ch27 review

The nurse is obtaining a history of a patient with hepatitis A. Which question is most appropriate for the nurse to ask?

"Do you eat shellfish or oysters often?"

The nurse is performing preprocedure teaching for a patient scheduled to undergo a liver biopsy. After listening to the information, the patient states, "I am so scared. I just don't know if I can do this procedure." Which response is best?

"I understand that you are afraid. Tell me more about your concerns."

The nurse is caring for a patient who complains, "I don't see why I can't have a CT scan instead of the expensive MRI!" Which response is most appropriate for the nurse to make?

"The MRI provides better contrast between normal and pathologic tissue."

The nurse is reviewing a student nurse's charting and notes that the student has documented absent bowel sounds. The nurse reminds the student that in order to document absent bowel sounds, one must auscultate each quadrant at what period of time?

5 minutes

The nurse is caring for multiple patients. The nurse determines that which patient has the highest risk for developing gallstones?

A 50-year-old obese Mexican American woman who has type 1 diabetes.

The nurse is caring for a patient who returns to the floor at lunch time after undergoing an upper GI (UGI series). Which action is most important for the nurse to perform first?

Administer a laxative.

The nurse is caring for a patient scheduled to have an MRI study. Which instruction(s) should the nurse include in the teaching?

All metal objects, including dental bridges, jewelry, and body piercings, must be removed. A radiopaque medium may be injected during the procedure. There may be a tingling sensation in metal alloy filling of the teeth.

The nurse is caring for a patient who has been experiencing severe diarrhea and can now resume solid foods. The nurse educates the patient about appropriate food choices. Which food choice indicates that the nurse's teaching has been successful?

Applesauce

The nurse is caring for a patient with anorexia nervosa. Which intervention(s) might the nurse use to stimulate appetite?

Arrange for preferred foods to be served. Encourage family members to bring food from home. Suggest that family members or friends come and socialize during the meal. Allow ample time to eat and enjoy the meal.

The nurse is caring for a patient who is complaining of postoperative gas pain. What intervention should nurse implement?

Assist the patient with ambulation.

The nurse is preparing to administer liquid laxative to a patient in preparation for a colonoscopy. Which action should the nurse take?

Chill the laxative and pour it over ice.

Which action(s) should the nurse recommend to promote a patient's bowel health?

Exercise regularly. Include adequate bulk in the diet. Drink adequate water. Defecate at approximately the same time every day.

The nurse is reviewing the laboratory results of an assigned patient. The serum bilirubin is 2.8 mg/dL. The nurse anticipates that the patient's urine will display which finding?

Dark color

The nurse explains that the older adult is prone to digestive disorders related to which age-related change(s)?

Decreased hydrochloric acid Inadequate chewing Diminished intestinal motility Gastroesophageal sphincter incompetence

When assessing a patient's bowel sounds, nurse auscultates loud bowel sounds in each quadrant every 3 seconds. The nurse understands that these findings could indicate that the patient is experiencing which condition?

Diarrhea

The nurse is talking with a patient who has been experiencing nausea and vomiting. The patient indicates an interest in using alternative therapies for the condition. Which product may aid in nausea management?

Ginger

The nurse is assessing a patient's bowel sounds. After auscultating each quadrant for 30 seconds, the nurse fails to hear any sounds. How should the nurse document this finding?

Hypoactive bowel sounds

During a morning assessment, the nurse observes that a patient displays bulging flanks when supine with the knees flexed. Which action should the nurse take next?

Measure the patient's abdominal girth.

The nurse caring for an 80-year-old woman who is undergoing the extensive bowel preparation for a colonoscopy. The nurse should most closely monitor the patient for which potential complication?

Metabolic acidosis

The nurse cautions that constant stress can cause which alteration to the gastrointestinal (GI) system?

Increased digestive juices resulting in a gastric ulcer

The nurse is planning care for a patient who has experienced moderate diarrhea for 3 days. Which collaborative intervention is most important to include in the plan of care?

Limit the patient's diet to clear liquids.

The home health nurse is caring for the patient with tuberculosis who is taking rifampin and isoniazid (INH). The nurse should carefully monitor the patient for which potential side effect?

Liver disorders

Before a nurse can document the presence of diarrhea, which criteria must be met?

Multiple liquid or semiliquid stools in a 24-hour period Hyperactive bowel sounds Cramping

Which factor(s) increase the risk for developing pancreatic cancer?

Obesity Diabetes mellitus (DM) Smoking

The nurse is caring for a patient immediately following a liver biopsy. Which actions are appropriate for the nurse to take?

Position the patient on the right side. Assess the patient's pain. Monitor vital signs every 15 minutes for the first hour.

The nurse caring for the patient who has diarrhea from taking a protocol of oral amoxicillin will use __________ Precautions in the care.

Standard

The nurse is percussing a patient's abdomen and hears a dull thud in the right upper quadrant. This sound indicates that nurse is percussing over which location?

The liver