Gastro final exam

Which assessment would indicate possible gallbladder disease in an older adult?

. Dull pain in the right upper quadrant region

A nurse is caring for a client who had a cholecystectomy and has a T-tube drain which of the following actions should the nurse take ?

. place the client into Fowler's position

The 100 lb patient who has been exposed to hepatitis A to receive an injection of immune serum globulin what should the dose (.02 Ml/kg ) be?

0.9ML

A nurse is administering several medications via a client gastrostomy I wish of the following times at the Nurse install 15 to 30 ml of warm water select all that apply

After each medication/ prior to administering each medication// after giving multiple medication

Factors that are most commonly associated with pancreatitis

Alcoholism and biliary tract disease

a nurse is caring for a client who has a history of pancreatitis. Shut the following food choices should the client avoid

Cheddar cheese

A patient had a colonoscopy which showed a cobble stone appearance of the gi lining this is found in

Crohns disease

You are receiving shift report on a patient with cirrhosis. The nurse tells you the patient's bilirubin levels are very high. Based on this, what assessment findings may you expect to find during your head-to-toe assessment? Select all that apply:*A. Frothy light-colored urine

Dark brown urine/Yellowing of the sclera/ Jaundice of the skin

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites which of the following interventions but the nurse recommend for inclusion in the plan of care

Decreases the client fluid intake

A nurse is contributing to teaching plan about to prevention of hepatitis A the nurse should include that which of the following activities can spread hepatitis A

Eating uncooked food

A nurse is preparing to administer a bolus external feeding to a client who has gastronomy tube which of the following actions should the nurse take first

Elevate head of the bed

ML patient complains that he will never adjust to colostomy which is the best action for the nurse and the situation

Encourage him to express his concern

A nurse is collecting data from a client who has obstruction and inflammation of the common Bile duct due to cholelithiasis which of the following is expected for this condition ?

Fatty stools

A nurse is caring for a client who has cirrhosis of the liver with ascites which of the following interventions should the nurse take

Increase daily calorie intake

A nurse is contributing to a plan of care for a client who has Hepatitis B. Which of the following should the nurse include in the plan?

Limit activity

A school age child in an emergency department has a 2 day history of nausea and vomiting reports severe right lower quadrant pain nurse is preparing for an appendectomy which of the following statements by child should the nurse find most concerning

My belly doesn't hurt anymore

A nurse is preparing to administer pancrelipase to a client who has pancreatitis which of the following actions should the nurse take

Offer 8 oz of water following medication administration

A nurse is preparing to administerpancrelipase to a client who haspancreatitis. Which of the followingactions should the nurse take?

Offer 8 oz of water following medication amortization

The following are risk factors for developing esophageal varices except

Pregnancy am not sure about this answer

A nurse is collecting a health history from a client which of the following are client data set the nurse identify as a risk factor for contracting hepatitis C

Presence of multiple tattoos

A nurse is assisting with the plan of care for a client who has viral hepatitis which of the following action should the nurse include in the plan

Provide periods of rest

which of the following are indicators of colorectal cancer select all that apply

Rectal bleeding/ cramps Constant diarrhea /anemia

A nurse is assisting with the care of a client who has cirrhosis of the liver with ascites which of the following action should the nurse take

Restrict foods high in protein

A nurse is reinforcing teaching with a client who has Cholecystitis about required dietary modifications which of the following food choices shut the nurse informed the client to include in his diet

Roast turkey

A 56-year-old man is a admitted it to the emergency room with an acute attack of diverticulitis the patient how's the temperature of 102 and has an elevated white count which assessment would alert the nurse to impending septic shock?

Tachycardia

How should the nurse counsel the 34 year old woman who has been prescribed sulfasalazine for crohn disease select all that apply

Tell her to drink at least 1500 mL of fluid a day/ advise assessing self for rash /use alternate birth control methods to oral contraception

A nurse is reinforcing discharge teaching with a client who has acute pancreatitis and a prescription for fat soluble vitamin supplements which of the following supplements should the nurse include is the teaching

Vitamin a

the post cholecystectomy client asks asks the nurse when the t tube will be removed what response by the nurse would be appropriate?

When your stool returns to normal brown color the tube can be removed which will be in about two weeks

the home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence diarrhea and nausea which of the following is the most appropriate suggestion to lessen these symptoms

a eat a diet high in fiber content

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

amber

The patient with cirrhosis has a rising ammonia level and is becoming disoriented the patient waves to the nurse as she enter the room how should the nurse interpret this

as asterixis

A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn's disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

both illnesses are inflammatory in nature

the administration of neomycin (mycifradin) helps reduce the production of ammonia thru

by Decreasing the bacteria in the gut

What should the nurse explain in the major purpose of the sengstaken blaemore tube (s/b tube )?

control esophageal varices bleeding

you are receiving shift report on a patient with cirrhosis the nurse tells you that a patient bilirubin levels are very high based on this assessment findings you expect to find during head to toe assessment select all that apply

dark stool/ jaundice of the skin or yellow skin /dark urine

the patient with cirrhosis has albumin of 2.8 g/dl the nurse is aware that normal is 3.5 g/dl to 5 g/dl based on these findings what would the nusre expect the patient to exhibit

edema

the patients cirrhosis of the liver has also caused a dilation of the veins of the lower

esophageal varices

Because bowel Contents from ileostomy are virtually liquid what should the nurse include in the plan of care

evaluation and assessment of peristomal skin integrity

which of the following are indicators of colorectal cancer select all that apply

excessive flatulence / cramps/ cachexia / anemia

what is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis

have patient void immediately before procedure

the nurse would make provisions in the plan of care for a person who has a liver transplant to prevent

infection

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

low iron in the diet

why are esophageal varices dangerous ? choose the best answer

may rupture and bleed

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

purplish colored stoma

a nurse is caring for a client who is 3 day postoperative following a cholecystectomy the nurse suspect the client wound is infected because the drainage from the dressing is yellow and thick which of the following finding should the nurse report as the type of drainage found

purulent

when caring for an extremely jaundiced patient with cirrhosis what should the nurse include provisions for in the plan of care

skin care to relieve pruritus

a nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy which of the following a laparoscopic cholecystectomy which of the following statement should the nurse make?

the pain will dissi[ate if you ambuate frequently

which bowel disease starts in the rectum and migrates in a continuous fashion throughout the colon?

ulcerative colitis