Test 2 dynamic quizes (GI,

A nurse is teaching a client who has diabetes about hypoglycemia. Which of the following should the nurse expect? A: Bradycardia B: Diaphoresis C: Deep, rapid respirations D: Palpitations E: Shakiness

B,D,E

A nurse is admitting a client who has cirrosis. Which of the following prescriptions should the nurse anticipate? SATA A: Obtain the clients PT and INR measurements B: Administer lactulose 30mL PO 4 times daily C: Obtain a daily weight and abdominal girth measurements D:Administer daily multivitamin E: Place the client on low- protein

A,B,C,D

A community health nurse is palnning an educational program about Hep A. When preparing the materials, the nurse should identify that which of the following groups is most at risk for developing Hep A? A: Children B: Older adults C: women who are prego D: Middle aged men

A: Children

A nurse is preparing a community education program abt Hep B. Which of the following statements should the nurse include in the teaching? A: A Hep B immunization is recommended for those who travel, especially military personal B: A Hep B immunization is given to infants and children C: Hep B is acquired by eating foods that are contaminated during handling D: Hep B can be prevented by using hand hygiene

B: A Hep B immunization is given to infants and children

A nurse is assessing a client who is in the early stages of Hep A. Which of the following manifestations should the nurse expect? A: Jaundice B: Anorexia C: Dark urine D: Pale feces

B: Anorexia

A nurse is assessing a client who is 12 hr post-op following an open cholecystectomy. Which of the following findings should the nurse report to the provider? A: Hypoactive bowel sounds B: Indwelling urinary cath output of 25mL/hr C: HR of 96bpm D: Serous drainage at the surgical incision site

B: Indwelling urinary cath output of 25mL/hr

A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse expect? A: Blumberg's sign B: Ascites C: GI bleeding D:Kehr's sign

Blumberg's sign

A nurse is assessing a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? A: Increased BP B: Decreased HR C: Yellowing of the skin D: Boardlike abdomen

Boardlike abdomen

A nurse is caring for a client who has acute pancreatitis. Which of the following serum lab values should return to the expected reference range within 72hrs of treatment beginning? A: Aldolase B: Lipase C: Amylase D: Lactic dehydrogenase

C: Amylase

A nurse is planning discharge teaching for a client who is post-op following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority A: Dietary recommendations B: Incision care C: Coughing and deep breathing exercises D: Pain management

C: Coughing and deep breathing exercises

A nurse is planning care for a client who has cholelithiasis. Which of the following interventions should the nurse include in the plan? A: Restrict the clients fluid intake B: Restrict clients calcium intake C: Decrease the clients fat intake D: Decrease the clients potassium intake

C: Decrease the client's fat intake

A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate for this client? A. Endoscopic sclerotherapy B. Liver lobectomy C. Liver transplant D. Transjugular shunt placement

C: Liver transplant

A nurse is caring for a client who is 3 days post-op following abdominal surgery. The clien states, something just popped when I coughed. Which of the following actions should the nurse take first? A: Cover the clients wound with a sterile, moist dressing B: Flex the clients knees C: Reassure the client D:Instruct to avoid coughing

Cover the clients wound with a sterile, moist dressing

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? A: High calorie diet B: Prior gastrointestinal illnesses C: Tobacco use D: Alcohol use

D: Alcohol use

A nurse is caring for a client who is receiving total parenteral nutrition therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump, the nurse should monitor the client for which of the following findings? A: Hypertension B: Excessive thirst C: Fever D: Diaphoresis

D: Diaphoresis

A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75mL/hr. When the nurse assesses the client at 0800, which of the following findings requires interventions? A: A full pitcher of water is sitting on the client's bedside table within the client's reach B: The disposable feeding bag is from the previous dat at 1000 and contains 200mL of feeding C: The client is lying on the right side with a visible dependent loop in the feeding tube D: The head of the bed is elevated 20*

D: The head of the bed is elevated 20*

A nurse is teaching a client who has cirrhosis of the liver and a history of alcohol consumption. The nurse should explain that alcohol can cause liver cirrhosis through which of the following actions? A: Increasing the workload of the liver by releasing stored glycogen B: Causing ulceration of liver tissues that can lead to bleeding C: Dilating veins in portal circulation D: Destroying liver cells that are later replaced with scar tissue

Destroying liver cells that are later replaced with scar tissue

What action does the spleen perform?

