GI/GU AQ

The primary health care provider suspects pituitary gland dysfunction in a female client. The nurse anticipates that which diagnostic test will be prescribed? 1 Estradiol test 2 Prolactin test 3 Sims-Huhner test 4 Papanicolaou (Pap) test

2

Which action would the nurse include in the plan of care for a client after pelvic surgery? 1 Encouraging the client to ambulate in the hallway 2 Elevating the client's legs by raising the bed's knee support 3 Providing passive range of motion to the client's legs 4 Maintaining the client on bed rest until the bandages are removed

1

The nurse is providing preoperative education to a client scheduled for orthopedic surgery at 8:00 AM the next day. Which instruction would the nurse include? 1 "Have your dinner completed by 6:00 PM tonight and then no food or fluids after that." 2 "Drink whatever liquids you want tonight and then only clear liquids tomorrow morning." 3 "Consume a light evening meal tonight and then no food or fluids after midnight." 4 "Eat lunch today and then do not drink or eat anything until after your surgery."

3

A client is admitted to the hospital with ascites. The client reports drinking a fifth (750 mL) of vodka mixed in orange juice every day for the past 3 months. To assess the potential for withdrawal symptoms, which question is important for the nurse to ask the client? 1 "When was your last drink of vodka?" 2 "What prompts your drinking episodes?" 3 "Do you also eat when you drink?" 4 "Why do you mix the vodka with orange juice?"

1

The nurse is caring for a client who has cancer of the rectum and is scheduled for an abdominoperineal resection with creation of a colostomy. For which type of surgery would the nurse prepare the client? 1 Permanent sigmoid colostomy 2 Permanent ascending colostomy 3 Temporary double-barrel colostomy 4 Temporary transverse loop colostomy

1

A client is admitted with the diagnosis of acute pancreatitis. Which clinical manifestations would the nurse assess in the client? Select all that apply. One, some, or all responses may be correct. 1 Jaundice 2 Acute pain 3 Hypertension 4 Hypoglycemia 5 Increased amylase

1 2 5

A client is admitted to the hospital for a laparoscopic cholecystectomy. Which item would the nurse encourage the client to add to the diet to help normalize bowel function after surgery? 1 Vitamins 2 Whole bran 3 Cod liver oil 4 Amino acids

2

Which action would the nurse take to assess for ascites? 1 Observe the client for signs of respiratory distress. 2 Percuss the client's abdomen and listen for dull sounds. 3 Palpate the lower extremities over the tibia and observe for pitting. 4 Auscultate for the absence of bowel sounds in the abdomen.

2

A client diagnosed with sexual dysfunction states, "Well, I guess my sex life is over." Which response would the nurse use as a reply? 1 "I'm sorry to hear that." 2 "Oh, you have a lot of good years left." 3 "You are concerned about your sex life?" 4 "Have you asked your primary health care provider about that?"

3

After a transurethral vaporization of the prostate, the client returns to the unit with an indwelling urinary catheter and a continuous bladder irrigation. The client reports the need to urinate. What would the nurse do first? 1 Encourage the client to drink fluids. 2 Review the client's intake and output. 3 Assess that the tubing attached to the collection bag is patent. 4 Explain that the balloon inflated in the bladder causes this feeling.

3

Which clinical manifestation would the nurse expect a client with diabetes insipidus to exhibit? 1 Increased blood glucose 2 Decreased serum sodium 3 Increased specific gravity 4 Decreased urine osmolarity

4