maybe 3

a nurse is caring for a client who has liver cirrhosis with ascites and bleeding esophageal varices. Which of the following laboratory findings indicates that the clients gastrointestinal GI tract is digesting and absorbing blood? A. elevated BUN B. elevated hbA1c C. decreased chloride D. decreased bilirubin

elevated BUN

A nurse is assessing an african american client who has jaundice. Which of the following areas is the most reliable for the nurse to inspect for jaundice? A. the palms B. hard palate C. conjunctiva D. back of the nect

hard palate for white people (conjunctiva)

A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure? A. high fowlers B. side lying C. leaning forward D. supine

high fowlers

A client is prescribed Lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication? A. Thirty minutes after lunch B. With a bedtime snack C. Thirty minutes before breakfast D. During the evening meal

Thirty minutes before breakfast

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? A. "Don't worry; most clients dislike the prep more than the procedure itself." B. "Before the examination, your provider will give you a sedative that will make you sleepy." C. "I know you're anxious, but this procedure is recommended for people your age." D. "After you have signed the consent form, we can talk more about this."

"Before the examination, your provider will give you a sedative that will make you sleepy."

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statement by the client should the nurse report to the provider? A. "I drink at least 2 quarts of fluid every day." B. "The last time I voided it was painful and red-tinged." C. "My period ended 2 days ago." D. "I don't eat shellfish because it gives me hives."

"I don't eat shellfish because it gives me hives."

A nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. Which of the following client statements indicates an understanding of pain control? A. "I will call for pain medication before the previous dose wears off." B. "I will call for pain medication as my pain starts to increase again." C. "I will wait for you to evaluate my pain before asking for more medication." D. "I will ask for less medication to avoid addiction."

"I will call for pain medication before the previous dose wears off."

The results of a patient's recent endoscopy indicate the presence of peptic ulcer disease (PUD). Which teaching point should the nurse provide to the patient based on this new diagnosis? A. "It would be beneficial for you to stop drinking alcohol." B. You need to drink at least 2-3 glasses of a milk a day." C. "Many people find that a minced or pureed diet eases the symptoms of PUD." D. "You can keep your present diet and minimize symptoms by taking medications."

"It would be beneficial for you to stop drinking alcohol."

A nurse is teaching a client who is preoperative for a colectomy. The client asks the nurse why he needs a large-bore NG tube. Which of the following statements should the nurse make? A. "The tube is a routine standard following this type of surgery." B. "The tube will allow us to provide you with nutrition." C. "The tube will remove gas and fluid from your stomach." D. "The tube can be explained to you once you are stable after surgery."

"The tube will remove gas and fluid from your stomach."

A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy? A. 56 yo who had a colonoscopy 6 years ago B. 34 yo who reports a new onset of constipation C. 32 yo who has a sister who died of colon cancer D. 51 yo who is being seen for an annual physical exam

51 yo who is being seen for an annual physical exam

The nurse is monitoring a client with a peptic ulcer. Which assessment finding would indicate perforation of the ulcer? A. Heart rate of 52 beats per minute B. Numbness in the legs C. Nausea and vomiting D. A rigid, board-like abdomen

A rigid, board-like abdomen

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply) A. Administer furosemide. B. Administer warfarin. C. Implement a low-sodium diet. D. Measure the client's abdominal girth E. Encourage weight lifting during physical therapy.

Administer furosemide. Implement a low-sodium diet. Measure the client's abdominal girth

The patient with chronic gastritis is being put on a combination of medications to eradicate Helicobacter pylori. Which drugs does the nurse know will probably be used? A. Antibiotic(s), antacid, and corticosteroid B. Antibiotic(s), aspirin, and antiulcer/protectant C. Antibiotic(s), proton pump inhibitor and bismuth D. Antibiotic(s) and nonsteroidal anti-inflammatory drugs (NSAIDS)

Antibiotic(s), proton pump inhibitor and bismuth

The nurse is caring for a patient who has just vomited green-yellow liquid. Which action would be an appropriate nursing intervention? A. Offer the patient an herbal supplement such as ginseng B. Discontinue medications that may cause nausea or vomiting C. Apply a cool washcloth to the forehead and provide mouthcare D. Take the patient for a walk in the hallway to promote peristalsis

Apply a cool washcloth to the forehead and provide mouthcare

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

Assess orthostatic blood pressure.

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the follow clients is at risk for developing hepatitis C? A. Client with multiple tattoos B. Client who eats raw shellfish C. A client who works in a childcare center D. A client who has recently traveled to an underdeveloped country

Client with multiple tattoos

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? a. Disinfect equipment in the client's room daily. b. Have the client wear a mask when out of the room. c. Place the client in a protective environment. d. Use alcohol hand sanitizer after completing tasks for the client.

Disinfect equipment in the client's room daily. (or when solid)

After administering a dose of promethazine to a patient with nausea and vomiting, what medication side effect does the nurse explain is common and expected? A. Tinnitus B. Drowsiness C. Reduced hearing D. Headache

Drowsiness

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? A. Place the client in a supine position postoperatively. B. Encourage ambulation once fully awake. C. Offer the client ice cream postoperatively. D. Instruct the client not to lift over 4.5 kg (10 lb)

Encourage ambulation once fully awake.

