Path Ch. 36
A client has a disorder with an accessory organ of digestion. Which client is most at risk for significant systemic, life-threatening complications? 1 A client with chronic liver disease 2 A client with chronic pancreas disease 3 A client with chronic gallbladder disease 4 A client with chronic small intestinal disease
1
A client has black, sticky, tarry, foul-smelling stools from digested dark blood. Which term should the nurse use in report to describe this finding? 1 Melena 2 Coffee ground 3 Hematochezia 4 Occult bleeding
1
A client has pancreatic insufficiency. Which assessment finding is typical for this client? 1 Steatorrhea 2 Curling ulcer 3 Bloody stools 4 Cushing ulcer
1
A client with cholelithiasis asks the nurse what cholelithiasis means. Which information is best for the nurse to share with the client? 1 You have gallstones. 2 You have atrophy of the gallbladder. 3 You have inflammation of the gallbladder. 4 You have hypersecretion of bile by the liver.
1
A nurse is caring for a client with dysphagia. The nurse is caring for which client? 1 A client with difficulty swallowing 2 A client with extreme constipation 3 A client with cessation of peristalsis 4 A client with excessive intestinal gas
1
A nurse is talking about a hepatitis that can be acquired from ingesting contaminated food or water and may cause acute fever, abdominal pain, and jaundice but does not lead to chronic hepatitis. Which hepatitis is the nurse describing? 1 Hepatitis A 2 Hepatitis B 3 Hepatitis C 4 Hepatitis D
1
The nurse will teach a client with cancer of the colon about which type of treatment that is most common? 1 Surgery 2 Radiation 3 Herbal therapy 4 Chemotherapy
1
When a client reports jaundice, dark urine, and clay-colored stools, a diagnosis of hepatitis is made. The nurse is caring for the client in which stage of the disease process? 1 Icteric phase 2 Recovery phase 3 Prodromal phase 4 Chronic active hepatitis phase
1
Which assessment finding should the nurse expect to find in a client with cirrhosis of the liver? 1 Ascites 2 Hyperglycemia 3 Pain radiating to the back 4 Difficulty digesting starch and fats
1
Which statement by the client about the manifestations of cirrhosis requires follow-up by the nurse? 1 "If I stop drinking, I will be cured." 2 "I am at increased risk of bleeding." 3 "I may develop swelling in my ankles." 4 "I may have to have fluid removed from my abdomen."
1
A nurse is teaching about the types of hepatitis that can be acquired sexually and cause chronic hepatitis. Which types should the nurse include? Select all that apply. 1 Hepatitis B 2 Hepatitis C 3 Hepatitis D 4 Hepatitis E 5 Hepatitis G
1, 2, 3
Which information from a client indicates teaching was successful by the nurse for risk factors of peptic ulcers? Select all that apply. 1 Advanced age 2 History of alcohol abuse 3 Following a strict vegetarian diet 4 Presence of Helicobacter pylori in the duodenum 5 Long-term use of nonsteroidal anti-inflammatory drugs
1, 2, 4, 5
"The amylase is sky-high," says a nurse in morning report. "Better go see this client first to check the pain level." Pain management is likely an issue for this client because of which pathophysiologic process? 1 Elevated amylase is a false neurotransmitter that indicates end-stage cirrhosis with hepatic encephalopathy. 2 Elevated amylase indicates pancreatic enzymes are autodigesting the pancreas. 3 Elevated amylase is an enzyme that normally is secreted as an inactive proenzyme and digests fat, causing pain. 4 Elevated amylase leads to secretion of histamine that causes itching and severe burning.
2
A client is diagnosed with hematochezia. Which assessment finding confirms this diagnosis? 1 Bloody vomitus 2 Bright red stools 3 Presence of tarry stools 4 Low urine output that is cloudy
2
A client with a hiatal hernia is confused about where the stomach herniates. How should the nurse respond? 1 The stomach protrudes into the rectum. 2 The stomach protrudes through the diaphragm. 3 The stomach protrudes into the pyloric sphincter. 4 The stomach protrudes through the inguinal canal.
2
A client with which disease should be assessed for ascites because it is common with the disease? 1 A client who has gastritis 2 A client who has cirrhosis 3 A client who has pancreatitis 4 A client who has acute hepatitis
2
Which assessment finding should a nurse report most urgently to a primary healthcare provider? 1 A client previously diagnosed with hepatitis B is very tired again this morning. 2 A client previously diagnosed with duodenal ulcer developed hematemesis this morning. 3 A client previously diagnosed with cirrhosis has laboratory test results this morning that show hypoalbuminemia. 4 A client previously diagnosed with dysphagia is having difficulty swallowing this morning.
