize which of the following findings as priorities? Client reports difficulty sleeping Clients urine positive for glucose Client reports having an elevated temperature Client reports gaining 4lb in the last 6 months

Client reports having an elevated temperature

The nurse checks the ammonia level of a client with hepatic dysfunction who is receiving lactulose and notes that the level is 75 mcg/dL (45 mcmol/L). What should the nurse do? Stop administering medication immediately Contact healthcare provider and continue medication Call the rapid response team Assess patient for signs of encephalopathy

Contact healthcare provider and continue medication

Which patient statement alerts the nurse to perform a thorough GI history and focused assessment? A)I do not like the taste of spicy foods B)I got dentures four years ago C)I experience occasional constipation D)I take ibuprofen three times daily for arthritis

D)I take ibuprofen three times daily for arthritis

The physician has prescribed a clear liquid diet to be advanced as tolerated for a client who developed a paralytic ileus following acute pancreatitis. Which of the following is the best assessment parameter the nurse should use before initiating a diet? Assess the client for bowel sounds Ensure that the client has passed flatus or moved his bowel Assess for nausea and vomiting Assess the client for swallowing difficulty

Ensure that the client has passed flatus or moved his bowel

A 59-year-old patient with a history of alcohol abuse spanning 15 years has been diagnosed with cirrhosis. The patient will be undergoing abdominal paracentesis today. Which assessment finding alerts the nurse that the paracentesis has been successful? Decrease in post-procedure weight No residual obtained during procedure Substantial decrease in blood pressure Immediate sensation of a need to urinate

Decrease in post-procedure weight

An older patient diagnosed with bacterial gastroenteritis resorts abdominal cramping, diarrhea, nausea and vomiting, and fatigue for the past 24 hours. The nurse should monitor the patient for what priority assessment? Dehydration Hypokalemia Hypernatremia Perineal skin breakdown

Dehydration

The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 550 mL of green-brown drainage since the surgery. Which nursing intervention is the most appropriate? Notify the healthcare provider Document the findings as normal Clamp the T-tube Irrigate the T-tube with saline

Document the findings as normal

The Patient tells the nurse that once he is discharged to home, he has no intention to stop drinking alcohol. What is the appropriate nursing response? "Why do you continue to drink?" "It's your choice to drink or not to drink" "Does it frighten you to consider quitting?" "If you continue to drink, you are going to die"

Does it frighten you to consider quitting?

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? Decrease intake of calorie-dense foods Drink canned protein supplements Increase intake of high fiber foods Eat high-residue foods

Drink canned protein supplements

When a complete assessment of this patient is performed, what other signs and symptoms does the nurse expect? (Select all that apply) Muscle twitching Dry skin with rash Personality changes Peripheral dependent edema Ecchymosis, spider angiomas

Dry skin with rash Peripheral dependent edema Ecchymosis, spider angiomas

A nurse is reviewing lab data of a client who has acute exacerbation of Crohn's disease. Which of the following blood laboratory results should the nurse expect to be elevated? (SATA) Hematocrit Erythrocyte sedimentation rate WBC Folic acid Albumin

Erythrocyte sedimentation rate WBC

A nurse is teaching a client who has just had an acute episode of cholecystitis about dietary changes that might help prevent further attacks. The nurse should teach the client about avoid eating Fried eggs Whole wheat bread Baked potatoes Steamed rice

Fried eggs

A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse should expect a prescription for which of the following tests? (SATA) Blood alpha-fetoprotein ERCP - used for gallbladder, liver, pancreas, biliary ducts, duodenum GI x-ray w/ contrast M2A - small bowel capsule endoscopy

GI x-ray w/ contrast M2A - small bowel capsule endoscopy

The nurse is preparing the morning 0900 meds for a client with GERD. The patient has Maalox, Protonix, and Norvasc ordered. What interventions would be appropriately related to the meds? Hold the antacids. They should not be given until 2100 Give the antacids first, followed by the other oral meds to prevent irritation All meds need to be given on time at 0900 as ordered Give the antacids at 1-2 hours after giving the oral meds