The nurse determines a patient has experienced the beneficial effects of famotidine when which symptom is relieved? A. Nausea B. Belching C. Epigastric pain D. Difficulty swallowing

Epigastric pain

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? a. Gallstones b. Hypolipidemia c. COPD d. Diabetes mellitus

Gallstones

The patient with a history of irritable bowel disease and gastroesophageal reflux disease (GERD) is admitted with a diagnosis of diverticulitis and has received a dose of Mylanta 30 mL PO. The nurse will determine the medication was effective when which symptom has been resolved? A. Diarrhea B. Heartburn C. Constipation D. Lower abd pain

Heartburn

a nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. which of the following statements by the client indicates the need for further teaching? A. I will be able to eat solid food when I wake up from anesthesia. "B. "I will have a glass of juice the morning of my surgery." C. "I understand what risks I can expect with this surgery." D. "I will take time to relax if I get nervous the night before surgery."

I will be able to eat solid food when I wake up from anesthesia.

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antiacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory tests results should the nurse expect to see? A. Decreased WBC B. Increased serum amylase C. Decreased serum lipase D. Increased serum calcium

Increased serum amylase

A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab with. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? A. Weight gain B.Mild hearing loss C. Temporary loss of smell D. Nosebleeds

Nosebleeds

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? A. Excessive alcohol consumption B. Obstruction of the bile duct C. Hepatitis C D. Hepatotoxic medications

Obstruction of the bile duct

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? A. Petechiae B. Hypertension C. Osteoarthritis D. Peripheral ulcers

Petechiae (due to impaired coagulation)

A nurse is planning care for a client with viral hepatitis. Which action should be included? A. Provide a high carbohydrate diet B. Administer acetaminophen for pain C. Encourage eating three large meals daily. D. Include high protein snacks.

Provide a high carbohydrate diet

A patient with a history of peptic ulcer disease presents to the emergency department with severe abdominal pain and a rigid, board-like abdomen. The health care provider suspects a perforated ulcer. Which interventions should the nurse anticipate? A. Providing IV fluids and inserting a nasal gastric (NG) tube B. Administering oral bicarbonate and testing the patient's gastric pH level C. Performing a fecal occult blood test and administering IV calcium gluconate D. Starting parenteral nutrition and placing the patient in high Fowler's position (use NG tube to suck not feed bc they need to be NPO)

Providing IV fluids and inserting a nasal gastric (NG) tube (use NG tube to suck not feed bc they need to be NPO)

A nurse is teaching self management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching? A. You may donate blood 6 months after completing the medication B. Consume a high protein diet C. Take acetaminophen every 4 hours as needed for discomfort D. Rest frequently throughout the day

Rest frequently throughout the day (reduce the metabolic demands on the liver)

A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client? A. Prone B. Semi-Fowler's C. Supported Sims' D. Dorsal recumbant

Semi-Fowler's

A patient reporting nausea receives a dose of metoclopramide. What potential adverse effect should the nurse tell the patient to report? A. Constipation B. Double vision C. Tremors D. Numbness and fingers and toes

Tremors

A nurse is planning care for a client who is to start receiving TPN. Which of the following interventions should the nurse include in the plan of care? a) Use a 1.2 micron filter when infusing TPN with fat emulsions added. b) Allow 18 hr for the lipids to infuse when not mixed with the TPN solution. c) Change the TPN solution after 36 hr. d) Change the TPN tubing every 48 hr

Use a 1.2 micron filter when infusing TPN with fat emulsions added.

A patient is admitted with acute appendicitis. Which lab results help confirm this diagnosis? A. WBC 5.9 B. Hgb 6.9 C. Platelet count 56,000 D. WBC 21.9

WBC 21.9

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? A. dietary iron restrictions B. intestinal malabsorption syndrome C. chronic blood loss D. intestinal parasites

chronic blood loss

a nurse is caring for a client who has an active upper GI bleed. after inserting a NG tube into the client, which of the following findings should the nurse anticipate? A. frothy pink drainage B. dark amber drainage C. coffee ground drainage D. greenish yellow drainage

coffee ground drainage

A nurse is caring for a client who is postoperative has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances? A. elevated sodium B. decreased potassium C. elevated magnesium D. decreased calcium

decreased potassium (hypokalemia can occur with loss of too much fluid. A is wrong because loss of fluid does not increase Na)

nurse is planning care for pt who is postop and at risk for paralytic ileus. which intervention should the nurse plan to take to promote peristalsis A. increase ambulation B decrease fluid intake C. increase protein intake D. offer bedpan q 2 hours

increase ambulation

nurse is reviewing provider's prescriptions for pt experiencing a paralytic ileus following an appendectomy. which of the following actions should the nurse expect to take? A. administer an antacid B. provide a bulk forming agent C. insert an NG tube D. apply a truss

insert an NG tube

The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, ab distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications? A. Ulcerative colitis B. cholecystitis C. paralytic ileus D. wound dihiscence

paralytic ileus

A patient presents with spontaneous bleeding. Which of the following lab results may be contributing to this condition A. hgb of 7.6 B. platelet count of 34,000C. WB C 2.5 D. platelet count of 500,000

platelet count of 34,000C. WB

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? A. Stoma oozing red drainage B. Shiny, moist stoma C. Purplish-colored stoma D. Rosebud-like stoma orifice

purplish-colored stoma