GI in class quiz

A nurse is caring for a patient who recently had a bowel resection. The patient has a hemoglobin level of 6 g/dL and hematocrit of 28%. Dextrose 5% (D5) is infusing through a triple-lumen central catheter at 150 mL/hour. The physician's orders include: vancomycin 1 g IV piggyback in 250 ml D5W over 30 minutes ranitidine 50 mg IV piggyback in 50 ml D5W over 30 minutes 2 units of 250 ml of packed red blood cells (PRBCs) over 6 hours nasogastric tube flushes with 30 ml of water every hour How many milliliters should the nurse document as the total intake for the 8 hour shift? Record your answer as a whole number. Do not include units or commas.

2240mL

A nurse is planning care for a patient who has a new prescription for total parenteral nutrition (TPN). Which of the following interventions should be included in the plan of care? (Select all that apply.) A) Obtain a capillary blood glucose four times daily. B) Administer prescribed medications through a secondary port on the TPN IV tubing. C) Monitor vital signs at least three times during the 12-hour shift. D) Ensure a daily aPTT is obtained E) Change the TPN IV tubing every 24 hours

A) Obtain a capillary blood glucose four times daily. C) Monitor vital signs at least three times during the 12-hour shift. E) Change the TPN IV tubing every 24 hours

During a colonoscopy with moderate sedation, the patient groans with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring?

Bowel perforation

The nurse is caring for an older adult patient experiencing fecal incontinence. When planning the care of this patient, what should the nurse designate as a priority goal?

Maintaining skin integrity

The nurse is performing an assessment of a patient. During the assessment the patient informs the nurse of some recent "stomach trouble." What does the nurse recognize is the most common symptom of patients with GI dysfunction.

Dyspepsia

The nurse auscultates a patient's abdomen to assess bowel sounds, documenting five to six sounds heard in less than 30 seconds. How does the nurse document the character of the bowel sounds?

Hyperactive

The nurse is performing an abdominal assessment for a patient in the hospital with reports of abdominal pain. What part of the assessment should the nurse perform first?

Inspection

The nurse has been directed to position a patient for an examination of the abdomen. What position should the nurse place the patient in for the examination?

Supine position with the knees flexed to relax the abdominal muscles.

The nurse is collecting a stool specimen from a patient. What characteristic of the stool indicates to the nurse that the patient may have an upper GI bleed?

Tarry and black