Give the antacids at 1-2 hours after giving the oral meds

What priority laboratory analysis should the nurse review when caring for a patient with crohn's disease? Potassium Hemoglobin Serum albumin C-reactive protein

Hemoglobin

A patient has recently been on corticosteroids as treatment for ulcerative colitis. The nurse should monitor the patient's laboratory results for evidence of which condition? Hyperkalemia Hypernatremia Hypercalcemia Hyperglycemia

Hyperglycemia

The nurse is caring for a client who is being discharged after acute cholecystitis. What client response to the discharge instructions indicates understanding of the teaching? (SATA) I can have broccoli and cabbage in my diet I will avoid eating pizza I need to increase my protein intake→ cannot eat a lot of fat or carbohydrates I will eat a large breakfast and a small dinner

I will avoid eating pizza I need to increase my protein intake→ cannot eat a lot of fat or carbohydrates

A nurse is completing discharge teaching with a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching? "When sitting in my lounge chair after a meal, I will lower the back of it" "I will try to eat 3 large meals a day" "I will elevate the HOB on blocks" "I will avoid eating 1 hour before bedtime"

I will elevate the HOB on blocks"

In preparing to care for the patient, which conditions does the nurse recognize as potential complications of acute pancreatitis? (select all that apply) Strep throat Pleural effusion Diabetes mellitus Pancreatic infection Acute kidney failure

Pleural effusion Diabetes mellitus Pancreatic infection Acute kidney failure

A nurse in a clinic is teaching a client who has UC. Which of the following statements by the client indicates understanding of the teaching? "I will plan to limit fiber in my diet" "I will restrict fluid intake during meals" "I will switch to back tea instead of drinking coffee" "I will try to eat cold food rather than warm when my stomach feels upset"

I will plan to limit fiber in my diet"

The patient is admitted to the acute medical unit. Which medication would the nurse question? Ibuprofen (motrin) Mesalamine (asacol) Prednisone (deltasone) Loperamide (imodium)

Ibuprofen (motrin)

The nurse is reviewing medications for a client who is diagnosed with Acute Peptic ulcer diseases related to a recent history of gastritis. Which of these meds should the nurse clarify with the provider? Ibuprofen 500mg PO daily Protonix 40mg PO BID Lisinopril 12.5mg PO daily Metronidazole (Flagyl) 500mg PO BID

Ibuprofen 500mg PO daily

Which dies the nurse recognizes as the primary reason for a higher incidence of liver cancer in the United States? Incidence of hepatitis C Incidence of HIV infection Incidence of illicit drug use Incidence of hepatitis A

Incidence of hepatitis C

A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching? Eat three moderate-sized meals a day Drink at least one glass of water with each meal Eat a bedtime snack that contains milk product Increase protein in the diet

Increase protein in the diet

The patient's assessment revealed yellowish coloration of skin and sclerae. Which laboratory values does the nurse anticipate? Increased urine bilirubin, decreased direct bilirubin Increased direct bilirubin, increased indirect bilirubin Decreased direct bilirubin, increased indirect bilirubin Increased direct bilirubin, decreased indirect bilirubin

Increased direct bilirubin, increased indirect bilirubin

A nurse is teaching a client who will undergo a sigmoidoscopy. Which of the following information about the procedure should the nurse include? (SATA) Increased flatulence can occur following the procedure NPO status should be maintained preprocedure Conscious sedation is used - not indicated Repositioning will occur throughout the procedure - no Left side Fluid intake is limited the day after the procedure - want to increase fluid intake

Increased flatulence can occur following the procedure NPO status should be maintained preprocedure

The nurse is caring for a client who is jaundice and reports pruritus. Which intervention will the nurse include in the plan of care? Monitor the client's vital signs and intake and output Instruct the client to scratch with knuckles instead of nails Assist the client with a hot bath and apply moisturizer Encourage the client to eat a high-protein, high-cholesterol diet

