During the initial assessment of a patient post-endoscopy, the nurse notes absent bowel sounds, tachycardia, and abdominal distention. The nurse would anticipate: A. Ischemic bowel B. Peritonitis C. Hypovolemic shock D. Perforated bowel Correct Answer: D. Perforated bowel Invasive diagnostic testing can cause perforated bowel. Perforation is… Read More »
Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is a priority for her? A. Obtain daily weights. B. Measure abdominal girth. C. Keep strict intake and output. D. Encourage her to increase fluids. Correct Answer: B. Measure abdominal girth. Measuring… Read More »
Which of the following treatments is used for rectal cancer but not for colon cancer? A. Chemotherapy B. Colonoscopy C. Radiation D. Surgical resection Correct Answer: C. Radiation A client with rectal cancer can expect to have radiation therapy in addition to chemotherapy and surgical resection of… Read More »
Which of the following nursing diagnoses is appropriate for a patient receiving famotidine (Pepcid)? A. Increased risk for infection due to immunosuppression. B. Potential risk for bleeding related to thrombocytopenia. C. Alteration in urinary elimination related to retention. D. Alteration in tissue perfusion related to hypertension. Correct… Read More »
Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis? A. Administration of antibiotics. B. Assessment for complications. C. Preparation for lithotripsy. D. Preparation for surgery. Correct Answer: B. Assessment for complications. The client with acute cholecystitis should… Read More »
Nurse Farrah is providing care for Kristoff who has jaundice. Which statement indicates that the nurse understands the rationale for instituting skin care measures for the client? A. “Jaundice is associated with pressure ulcer formation.” B. “Jaundice impairs urea production, which produces pruritus.” C. “Jaundice produces pruritus due to impaired bile acid… Read More »
Which of the following tests can be useful as a diagnostic and therapeutic tool in the biliary system? A. Ultrasonography B. MRI C. Endoscopic retrograde cholangiopancreatography (ERCP) D. Computed tomography scan (CT scan) Correct Answer: C. Endoscopic retrograde cholangiopancreatography (ERCP) ERCP permits direct visualization of the pancreatic… Read More »
Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient? A. TPN B. PPN C. NG feeding D. Oral liquid supplements Correct Answer: C. NG feeding Because the GI tract is… Read More »
Which of the following conditions is most likely to directly cause peritonitis? A. Cholelithiasis B. Gastritis C. Perforated ulcer D. Incarcerated hernia Correct Answer: C. Perforated ulcer The most common cause of peritonitis is a perforated ulcer, which can pour contaminates into the peritoneal cavity, causing inflammation… Read More »
Histamine2-receptor antagonists: A. Compete with histamine for binding sites on the parietal cells. B. Irreversibly bind to H+/K+ATPase. C. Cause a decrease in stomach pH. D. Decrease signs and symptoms of allergies related to histamine release. Correct Answer: A. Compete with histamine for binding sites on the… Read More »