A client being treated for chronic cholecystitis should be given which of the following instructions? A. Increase rest. B. Avoid antacids. C. Increase protein in diet. D. Use anticholinergics as prescribed. Correct Answer: D. Use anticholinergics as prescribed. Conservative therapy for chronic cholecystitis includes weight reduction by… Read More »
Which rationale supports explaining the placement of an esophageal tamponade tube in a client who is hemorrhaging? A. Allowing the client to help insert the tube B. Beginning teaching for home care C. Maintaining the client’s level of anxiety and alertness D. Obtaining cooperation and reducing fear … Read More »
To inhibit pancreatic secretions, which pharmacologic agent would you anticipate administering to a patient with acute pancreatitis? A. Nitroglycerin B. Somatostatin C. Pancrelipase D. Pepcid Correct Answer: B. Somatostatin Somatostatin, a treatment for acute pancreatitis, inhibits the release of pancreatic enzymes. Somatostatin produces predominantly neuroendocrine inhibitory effects… Read More »
Your patient is complaining of abdominal pain during assessment. What is your priority? A. Auscultate to determine changes in bowel sounds. B. Observe the contour of the abdomen. C. Palpate the abdomen for a mass. D. Percuss the abdomen to determine if fluid is present. Correct Answer:… Read More »
Which of the following symptoms would a client in the early stages of peritonitis exhibit? A. Abdominal distention B. Abdominal pain and rigidity C. Hyperactive bowel sounds D. Right upper quadrant pain Correct Answer: B. Abdominal pain and rigidity Abdominal pain-causing rigidity of the abdominal muscles is… Read More »
Proton pump inhibitors cause: A. Gastric ulcer formation B. GERD C. Achlorhydria D. Diverticulosis Correct Answer: C. Achlorhydria Because the proton pump inhibitors stop the final step of acid secretion, they can block up to 90% of acid secretion, leading to achlorhydria (without acid). Achlorhydria or hypochlorhydria… Read More »
The client with a duodenal ulcer may exhibit which of the following findings during an assessment? A. Hematemesis B. Malnourishment C. Melena D. Pain with eating Correct Answer: C. Melena The client with a duodenal ulcer may have bleeding at the ulcer site, which shows up as… Read More »
For Rico who has chronic pancreatitis, which nursing intervention would be most helpful? A. Allowing liberalized fluid intake B. Counseling to stop alcohol consumption C. Encouraging daily exercise D. Modifying dietary protein Correct Answer: B. Counseling to stop alcohol consumption. Chronic pancreatitis typically results from repeated episodes… Read More »
Your patient’s ABG reveals an acidic pH, an acidic CO2, and a normal bicarbonate level. Which of the following indicates this acid-base disturbance? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis Correct Answer: A. Respiratory acidosis A pH of 7.35 indicates acidosis, as… Read More »
Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next? A. Discontinue the procedure. B. Lower the height of the enema container. C. Complete the procedure as quickly as possible. D. Continue administration of the enema as ordered without… Read More »