Destroys old blood cells

A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile?

Digesting fats

A nurse is teaching a client who has a colostomy about ways to reduce flatus and odor. Which of the following strats should the nurse include? A: Eat crackers and yogurt regularly B: Chew mint gum C: Drink OJ D: Put an aspirin in the puch

Eat crackers and yogurt regularly

A nurse is caring for a client who has an indwelling urinary cath. Which of the following actions should the nurse take? A: Place the drainage bag of the clients abdomen when transferring from a bed cart B: Empty the drainage bag when half full C: Rest the drainage bag on the floor when closing the drainage spigot during emptying D: Disconnect the drainage bag when obtaining a urine specimen

Empty the drainage bag when half full

A nurse is providing discharge teaching to the partner of the client who has a new diagnosis of Hep A. Which of the following instructions should the nurse include in the teaching? A: During this illness, she may take acetaminophen for fevers or discomfort B: Encourage her to eat foods that are high in carbs C: The provider will prescribe a medication to help her liver heal D: Have her perform moderate exercise to restore her strength

Encourage her to eat foods that are high in carbs

A nurse is caring for a client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following lab tests to determine the possibility of recent excessive alcohol use?

Gamma-glutamyl transferase (GGT)

A nurse is teaching dietary modification strats to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend? A: Grilled chicken B: Potato soup C: Fish sticks D: Baked ham

Grilled chicken

A nurse is assessing a client who has a complete intestinal obstruction. Which of the following findings should the nurse expect? A: Absence of bowel sounds in all 4 quadrants B: Passage of blood-tinged liquid stool C: Presence of flatus D: Hyperactive bowel sounds above the obstruction

Hyperactive bowel sounds above the obstruction

A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. Which of the following topics should the nurse include? A: Smoking cessation B: Benefits of a diet high in veggies C: New types of ostomy appliances D:Importance of colonoscopy screening at age 50

Importance of colonoscopy screening at age 50

A nurse is monitoring the lab results of a client who has end-stage liver failure. Which of the following results should the nurse expect? A: Decreased lactate dehydrogenase B: Increased serum albumin C: Increased serum ammonia D:Increased prothrombin time

Increased prothrombin time

A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the following lab results should the nurse identify as an indication of pancreatitis? A: Decreased WBC count B: Increased albumin level C: Increased serum lipase level D:Decreased blood sugar level

Increased serum lipase level

A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports nausea, which of the following actions should the nurse take? A: Irrigate the tube with NS B: Provide oral hygiene C: Clamp the tube for 30 min D: Increase the amount of suction

Irrigate the tube with NS

A nurse is providing teaching about nutrients to a client. Which of the following statements should the nurse include?

Protein builds and repairs body tissue

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following lab findings should the nurse monitor prior to the procedure? A: Prothrombin time B: Serum Lipase C: Bilirubin D: Calcium

Prothrombin time

A nurse is caring for a client who is 4hr post-op following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect? A: Right shoulder pain B: Urine output 20mL/hr C: Temp at 101.1F* D: O2 sats 92%

Right shoulder pain

A nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings indicates that a possible bowel perforation has occurred? A: Elevated BP B: Bowel sounds increased in frequency and pitch C: Rigid abdomen D:Emesis of undigested food

Rigid abdomen

What is the main function of the gall bladder?

Storing bile

A nurse is performing a GI assessment of a client who has liver cirrhosis with abdominal distention. Which of the following actions should the nurse take to assess for changes in the clients abdominal distention? A: Percuss the abdomen for tympanic sounds B: Inspect the contour of the abdominal wall C: Instruct the client to report increased abdominal discomfort D: Take serial measurements of the abdomen with a tape measure

Take serial measurements of the abdomen with a tape measure

What is a guaiac test?

Tests for blood in the stool

A nurse is caring for a client who is scheduled to undergo an EGD. The nurse should identify that this procedure is for which of the following reasons?

To detect an ulceration in the stomach