NUR 222 Med-Surg GASTROINTESTINAL

Nurse is caring for Pt. who has acute pancreatitis. Which of the following serum lab values should the nurse anticipate returning to the expected reference range within 72 hr after treatment begins?

*Amylase Pancreatitis is the most common diagnosis for marked elevations in serum amylase. Serum amylase begins to increase about 3 to 6 hr following the onset of acute pancreatitis. The amylase level peaks in 20 to 30 hr and returns to the expected reference range within 2 to 3 days.

Nurse is assessing a Pt. who is in the early stages of Hepatitis A. Which of the following manifestations should the nurse expect.

*Anorexia Anorexia is an early manifestation of hepatitis A and is often severe. It is thought to result from the release of a toxin by the damaged liver or by the failure of the damaged liver cells to detoxify an abnormal product. (LATE manifestations: Jaundice, Dark Urine, Pale feces)

Nurse is caring for a Pt. who is receiving TPN therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the Pt.'s TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?

*Diaphoresis The nurse should recognize that the client has the potential for the development of hypoglycemia due to the sudden withdrawal of the TPN solution. In addition to diaphoresis, other potential manifestations of hypoglycemia can include weakness, anxiety, confusion, and hunger.

Nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred?

*Rigid abdomen Abdominal tenderness and rigidity occur with a bowel perforation. As fluid escapes into the peritoneal cavity, there is a reduction in circulating blood volume and a lowered blood pressure, or hypotension, results. ALSO: *Bowel sounds are silent with a bowel perforation *Low BP/hypotension or shock MAY be present.

Nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy (EGD). The nurse should identify that this procedure is used to do which of the following?

*To detect an ulceration in the stomach An EGD is used to visualize the esophagus, stomach, and duodenum with a lighted tube to detect a tumor, ulceration, or obstruction.