AH2 Exam 5 EAQs

which info found in a pt's hx frequently correlates w/ a diagnosis of chronic gastritis? A. hematemesis B. gastric hemorrhage C. use of corticosteroids D. radiation therapy

D. radiation therapy

which statement indicates understanding of hep A? A. it's transmitted by fecal-oral route B. it's more common in affluent countries C. it's resistant to the action of chlorine (bleach) D. it's more severe in children and young adults

A

which symptom is consistent w/ a large bowel obstruction? SATA A. ribbon-like stool B. metabolic acidosis C. visible peristaltic waves D. lower abdominal distention E. upper epigastric abdominal pain

A,B,D

which instruction would a nurse give to a male client who has undergone a hernia repair and who reports having difficulty voiding? A. allow water to run when attempting to void B. drink at least 500-1000 mL of fluids daily C. report a urine output of less than 60 mL/hr D. sit in a squatting position to stimulate voiding

A

which med would a pt w/ ulcerative colitis who complains of severe diarrhea w/ exacerbations be taught to take for flare-ups? A. glucocorticoids B. aminosalicylates C. immunomodulators D. antidiarrheal drugs

A

the nurse is teaching the pt about the use of famotidine and sucralfate to tx gastritis. which info would the nurse include? A. take the famotidine at bedtime B. take the sucralfate after eating C. take the famotidine before each meal D. use the sucralfate as needed for pain

A famotidine is given once daily at bedtime to suppress nocturnal acid production. sucralfate is given 1 hr before meals, 2 hrs after meals, and at bedtime

in which way will the nurse respond to a pt diagnosed w/ hep A who asks the nurse how this disease may have been contracted? A. you may have consumed foods contaminated with the virus B. if you received a blood transfusion, you may have been exposed C. you may have been exposed if you had unprotected sexual intercourse D. the virus is airborne, so you may have contracted it from an infected person

A hep A is transmitted through the fecal-oral rout and may be contracted by consuming contaminated foods

which instruction would the nurse emphasize when teaching a pt w/ crohn disease about managing the disease w/ the drug adalimumab? A. avoid large crowds and anyone who's sick B. expect difficulty w/ wound healing while taking this drug C. monitor your BP and report any significant decrease in it D. don't take the med if you're allergic to foods w/ fatty acids

A pt should avoid being around large crowds to prevent developing an infection

which teaching would be provided for a pt who has been prescribed a truss? SATA A. use a belt to hold it in place B. use light powder under the truss C. assess the skin around the truss daily D. put the truss on at night while sleeping E. apply the truss after pushing in the protruding hernia

A,B,C

which instruction would be included for a male pt who has undergone inguinal hernia repair? SATA A. stand to void B. ambulate early C. report signs of infection D. drink 1000-1200 mL fluid daily E. perform coughing and deep breathing exercises

A,B,C fluid intake should be 1500-2500 mL daily, pts should not cough after surgery

which s/s is consistent w/ the diagnosis of appendicitis? SATA A. anorexia B. N/V C. rebound tenderness D. dec WBC count E. abdominal pain relieved by coughing

A,B,C s/s consistent w/ appendicitis include: abdominal pain aggravated by coughing, N/V, anorexia, rebound tenderness, and an increased WBC count

which assessment is appropriate for a primary health care provider to perform for a pt who reports a protrusion in the abdominal region? SATA A. examining the hernial ring and its contents B. examining the abdomen while the pt is lying down and standing C. auscultating for active bowel sounds D. asking the pt to perform the valsalva maneuver D. asking the pt to sit continuously for a few minutes

A,B,C,D

which clinical manifestation would the nurse expect to find during the admission assessment of a pt w/ small bowel obstruction? SATA A. nausea B. vomiting C. ribbon-like stools D. metabolic acidosis E. electrolyte imbalances

A,B,E

which teaching point would the nurse include in a plan of care for a pt w/ gastroenteritis? SATA A. to use medicated cleansing wipes B. to use toilet paper and harsh soaps C. to apply a protective barrier cream to the skin D. to take sitz baths for 10 min 2 or 3x a day E. to clean the genital area w/ cool water

A,C,D

which finding would the nurse assess in a pt w/ acute peritonitis? SATA A. fever B. diarrhea C. vomiting D. tachycardia E. rigid abdomen

A,C,D,E

which instruction would the nurse include when teaching a pt w/ viral hepatitis about care at home? SATA A. don't consume any alcohol B. consume a high-protein diet C. avoid carbonated beverages D. don't drive a car for 1-2 wks E. monitor BP and HR daily F. avoid meds containing acetaminophen

