Which of the following terms best describes the pain associated with appendicitis? A. Aching B. Fleeting C. Intermittent D. Steady Correct Answer: D. Steady The pain begins in the epigastrium or periumbilical region, then shifts to the right lower quadrant and becomes steady. The pain may be… Read More »
When teaching a community group about measures to prevent colon cancer, which instruction should the nurse include? A. “Limit fat intake to 20% to 25% of your total daily calories.” B. “Include 15 to 20 grams of fiber into your daily diet.” C. “Get an annual rectal examination after age 35.” … Read More »
Risk factors for the development of Hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications can cause increased abdominal pressure? A. Obesity B. Volvulus C. Constipation D. Intestinal obstruction Correct Answer: A. Obesity Obesity may cause increased abdominal pressure that pushes… Read More »
You observe changes in mentation, irritability, restlessness, and decreased concentration in a patient with cancer of the liver. Hepatic encephalopathy is suspected and the patient is ordered neomycin enemas. Which of the following information in the patient’s history would be a contraindication of this order? A. Left nephrectomy B. Glaucoma in both eyes… Read More »
When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms would the nurse expect to see? Select all that apply. A. Epigastric pain at night B. Relief of epigastric pain after eating C. Vomiting D. Weight loss Correct Answers: C… Read More »
A male client with a peptic ulcer is scheduled for a vagotomy and the client asks the nurse about the purpose of this procedure. Which response by the nurse best describes the purpose of a vagotomy? A. Halts stress reactions B. Heals the gastric mucosa C. Reduces the stimulus to acid secretions… Read More »
What laboratory finding is the primary diagnostic indicator for pancreatitis? A. Elevated blood urea nitrogen (BUN) B. Elevated serum lipase C. Elevated aspartate aminotransferase (AST) D. Increased lactate dehydrogenase (LD) Correct Answer: B. Elevated serum lipase Elevation of serum lipase is the most reliable indicator of pancreatitis… Read More »
Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient? A. Serum creatinine and BUN B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) C. Serum amylase and lipase D. Cardiac enzymes Correct Answer: C. Serum… Read More »
Which of the following symptoms may be exhibited by a client with Crohn’s disease? A. Bloody diarrhea B. Narrow stools C. N/V D. Steatorrhea Correct Answer: D. Steatorrhea Steatorrhea from malabsorption can occur with Crohn’s disease. The inflammatory process caused by Crohn’s disease, especially if it involves… Read More »
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client starts to eat which of the following foods to make the stools less watery? A. Pasta B. Boiled rice C. Bran… Read More »