Instruct the client to scratch with knuckles instead of nails

The nurse is caring for a client who is jaundiced and reports pruritus. Which intervention should the nurse include in the plan of care? Monitor the client's vital signs and intake and output Instruct the client to scratch with knuckles instead of nails Assist the client with a hot bath and apply moisturizer Encourage the client to eat a high-protein, high-cholesterol diet

Instruct the client to scratch with knuckles instead of nails

Which of the following interventions should the nurse include in the care plan of a client being admitted with an acute exacerbation of ulcerative colitis? Maintain a clear liquid diet Maintain strict I/O Encourage increased oral fluid intake Prepare to administer a laxative

Maintain strict I/O

A nurse is admitting a client who has been diagnosed with pancreatitis. The provider has prescribed for the NG tube with intermediate/low suction. Which of the interventions should the nurse take Delegate the unlicensed assistive personnel to set up suction equipment Make sure suction equipment is working prior to the arrival of the client Place the crash cart close to clients room Clarify the order with the health care provider

Make sure suction equipment is working prior to the arrival of the client

What is the priority nursing intervention in the management of a patient with decompensated cirrhosis? Limiting protein intake Managing nausea and vomiting Monitoring fluid intake and output

Managing nausea and vomiting

The nurse is assessing the stoma site of a patient who is 24 hours post-op colostomy. Which of the following findings should the nurse expect? Dark red to purplish color of the stoma Mucous and serosanguineous drainage from the stoma site Sanguineous drainage and clots in the stoma bag Liquid fecal drainage in the stoma bag

Mucous and serosanguineous drainage from the stoma site

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching? "Take med 2 hours after eating" "Discontinue this medication if skin turns yellow-orange" "NTP if you experience sore throat" - can cause blood dyscrasias "Expect your stools to turn black"

NTP if you experience sore throat" - can cause blood dyscrasias

A nurse is reviewing the risk factors with a client who has cholecystitis. The nurse should identify which of the following as a risk factor for cholecystitis? Obesity Rapid weight gain Decreased blood triglyceride level Male sex

Obesity

A nurse is planning care for a client who has a new prescription for TPN. Which of the following interventions should be included in the plan of care (SATA). Obtain capillary BG 4x daily Administer prescribed medications through a secondary port on the TPN IV tubing Monitor vital signs 3x during 12 hour shift Change the TPN IV tubing every 24 hours Ensure daily aPTT is obtained

Obtain capillary BG 4x daily secondary port on the TPN IV tubing Monitor vital signs 3x during 12 hour shift

When the patient is asked about pain, he says that it is intense and continuous. He states that sometimes when he curls up in a fetal position the pain eases. Which medication does the nurse recognize that will provide the most comprehensive pain relief at this time? PCA morphine sulfate IM fentanyl (sublimaze) PCA meperidine (demerol) Oral hydromorphone (dilaudid)

PCA morphine sulfate

A nurse is completing an assessment of a client who has GERD. Which of the following an expected finding? Absence of saliva Painful swallowing Sweet taste in mouth Absence of eructation

Painful swallowing

The nurse is replacing the ileostomy for a client who had a bowel resection 2 days ago. Which action by the nurse would be appropriate for the nurse to perform? The nurse cleanse the ileostomy with an alcohol pad Cut the pouch whole 3 inches bigger than stoma Applies bag loosely to the client Pat ileostomy skin dry with a towel

Pat ileostomy skin dry with a towel

A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates understanding of the teaching? "I can take my medication with soda" "Peppermint tea will increase my indigestion" "Wearing an abdominal binder will limit my manifestations" "I will drink hot chocolate at bedtime to help me sleep" "I can lift weights as a way to exercise"

Peppermint tea will increase my indigestion"

Which is an important assessment for the nurse to perform on a patient with diverticulitis? May be on test*

