You promote hemodynamic stability in a patient with upper GI bleeding by: A. Encouraging oral fluid intake. B. Monitoring central venous pressure. C. Monitoring laboratory test results and vital signs. D. Giving blood, electrolyte, and fluid replacement. Correct Answer: D. Giving blood, electrolyte, and fluid replacement. To… Read More »
The nurse is caring for a client who has had a gastroscopy. Which of the following symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply. A. The client complains of a sore throat. B. The client has a temperature of 100*F. C. The… Read More »
The nurse is caring for a female client following a Billroth II procedure. Which postoperative order should the nurse question and verify? A. Leg exercises B. Early ambulation C. Irrigating the nasogastric tube D. Coughing and deep-breathing exercises Correct Answer: C. Irrigating the nasogastric tube. In a… Read More »
A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note: A. Yellow sclera B. Light amber urine C. Circumoral pallor D. Black, tarry stools Correct Answer: A. Yellow sclera Yellow sclera may be the… Read More »
A patient with Crohn’s disease is admitted after 4 days of diarrhea. Which of the following urine-specific gravity values do you expect to find in this patient? A. 1.005 B. 1.011 C. 1.020 D. 1.030 Correct Answer: D. 1.030 The normal range of specific gravity of urine… Read More »
Which of the following symptoms is associated with ulcerative colitis? A. Dumping syndrome B. Rectal bleeding C. Soft stools D. Fistulas Correct Answer: B. Rectal bleeding In ulcerative colitis, rectal bleeding is the predominant symptom. Ulcerative colitis is an idiopathic inflammatory condition of the colon which results… Read More »
The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery? A. Intestinal obstruction B. Fluid and electrolyte imbalance C. Malabsorption of fat D. Folate deficiency … Read More »
You’re preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he’s anxious. What should your initial step be in working with this patient? A. Determine what the patient already knows about colostomies. B. Show the patient some pictures of colostomies. C. Arrange for someone… Read More »
The nurse is providing discharge instructions to a male client following gastrectomy and instructs the client to take which measure to assist in preventing dumping syndrome? A. Ambulate following a meal B. Eat high carbohydrate foods C. Limit the fluid taken with meal D. Sit in a high-Fowler’s position during meals… Read More »
Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: A. A sedentary lifestyle and smoking. B. A history of hemorrhoids and smoking. C. Alcohol abuse and a history of acute renal failure. D. Alcohol abuse and smoking.… Read More »