A,F

nurse is caring for a pt who has just returned from an endoscopic procedure. the pt's spouse verbalizes that the pt must be hungry. which action would the nurse take? A. assess for a gag reflex B. request a registered dietician nutritionist consult C. insert a NG tube for feeding D. order food from the cafeteria

A. assess gag reflex

which self-management measure would the nurse teach the pt who has gastritis? A. avoid exposure to lead B. drink decaffeinated coffee C. limit tobacco consumption D. never use NSAIDs

A. avoid exposure to lead

the nurse will insert an NG tube for gastric lavage in a pt who is vomiting blood. which info would the nurse incorporate in planning the intervention? A. a large-bore NG tube is required B. cold water is instilled in volumes of 200-300 mL C. sterile saline must be used rather than tap water D. a sample of gastric contents is aspirated using a 10 mL syringe

A. large-bore NG tube it's required for gastric lavage to accommodate the large volumes of fluid flowing in and out of the tube

which bacteria may cause gastroenteritis? A. shigella species B. gonococcal species C. pneumococcal species D. staphylococcal species

A. shigella

which assessment finding would indicate acute graft rejection for a pt who underwent a liver transplantation surgery and is receiving cyclosporine? A. tachycardia B. hyperventilation C. clay-colored stools D. foul-smelling urine

A. tachycardia acute graft rejection may occur from 4th-10th day after transplant. symptoms include tachycardia, pain in RUQ, and change in bile color

the nurse is caring for a pt w/ a NG tube bc of an intestinal obstruction. which action would the nurse include in the plan of care? SATA A. monitor I&O B. assess for NG tube patency C. irrigate the NG tube every 4 hrs D. secure the NG tube to nostril and gown E. confirm NG tube placement before use

All are correct

while providing care for a pt w/ an abdominal hernia, the nurse understands that which cue noted during the assessment would indicate the hernia is strangulated? SATA A. distended abdomen B. pain level of 9 on a scale of 0-10 C. temp 101.0 F D. four episodes of emesis E. heart rate 112 beats/min

All are correct

about which med would the nurse teach a pt who is newly diagnosed w/ moderate ulcerative colitis? A. azathioprine B. sulfasalazine C. mecraptopurine D. sulfamethoxazole

B

the nurse and registered dietitian nutritionist are planning sample diet menus for a pt who's experiencing dumping syndrome. which sample meal would they recommend for this pt? A. liver and onions B. chicken and white rice C. chicken salad on whole-wheat bread D. cobb salad w/ buttermilk ranch dressing

B

which comfort measure would be included in the plan of care for a pt admitted w/ severe diarrhea who is experiencing skin breakdown from frequent stools? A. applying hydrocortisone cream B. using sitz bath 3x daily C. wearing absorbent cotton underwear D. cleaning the area w/ soap and hot water

B

which instruction would the nurse give a pt when teaching about dietary methods to help manage exacerbations of diverticulitis? A. be sure to maintain an exclusively low-fiber diet to prevent pain on defecation B. consume a low-fiber diet while your diverticulitis is active. when inflammation resolves, consume a high-fiber diet C. maintain a high-fiber diet to prevent the development of hemorrhoids that frequently accompany this condition D. make sure you consume a high-fiber diet while diverticulitis is active. when inflammation resolves, consume a low-fiber diet

B

which instruction would the nurse include when teaching a spouse and pt w/ hep C about preventing the spread of infection? A. drink only bottled water B. don't share toothbrushes C. donate blood only once yearly D. you should use a separate bathroom

B household members should not share any personal items w/ the pt infected such as toothbrush, razor, drinking glasses, drug paraphernalia, or any item where blood or body fluids could be encountered by others

which food would the nurse promote for a postop pt w/ gastric cancer diagnosed w/ dumping syndrome? SATA A. cabbage B. margarine C. dietetic drinks D. sugar substitutes E. diet carbonated drinks

B,C,D

which physiologic change would the nurse expect for a pt w/ severe liver disease who has developed hepatorenal syndrome? SATA A. inc urinary flow B. inc creatinine levels C. inc osmolarity of urine D. inc BUN E. inc urine sodium excretion

B,C,D

which assessment finding would the nurse observe in a pt w/ peritonitis? SATA A. diarrhea B. anorexia C. low-grade fever D. distended abdomen E. inc urine output

B,D pt has high fever, not low-grade fever

which statement made by the pt demonstrates a correct understanding of the instructions given explaining preop and postop care to a pt scheduled for a conventional open herniorrhaphy? A. i will wake up w/ several small incisions B. i need to avoid coughing after the procedure C. i will be discharged w/in 5 hrs of procedure D. i can have food and drinks up until an hr before sugery