Perform frequent abdominal assessments for tenderness/distention

A nurse is caring for a client who has Total Parenteral Nutrition (TPN) infusing following a radical colon resection for Ulcerative Colitis. The nurse notes a sudden onset of dyspnea, anxiety, and hypoxia, with the client complaining of chest pain. Which of these actions should the nurse take? (SATA) Obtain the clients BG Place the client in a left lateral Trendelenburg position Notify the provider Clamp the central line catheter Administer a bronchodilator if ordered and inform the provider immediately

Place the client in a left lateral Trendelenburg position Notify the provider Clamp the central line catheter

A nurse notices that a client with cholecystitis suddenly has an onset of tachycardia, pallor, and diaphoresis. Which of the following actions should the nurse take first? Initiate oxygen therapy via nasal cannula Place the client's head of the bed flat Insert an NG tube as ordered immediately Lower the room temperature and get the client ice chips

Place the client's head of the bed flat

A nurse cares for a client who has cirrhosis of the liver. Which actions should the nurse take to decrease the presence of ascites? Increased oral fluid intake Weigh the client daily Provide a low-sodium diet Monitor intake and output

Provide a low-sodium diet

Later in the afternoon, the patient states that the abdominal pain is getting worse. Which nursing interventions are appropriate? (Select all that apply) Providing sitz bath as needed Administering analgesics as ordered Teaching music therapy or guided imagery Evaluating the diet for food that causes pain Providing anti diarrhea medications if ordered

Providing sitz bath as needed Administering analgesics as ordered Teaching music therapy or guided imagery

A nurse is caring for a client who is receiving a TPN solution. The current bag of solution was hung over 24 hours ago, and 400 mL remains to infuse. Which of the following is appropriate action for the nurse to take? Remove the current bag and hang a new one Infuse the remaining solution at the current rate and then hang a new bag Increase the infusion rate so the remaining solution is administered within the hour and hang a new bag Remove the correct bag and hang a bag of lactated Ringers

Remove the current bag and hang a new one

In the care of a patient with acute pancreatitis, which assessment parameter requires immediate nursing intervention? Heart rate of 105 beats/min Serum glucose of 136 mg/dL Blood pressure of 102/76 mm Hg Respiratory rate of 28 breaths/min

Respiratory rate of 28 breaths/min

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? SATA Take baths rather than showers Resume a diet of choice Cleanse the puncture site using mild soap and water Remove adhesive strips from the puncture site in 24 hrs Report N/V to surgeon

Resume a diet of choice Cleanse the puncture site using mild soap and water Report N/V to surgeon

A nurse is in the ER and completing an assessment of a client who has suspected stomach perforation d/t peptic ulcer. Which of the following findings should the nurse expect? (SATA) Rigid abdomen Tachycardia Elevated blood pressure Circumoral cyanosis Rebound tenderness

Rigid abdomen Tachycardia Rebound tenderness

A 68-year-old patient presents to the ED the day after Thanksgiving, stating that he has eaten and drunk quite a bit" he states about 1 hjour ago he experienced a sudden onset of pain in the left upper quadrant that radiates to his left flank. He rates the pain as an 8 on a 0-10 scale. The patient is admitted with acute pancreatitis Which laboratory finding corroborates the diagnosis of acute pancreatitis? Serum lipase, 15o U/L Serum amylase, 200 U/L Serum glucose, 80 mg/dL White blood cells, 6000 mcL

Serum amylase, 200 U/L

A nurse is caring for an older client who reports to the emergency room with poor appetite with occasional nausea and vomiting for the past two weeks. Which of these should the nurse suspect when reviewing the client's admission labs? (select all that apply) Serum potassium (K) 3.0 mEq/L Calcium (Ca) 11 mg/dL Serum magnesium (Mg) 3.0 mEq/L Serum sodium (Na) 150mEq/L

Serum potassium (K) 3.0 mEq/L Serum magnesium (Mg) 3.0 mEq/L Serum sodium (Na) 150mEq/L

The patient is a 21-year-old who has recently been diagnosed with ulcerative colitis (UC). in the ED, she tells the nurse that she has been having 7 tp 8 bloody stools daily. Upon assessment, the nurse finds that her heart rate is 120 beats/min and she has abdominal pain upon palpation. Laboratory results show a hemoglobin level of 9 g/dL How is the severity of the patient's ulcerative colitis categorized? Mild Severe Moderated Fulminant

