Chapter 45: Digestive and Gastrointestinal Treatment Modalities

Increased appetite and thirst may indicate that a client with chronic pancreatitis has developed diabetes melitus. Which of the following explains the cause of this secondary diabetes?

Dysfunction of the pancreatic islet cells

A patient admitted with severe epigastric abdominal pain radiating to the back is vomiting and complaining of difficulty breathing. Upon assessment, the nurse determines that the patent is experiencing tachycardia and hypotension. Which of the following actions is a priority intervention for this patient? Select all that apply.

Administer pain-relieving medication. • Administer electrolytes. • Administer plasma. • Assist the patient to a semi-Fowler's position

A client is admitted to the health care facility with abdominal pain, a low-grade fever, abdominal distention, and weight loss. The physician diagnoses acute pancreatitis. What is the primary goal of nursing care for this client?

RELIEVING ABDOMINAL PAIN

Which of the following is caused by improper catheter placement and inadvertent puncture of the pleura?

pneumothorax

The nurse should assess for an important early indicator of acute pancreatitis. What prolonged and elevated level would the nurse determine is an early indicator?

serum lipase

A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The physician diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority?

acute pain related to bilinary spasms

A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client?

administer iv morphine as possible

A nonresponsive client has a nasogastric tube to low intermittent suction due to gastrointestinal bleeding. It is most important for the nurse to

ascultate lung sounds q4 hours

A client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:

yellow schlerea

A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct?

high carb low fat diet

A client recovering from gastric bypass surgery accidentally removes the nasogastric tube. It is best for the nurse to

notify surgeon

A client is scheduled to receive a 25% dextrose solution of parenteral nutrition. The nurse does all of the following. Select all that apply.

Ensures availability of an infusion pump • Ensures completion of baseline monitoring of the complete blood count (CBC) and chemistry panel • Places a 1.5-micron filter on the tubing

When assessing whether a patient is a candidate for home parenteral nutrition, which of the following would be important to address? Select all that apply

Family support • Telephone access • Motivation for learning • Health status

he nurse is caring for a comatose patient and administering gastrostomy feedings. What does the nurse understand is the reason that gastrostomy feedings are preferred to nasogastric (NG) feedings in the comatose patient?

Gastroesophageal sphincter is intact, lessening the possibility of regurgitation.

The nurse inserts a nasoduodenal tube for feeding of the client. To check best for placement, the nurse

Verifies location with an abdominal x-ray

The patient is on a continuous tube feeding. The tube placement should be checked every

shift