2
Which client is most predisposed to acute fulminating hepatitis? 1 A client with hepatitis A 2 A client with hepatitis B 3 A client with hepatitis D 4 A client with hepatitis E
2
Which client would be considered obese? 1 A client with a body mass index of 5 2 A client with a body mass index of 35 3 A client with a body mass index of 25 4 A client with a body mass index of 15
2
A client experiences chronic intermittent pain in the epigastric area when the stomach is empty and in the middle of the night. Which diagnosis will the nurse most likely see documented on the chart? 1 Gastric ulcer 2 Acute gastritis 3 Duodenal ulcer 4 Chronic gastritis
3
A client has chronic pancreatitis. Which common cause of chronic pancreatitis should the nurse consider when planning care for this client? 1 Gallstones 2 Viral infection 3 Alcohol abuse 4 Bacterial infection
3
A client has cirrhosis of the liver and has bleeding tendencies. How should the nurse interpret this finding? 1 The client has decreased vitamin E. 2 The client has decreased vitamin D. 3 The client has decreased vitamin K. 4 The client has decreased vitamin A.
3
A client has lactase deficiency. Which assessment findings will the nurse typically observe? 1 Jaundice after eating red meat 2 Constipation after eating cheese 3 Cramping and diarrhea after drinking milk 4 Gas and bloating after eating a high-fat meal
3
A client has poor vitamin A absorption. What should the nurse monitor for in this client? 1 Petechiae 2 Osteoporosis 3 Night blindness 4 Neurologic defects
3
A client is diagnosed with hepatitis B. How is this disease transmitted? 1 By sneezing 2 By coughing 3 By sexual contact 4 By the fecal-oral route
3
A client with an inflamed gallbladder (cholecystitis) presents with pain in the right scapula. What type of pain will the nurse report the client is experiencing? 1 Motility 2 Parietal 3 Referred 4 Secretory
3
Helicobacter pylori is discovered in the gastrointestinal tract of a client experiencing an inflammation of the gastric mucosa. Which term should the nurse use to describe the inflammation of the gastric mucosa? 1 Ileus 2 Diarrhea 3 Gastritis 4 Obstruction
3
The nurse is assessing a client with suspected congestive splenomegaly caused by portal hypertension. Which clinical manifestation would be consistent with this condition? 1 Flatulence 2 Encephalopathy 3 Thrombocytopenia 4 Elevated serum lipase
3
Which client is predisposed to a paralytic ileus? 1 A client with diarrhea 2 A client with vomiting 3 A client after abdominal surgery 4 A client after gastroesophageal reflux
3
Which client is predisposed to developing colon cancer? 1 A client with hiatal hernia 2 A client with duodenal ulcers 3 A client with ulcerative colitis 4 A client with dumping syndrome
3
Which clinical manifestation should the nurse expect to observe in a client with ascites? 1 Soft abdomen 2 Hematemesis 3 Increased abdominal girth 4 Decreased respiratory rate
3
A 20-year-old client presents with periumbilical pain, fever, and loss of appetite. The primary healthcare provider determines the client has appendicitis. Which area (see diagram) should the nurse choose to illustrate the primary site of inflammation? 3709421234 1 Area 1 2 Area 2 3 Area 3 4 Area 4
4
A client has portal hypertension with ascites. Which pathophysiologic process for ascites should the nurse remember when planning care for this client? 1 Bacteria causes inflammation that decreases mesenteric capillary permeability. 2 Esophageal varices form in the lower esophagus, placing pressure on arteries. 3 Reduced hepatic lymph production causes weeping into the peritoneal cavity. 4 Hepatic capillary hydrostatic pressure exceeds hepatic capillary osmotic pressure.
4
A client presents with midepigastric pain and vomiting. The client is hyperglycemic and tachycardic. The client reports, "I admit that I'm a heavy drinker, but I've never had problems like this before." The nurse is caring for which client? 1 A client with appendicitis 2 A client with cholecystitis 3 A client with cholelithiasis 4 A client with acute pancreatitis
4
Where should the nurse observe for ascites in a client? 1 In the face 2 In the feet 3 In the ankles 4 In the abdomen
4
Which term should the nurse use to describe a client's fatty stool? 1 Motility 2 Osmotic 3 Bloating 4 Steatorrhea
4