Severe

Which assessment finding requires immediate nursing intervention in a patient with severe ascites? Confusion Temperature 38.3 C Tachycardia, rate 110 beats/min Shallow respirations, rate 32 breaths/min

Shallow respirations, rate 32 breaths/min

The patient has been NPO but is not tolerating food. What education will the nurse provide regarding nutrition? Small and frequent meals are best Use of alcohol and caffeine should be consumed in moderation Expect to experience nauseas and vomiting as you begin to consume foods Low-carbohydrate, high-protein, and high-fat foods should be consumed

Small and frequent meals are best

A nurse is caring for a client who received midazolam hydrochloride (Versed) during an esophagogastroduodenoscopy (EGD). The clients RR is 10 bpm. Which of the following actions should the nurse take first? Stimulate the client with a chest rub Call the rapid response team Administer Romazicon (flumazenil) Ventilate with a bag-valve-mask

Stimulate the client with a chest rub

A nurse is completing discharge with a client 3 days postoperative following a transverse colostomy. Which of the following should the nurse include in the teaching? Mucus will be present in stool for 5-7 days after surgery Expect 500-1000 mL of semi liquid stool after 2 weeks Stoma should be moist and pink

Stoma should be moist and pink

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching? (SATA) Take the medication 1hr before a meal Limit NSAIDs when taking this medication Expect skin flushing when taking this medication Increase fiber intake when taking this medication Chew the medication thoroughly before swallowing

Take the medication 1hr before a meal Limit NSAIDs when taking this medication

A nurse is caring for a client following a paracentesis. Which of the following findings indicate the bowel was perforated during the procedure? Client report of upper chest pain Decreased urine output Pallor Temperature elevation

Temperature elevation

In evaluating a client who was admitted with nausea/vomiting and diarrhea, which of these should the nurse identify as a successful resolution of fluid volume deficit? The client's current serum sodium level is 145mEq There is an absence of postural hypotension and tachycardia The client has increased appetite and denies nausea The client lost only 2 pounds within the past 48 hours

There is an absence of postural hypotension and tachycardia

A patient with chronic cholecystitis reports pruritus, clay-colored stools, and voiding dark frothy urine. Which laboratory analysis is a priority in the nurse's assessment of this patient? Lipase level Total bilirubin Liver function tests White blood cell count

Total bilirubin

A nurse is admitting a client who has bleeding esophageal varices. The nurse should expect a prescription for which of the following medications? Propranolol Metoclopramide Ranitidine Vasopressin - used to treat esophageal varices

Vasopressin

When taking a history of a client diagnosed with a duodenal peptic ulcer disease, which assessment finding would the nurse expect? Waking at night with abdominal pain Severe weight gain Severe diarrhea after eating Abdominal pain shortly after eating

Waking at night with abdominal pain

*A new nurse is verifying placement of an NG after initial placement. Which intervention DOES NOT require another nurse to intervene? May be on test* X-ray Inject air into tube Palpate abdomen

X-ray

A nurse is completing preoperative teaching for a client who is scheduled for a laparoscopic cholecystectomy. Which of the following should be included in the teaching? "The scope will be passed through your rectum" "You might have shoulder pain after surgery" "You will have Jackson-Pratt drain in place after surgery" "You should limit how often you walk for 1-2 weeks"

You might have shoulder pain after surgery"

A nurse is planning care for a client admitted with a diagnosis of diverticulitis. Which of these interventions should the nurse include in the care plan? (Select all that apply) Teach the patient to avoid activities that increase intra-abdominal pressure Initiate client education on low fiber diet when resuming diet Avoid palpation with abdominal assessments Administer antibiotics as ordered Check the client's stool for occult (frank) bleeding

intra-abdominal pressure Initiate client education on low fiber diet when resuming diet Administer antibiotics as ordered Check the client's stool for occult (frank) bleeding