B. avoid coughing to prevent pressure on abdominal muscles

a nurse is caring for a pt who underwent total gastrectomy for gastric cancer. the pt reports dizziness, light-headedness, palpitations, excessive sweating, and confusion 2 hrs after eating food. which complication of total gastrectomy would the nurse suspect as the cause of the pt's symptoms? A. pyloric obstruction B. excessive insulin release C. regurgitation of bile in the stomach D. delayed emptying of the stomach

B. excessive insulin release dizziness, light-headedness, palpitations, excessive sweating, and confusion that occurs 90 min - 3 hrs after food intake indicates late dumping syndrome, which is caused by a release of an excessive amt of insulin

which condition may result from H. pylori infection? A. stress ulcer B. gastric ulcer C. crohn disease D. inflammatory bowel disease

B. gastric ulcer

which complication of peptic ulcer disease is more common in older adults? A. perforation B. hemorrhage C. pyloric obstruction D. intractable disease

B. hemorrhage

which instruction would the nurse provide to a pt who is advised to use a truss to treat an inguinal hernia? A. apply lotion beneath the truss B. apply a light layer of powder beneath the truss C. wear the truss while in bed sleeping D. monitor the herniated area weekly for skin changes

B. light layer of powder

which nutritional recommendation will the nurse make when educating the spouse of a pt w/ cirrhosis about the pts diet? A. eat large meals B. include a multivitamin C. prepare high-sodium foods D. drink only small amts of alcohol

B. multivitamin

which organism causes gastroenteritis and is possibly transmitted through the respiratory route in addition to the fecal-oral route? A. shigella B. norovirus C. e. coli D. campylobacter enteritis

B. norovirus

a pt reports pain midway between the anterior iliac crest and the umbilicus in the RLQ. the nurse would document that the pt is experiencing pain in which location? A. rebound point B. appendix point C. McBurney point D. RLQ point

C

which classic symptom is associated with appendicitis? A. unintentional weight loss B. diarrhea C. cramping pain in the epigastric area D. temp greater than 101 F

C

which condition does the nurse suspect in a pt who reports several days of abd pain and has abd distention w/ visible peristaltic waves in the mid-abd, N/V, inability to pass stool, F&E imbalances, and metabolic alkalosis? A. paralytic ileus B. intussusception C. small bowel obstruction D. large bowel obstruction

C

which diet instruction would the nurse give to the pt w/ active hepatitis? A. follow a low-protein, low-fat diet B. consume soft, easy-to-chew foods C. eat small meals at frequent intervals D. eat a normal diet w/ fluid restrictions

C

which food would the nurse exclude from the diet of a pt who has dumping syndrome? A. potatoes B. margarine C. coffee cake D. peanut butter

C

which symptom is most indicative of Crohn Disease? A. epigastric cramping B. hypotension w/ vomiting C. chronic diarrhea, abd pain, fever D. abd pain relieved by bending the knees

C

which statement will the nurse include in the teaching plan about postoperative care for a pt who underwent a hernia repair? A. you should shower daily B. you should eat foods low in fiber C. you should apply ice packs to the surgical area D. you should not sit for long hrs after the surgery

C applying ice packs prevents swelling

which discharge instruction is given to a pt who underwent minimally invasive inguinal hernia repair surgery (MIIHR)? SATA A. consuming foods low in fiber B. returning to work in 3 days C. avoid lifting more than 10 lbs D. checking the incision site for redness E. resting for several days after the surgery

C,D,E

which info is important to collect from a pt who is admitted to the hospital w/ diarrhea to determine the risk for gastroenteritis? SATA A. age B. family C. recent travel D. recent restaurant meals E. food items purchased recently

C,D,E

w pt who's undergone gastric surgery is advised a specific diet to prevent dumping syndrome. which food is acceptable w/ caution? A. sweet rolls B. white breads C. whole-grain breads D. coffee cake

C. whole-grain breads are allowed w/ caution. white breads are allowed or encouraged. breads w/ frosting or jelly, sweet rolls, and coffee cake are to be avoided

a pt presents to the clinic and is diagnosed w/ chronic gastritis. which organism would the nurse suspect as the likely cause? A. streptococcus B. E. coli C. H. pylori D. staph aureus

C. H. pylori it's the most common causative organism of chronic gastritis

which illness is associated w/ RLQ pain? A. sepsis B. peritonitis C. appendicitis D. gastroenteritis

C. appendicitis

which drug is often used to tx gastroenteritis caused by Shigella? A. tinidazole B. loperamide C. ciprofloxacin D. sulfasalazine

C. ciprofloxacin

which pt finding 3 hrs after eating indicates late dumping syndrome? A. pallor B. vertigo C. confusion D. tachycardia

