Adult Health Quiz Night

For clients with peptic ulcer disease (PUD), what is the MOST important lifestyle modification?

Smoking cessation

The instructor has just finished teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders. The instructor determines that the teaching was successful when the students identify which structure as possibly being affected?

Stomach

The nurse is assessing a patient who had a total gastrectomy 8 hours ago. What information is most important to report to the health care provider?

Temperature 102.1° F (38.9° C)

A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important?

The consistency of stool and comfort when passing stool

A patient with acute pancreatitis puts the call bell on to tell the nurse about an increase in pain. The nurse observes the patient guarding; the abdomen is board-like and no bowel sounds are detected. What is the major concern for this patient?

The patient has developed peritonitis

Which medication is used to decrease portal pressure, halting bleeding of esophageal varices?

Vasopressin

What question is the home health nurse most likely to ask the patient to evaluate the efficacy of cimetidine?

"Has the medication helped to relieve acid indigestion?"

A patient has a gastric sump tube inserted and attached to low intermittent suction. The physician has ordered the tube to be irrigated with 30 mL of normal saline every 6 hours. When reviewing the patient's intake and output record for the past 24 hours, the nurse would expect to note that the patient received how much fluid with the irrigation?

120

Which of the following food/beverage choices is best for patients who have recently experienced bouts of N/V?

A plain baked potato

A client underwent an exploratory laparotomy 2 days ago. The HCP should be called IMMEDIATELY for which physical assessment finding?

Abdominal distention and rigidity

The client has portal hypertension and hepatic encephalopathy secondary to liver disease and is being treated with lactulose. Which laboratory result will the nurse check FIRST to see if the medication is having the desired effect?

Ammonia level

The digestion of carbohydrates is aided by

Amylase

A nurse cares for clients with obesity. Which clinical measurement is for quantified measurements to diagnose obesity?

BMI

A patient was just told by the doctor that they will need to drink contrast, assume various positions throughout the study, and they may have white stool for 72 hours post exam. What study is the pt. most likely undergoing?

Barium Swallow

A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects the client's stools to have which description?

Black and tarry

Nurse is teaching a client with gastritis about avoiding caffeine intake. The patient wants to know why, what is your response?

Caffeine stimulates the CNS and gastric activity, which needs to be decreased for recovery

The nurse prepares a client for a barium enema. The nurse should place the client on which diet prior to the procedure?

Clear liquids day prior

A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do?

Collect a stool specimen

A 72-vr-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most important to report to the health care provider?

Crackles are heard halfway up the posterior chest

A patient following GI surgery has been receiving NG tube feedings for one week. The patient is suddenly 8lbs heavier than yesterdays and has developed periorbital edema. Their urine output is 480 mL in the last 24 hours. Their blood glucose is 200. What complication is this patient likely suffering from as a result of enteral tube feeding?

Dehydration

Which of the following actions should the patient who just had a gastric bypass not do?

Drink 8 oz of water before a meal

A client who had a Roux-en-Y bypass procedure for morbid obesity ate a chocolate chip cookie after a meal. After ingestion of the cookie, the client reported cramping pains, dizziness, and palpitation. After having a bowel movement, the symptoms resolved. What should the nurse educate the client about regarding this event?

Dumping Syndrome

When caring for a client with impaired swallowing related to neuromuscular impairment what is the nurse's priority?

Elevate the HOB 90 degrees during meals

A nurse has obtained an order to remove a client's NG tube that was placed for feeding. What is the nurse's best initial action?

Explain the process clearly to the client

A client with suspected biliary obstruction due to gallstones reports changes to the color of his stools. Which stool color does the nurse recognize as common to biliary obstruction?

Gray

A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should the nurse include in the teaching?

Increase protein in the diet

A client is scheduled to undergo rhinoplasty in the morning, and reports medications used on a daily basis, which the nurse records on the client's chart. Which daily medications have the potential to result in constipation?

Laxatives

A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis?

Liver Biopsy

A client with right upper quadrant pain and weight loss is diagnosed with liver cancer. For which treatment will the nurse prepare the client when it is determined that the disease is confined to one lobe of the liver?

Liver Resection

A patient is experiencing diarrhea or frequent, loose, foul-smelling stools that are often gray in color. Their labs suggest vitamin and mineral deficiency. What are these symptoms of?

Malabsorption

The nurse provides health teaching to inform the client with oral cancer that:

Many oral cancers produce no symptoms in the early stages.

The nurse visits the home of a client recovering from acute gastritis. Which observation indicates that teaching about the disorder was effective?

Medications in a pill box

Which medication classification represents proton pump inhibitors?

Omeprazole

A patient has presented to the local ED with complaints of abdominal pain. What is the nurses main focus while assessing the pt?

Pain

The nurse recognizes a patient with a duodenal ulcer will most likely experience:

Pain 2 to 3 hours after a meal

A patient has been diagnosed with a hiatal hernia. The nurse explains the diagnosis to the patient and his family by telling them that a hernia is a (an):

Protrusion of the upper stomach into the lower portion of the thorax

A nurse on a med-surg unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care?

Provide a high calorie, high carbohydrate diet

The nurse is caring for a client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?

Purpura and Petechiae

A client with cancer of the tongue has had a radical neck dissection. What nursing assessment should the nurse prioritize?

Respiratory status and airway clearance

Teaching for patients following gastrectomy surgery includes all of the following EXCEPT:

Rest or lie on the right side for 30 min after eating to slow gastric emptying

Clients with chronic liver dysfunction have problems with insufficient vitamin intake. Which may occur as a result of vitamin C deficiency?

Scurvy