Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote an order for 5mg of I.V. diazepam(Valium). Which order is correct regarding diazepam? A. Give diazepam in the I.V. port closest to the vein. B. Mix diazepam with 50 ml of dextrose 5% in water and give it over 15… Read More »
The nurse is reviewing the physician’s orders written for a male client admitted to the hospital with acute pancreatitis. Which physician order should the nurse question if noted on the client’s chart? A. NPO status B. Nasogastric tube inserted C. Morphine sulfate for pain D. An anticholinergic medication … Read More »
Which diagnostic test would be used first to evaluate a client with upper GI bleeding? A. Endoscopy B. Upper GI series C. Hemoglobin (Hb) levels and hematocrit (HCT) D. Arteriography Correct Answer: A. Endoscopy Endoscopy permits direct evaluation of the upper GI tract and can detect 90%… Read More »
You’re developing the plan of care for a patient experiencing dumping syndrome after a Billroth II procedure. Which dietary instructions do you include? A. Omit fluids with meals. B. Increase carbohydrate intake. C. Decrease protein intake. D. Decrease fat intake. Correct Answer: A. Omit fluids with meals.… Read More »
Crohn’s disease can be described as a chronic relapsing disease. Which of the following areas in the GI system may be involved with this disease? A. The entire length of the large colon. B. Only the sigmoid area. C. The entire large colon through the layers of mucosa and submucosa. D.… Read More »
The nurse is performing colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action? A. Notify the physician. B. Increase the height of the irrigation. C. Stop the irrigation temporarily. D. Medicate with dilaudid and… Read More »
A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication? A. The client complains of a sore throat. B. The client displays signs of sedation. C. The client experiences a sudden increase in… Read More »
Annabelle is being discharged with a colostomy, and you’re teaching her about colostomy care. Which statement correctly describes a healthy stoma? A. “At first, the stoma may bleed slightly when touched.” B. “The stoma should appear dark and have a bluish hue.” C. “A burning sensation under the stoma faceplate is normal.”… Read More »
A female client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which instruction for the client to follow before the test? A. Fast for 8 hours before the test B. Eat a regular supper and breakfast C. Continue to… Read More »
A female client who has just been diagnosed with hepatitis A asks, “How could I have gotten this disease?” What is the nurse’s best response? A. “You may have eaten contaminated restaurant food.” B. “You could have gotten it by using I.V. drugs.” C. “You must have received an infected blood transfusion.”… Read More »