Upper & Lower GI, Biliary, and Liver Escape Room
The nurse is reviewing orders for a client admitted to the hospital with acute pancreatitis. Which of the following interventions does the nurse anticipate including in the care plan? a. Small, frequent meals b. High fat diet c. Administer antacids d. Encourage ambulation
Administer antacids
A client who underwent abdominal surgery who has a nasogastric (NG) tube in place beings to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first? a. Assess the patency of the NG tube b. Auscultate bowel sounds c. Assess vital signs d. Measure abdominal girth
Assess the patency of the NG tube
The nurse understands that which of the following lab results would explain why a client with liver disease appears jaundiced? a. Total Protein b. Ammonia c. Bilirubin d. Prothrombin Time
Bilirubin
The nurse is caring for a client admitted with complaints of right upper quadrant pain after eating food containing fat. Which of the following diagnoses does the nurse anticipate? a. Pancreatitis b. Hepatitis c. Appendicitis d. Cholecystitis
Cholecystitis
Peritonitis can occur as a complication of which of the following conditions? a. Irritable Bowel Syndrome b. Duodenal Ulcer c. Uncontrolled Diabetes d. TPN Administration
Duodenal Ulcer
The client with diverticular disease is scheduled for a sigmoidoscopy. He suddenly complains of severe abdominal pain. On examination, the nurse notes a rigid abdomen with guarding. What should the nurse take next? a. Evaluate the client's most recent lab values b. Keep the client distracted until the procedure begins c. Elevate the head of the head and call the provider d. Tell the client this is expected with diverticular disease
Elevate the head of the bead and call the provider
The nurse is caring a client with a diagnosis of liver disease. Which of thee following findings would indicate a complication related to portal hypertension? a. Jaundice b. GI Bleeding c. Increased BP d. Decreased HR
GI Bleeding
A client with a diagnosis of pancreatitis is noted to have muscle spasms and tremors. Which of the following electrolyte abnormalities does the nurse assess for? a. Hypokalemia b. Hypocalcemia c. Hypomagnesemia d. Hyponatremia
Hypocalcemia
A client with a diagnosis of a small bowel obstruction is complaining of nausea and vomiting. Which of the following nursing interventions would be most appropriate? a. Insert an NG tube to suction b. Administer an antiemetic c. Assess the client's abdomen d. administer an antacid
Insert an NG tube to suction
A nurse is reviewing the health records of a client who has pancreatitis. The physical exam report by the provider indicates the presence of Cullen's sign. Which of the following assessments would identify this finding? a. Inspect the skin around the umbilicus b. Tap lightly on the costovertebral margin on the client's back c. Palpate the client's right lower quadrant d. Auscultate the area below the client's scapula
Inspect the skin around the umbilicus
The nurse is educating a client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which information in the client's history should the nurse address as an indicator that needs to be changed? a. Taking calcium bicarbonate tablets b. Being a vegetarian c. Having a body mass index of 23 d. Lifting weights for exercise
Lifting weights for exercise
Which of the following dietary recommendations would benefit a client with ulcerative colitis? a. Low Fiber b. High Carbohydrates c. Low Protein d. Low Calorie
Low Fiber
Which of the following interventions would be included when caring for a client with liver failure and ascites? a. Weigh the client weekly b. Insert a foley catheter c. Increase fluid intake d. Measure abdominal girth daily
Measure abdominal girth daily
The nurse is educating a patient with a new diagnosis of gastroesophageal reflux disease (GERD). The nurse evaluates the teaching as effective when the patient states that which of thee following items lower esophageal sphincter control? a. Nicotine b. Carbohydrates c. Fiber d. Dairy
Nicotine
A client is being evaluated for a possible duodenal ulcer. The nurse assess the client for which of the following manifestations the would support this diagnosis? a. Distended Abdomen b. History of chronic NSAID use c. Pain relieved with food d. Positive fluid wave
Pain relieved with food
The nurse is evaluating the effect of dietary counseling on the client with hepatic encephalopathy. The nurse would evaluate that the client understands the instructions given if the client stated that which of the following food items should be restricted in this diet? a. Fat b. Carbohydrates c. Minerals d. Protein
Protein
The client with a diagnosis of diverticulosis os ordering his lunch. Which of the following food choices would require the nurse to intervene? a. Corn flakes with whole milk b. Baked fish c. Steak and potatoes d. Strawberries and yogurt
Strawberries and yogurt
The nurse is caring for a client with cirrhosis. Which of the following assessment findings requires the most immediate intervention? a. The client appears confused b. The client has diarrhea c. The client reports abdominal pain d. The client skin appears yellow
The client appears confused
The client who has ulcerative colitis is scheduled for an ileostomy. When the client asks the nurse what to expect related to bowel function and care after surgery, what response should the nurse make? a. "You will be able to have control over your bowel movements with careful diet management." b. "The stoma will require that you wear a collection device all the time." c. "After the stoma heals, you can irrigate your bowel so you will not have to wear a pouch." d. "The drainage will be liquid initially, and gradually become semisolid and formed."
The stoma will require that you wear a collection device all the time
Following a cholecystectomy, the client has a T-tube in place. When does the nurse anticipate removing the tube? a. When the client can eat without nausea and his stool is brown in color b. When the tube stops draining bile c. On the day the client is ready for discharge d. When the sutures are removed and there is no sign of infection
When the client can eat without nausea and his stool is brown in color