C. confusion it's a symptom of late dumping syndrome, which is caused by he secretion of excessive amts of insulin

nurse is reviewing the meds prescribed for a pt w/ peptic ulcer disease (PUD). which drug treats helicobacter pylori infection? A. nizatidine B. pantoprazole C. metronidazole D. aluminum hydroxide

C. metronidazole it's an antimicrobial

the nurse is caring for a pt who developed a nonmechanical obstruction after undergoing abdominal surgery. which action would the nurse take to improve bowel function? SATA A. give laxative B. provide ice chips C. reposition the pt D. admin alvimopan E. monitor I&O

D. admin alvimopan pt is experiencing paralytic ileus bc of the effects of anesthesia on bowel peristalsis. therefore nurse would give alvimopan to increase GI motility

a pt is diagnosed w/ dumping syndrome. which foods would the nurse recommend that the pt avoid? A. eggs B. canned fruit C. peanut butter D. sweetened juice

D

the nurse is teaching a pt w/ gastroenteritis regarding self-management and hygiene. which statement made by the pt indicates effective learning? A. it's safe to cook meals for my fam B. it's necessary to clean my bathroom once a month C. i should wash hands for 2 min w/ an antibacterial soap D. i must keep my toothbrush and toothpaste separate from others

D

the nurse will make which recommendation when providing dietary teaching to a pt w/ hepatitis? A. restricting fluids to 1500 mL per day B. having a larger meal early in the morning C. limiting alcohol beverages to once weekly D. consuming increased carbs and moderate protein

D

which classic symptom is seen in a pt w peritonitis? A. hematuria B. bradycardia C. severe diarrhea D. abdominal wall rigidity

D

which factors would the nurse inquire about when taking the med hx of a pt w/ suspected appendicitis? A. abd pain that inc w/ cough B. abd pain before N/V C. N/V followed by periods of dizziness D. abd pain followed by N/V

D

which med would be helpful in a pt who has a fistula associated w/ Crohn disease? A. mesalamine B. sulfasalazine C. azithromycin D. metronidazole

D

which response would the nurse use when a pt w/ gastritis asks, "why am i taking this drug called sucralfate?" A. it suppresses the acid in your stomach B. it helps decrease nausea and prevent vomiting C. it helps pain by blocking gastric acid secretions D. it strengthens the mucosal lining of the stomach

D

which sign/symptom does the nurse expect to assess in a pt being evaluated for a possible small bowel obstruction? A. metabolic acidosis B. intermittent lower abdominal cramping C. obstipation D. great amt of vomiting

D

which source of gastroenteritis is the likely cause for a pt who's travelled outside the country? A. overcooked food B. insufficient vaccinations C. bacteria on pt's hands D. ingestion of food from a farmer's market

D

the nurse is instructing a pt experiencing dumping syndrome about dietary intake. which statement by the pt indicates the need for further teaching? A. i will not eat spicy foods B. i will dec my food intake C. i will follow a high-protein, high-fat diet D. i will drink plenty of water w/ meals

D eliminate liquids ingested w/ meals to avoid abdominal distention

which action will the nurse take immediately for a pt w/ severe cirrhosis of the liver who has a urine output of 400 mL for the past 2 days, despite adequate IV fluid amin? A. encourage the pt to increase oral fluid intake B. perform bladder scan to assess for urinary retention C. contact HCP to discuss obtaining a urine culture D. request an order for BUN and serum creatinine levels

D pts w/ cirrhosis may develop hepatorenal syndrome, which is characterized by oliguria of less than 500 mL/day and elevated BUN and creatinine levels

which principles would the nurse include in teaching a pt how to prevent symptoms of dumping syndrome? A. high roughage intake B. liquids along w/ meals C. relatively low fat content D. relatively low carb content

D should implement diet w/ low-to-moderate carb content, fat and protein should be relatively high, low amts of roughage, take liquids 1 hr our more before and after eating

a pt is prescribed sucralfate to tx symptoms of peptic ulcer disease. which info would the nurse include when teaching pt ab this med? A. eat small meal at bedtime to alleviate pain B. moderate amts of wine may be consumed C. take sucralfate along w/ food to help w/ abosorption D. don't take an antacid at the same time as sucralfate

D. antacids may impair the effects of sucralfate

which assessment finding would the nurse report immediately when caring for a pt who has undergone herniorrhaphy? A. coughing B. severe abdominal pain C. swelling in the scrotum D. decreased urine output

D. dec UO

which action would the nurse include in the plan of care for a pt w/ an intestinal obstruction? SATA A. monitor VS B. assess bowel sounds C. insert NG tube D. obtain metabolic panels E. give IV fluids

all are correct