question

The nurse is performing and documenting the findings of an abdominal assessment. When the nurse hears intestinal rumbling and the patient then experiences diarrhea, the nurse documents the presence of which of the following?

answer

Borborygmus

question

A longitudinal tear or ulceration in the lining of the anal canal is termed a (an

answer

Anal Fissure

question

In women, which of the following types of cancer exceeds colorectal cancer?

answer

Breast Cancer

question

A nurse is helping to plan a teaching session for a client who will be discharged with a colostomy. Which statement describes a healthy stoma?

answer

At first the stoma may bleed a little when touched

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A client is admitted to the hospital for diagnostic testing to rule out colorectal cancer. Which intervention should the nurse include on the plan of care?

answer

Test all stools for occult blood

question

The nurse is performing a community screening for colorectal cancer. Which of the following characteristics should the nurse include in the screening?

answer

Familial polyposis

question

The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike. What complication does the nurse determine may be occurring at this time?

answer

Peritonitis

question

Which of the following is the most common presenting symptom of colon cancer?

answer

Change in bowel habits

question

Patient's medications is digitalis (digoxin [Lanoxin]), the nurse monitors the patient closely for which of the following?

answer

Hypokalemia

question

A patient with an ileostomy should avoid which of the following?

answer

Enteric-coated products

question

Which of the following is the most common symptom of a polyp?

answer

Rectal Bleeding

question

Diet therapy for patients diagnosed with IBS include what?

answer

High-fiber diet

question

When interviewing a client with internal hemorrhoids, which of the following would the nurse expect the client to report?

answer

Rectal Bleeding

question

The nurse is reviewing the laboratory test results of a client with Crohn's disease. Which of the following would the nurse most likely find?

answer

Stool cultures negative for microorganisms or parasite

question

Nursing assessment of a client with peritonitis reveals hypotension, tachycardia, and signs and symptoms of dehydration. The nurse also expects to find:

answer

severe abdominal pain with direct palpation or rebound tenderness

question

Celiac sprue is an example of which category of malabsorption?

answer

Mucosal disorders causing generalized malabsorption

question

What is one of the primary symptoms of irritable bowel syndrome (IBS)?

answer

Diarrhea

question

The digestion of carbohydrates is aided by what?

answer

amylase

question

A nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct?

answer

Maintain a high-carbohydrate, low-fat diet

question

When caring for a client with acute pancreatitis, the nurse should use which comfort measure?

answer

positioning patient on the side with knees flexed

question

Increased appetite and thirst may indicate that a client with chronic pancreatitis has developed diabetes melitus. Which of the following explains the cause of this secondary diabetes?

answer

Dysfunction of pancreatic islet cells

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The nurse is planning care for a patient following an incisional cholecystectomy for cholelithiasis. Which of the following interventions is the highest nursing priority for this patient?

answer

Assisting client to turn, cough, and deep breath every 2hrs

question

A patient with acute pancreatitis has been started on total parenteral nutrition (TPN). Following the administration of the TPN, which of the following should the nurse plan to monitor?

answer

Blood glucose levels every 4 to 6 hours

question

A client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:

answer

yellow sclerae

question

Which of the following conditions in a patient with pancreatitis makes it necessary for the nurse to check fluid intake and output, hourly urine output, and monitor electrolyte levels?

answer

Frequent vomiting leading to loss of fluid volume

question

A nurse has admitted a client suspected of having acute pancreatitis. The nurse knows that mild acute pancreatitis is characterized by:

answer

Edema and inflammation

question

Which of the following enzymes aids in the digestion of fats?

answer

Lipase

question

Which of the following is clinical manifestation of cholelithiasis?

answer

Clay-colored stools

question

Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones. Which duration of therapy is required to dissolve the stones?

answer

6 to 12 months

question

Which of the following conditions is most likely to involve a nursing diagnosis of fluid volume deficit?

answer

Pancreatitis

question

The primary source of microorganisms for catheter-related infections are the skin and which of the following?

answer

Catheter Hub

question

A patient is receiving continuous tube feedings via a small bore feeding tube. The nurse irrigates the tube after administering medication to maintain patency. Which size syringe would the nurse use?

answer

30mL

question

A client who can't tolerate oral feedings begins receiving intermittent enteral feedings. When monitoring for evidence of intolerance to these feedings, the nurse must remain alert for:

answer

Diaphoresis, vomiting, diarrhea

question

Semi-Fowler's position is maintained for at least which time frame following completion of an intermittent tube feeding?

answer

1 hour

question

An elderly client states, "I don't understand why I have so many caries in my teeth." The nurse assesses the following as placing the client at risk:

answer

Exhibiting hemoglobin AIC 8.2

question

Cancer of the esophagus is most often diagnosed by which of the following?

answer

Esophagogastroduodenoscopy (EGD) with biopsy and brushing

question

Which of the following medications, used in the treatment of GERD, accelerate gastric emptying?

answer

Metoclopramide(Reglan)

question

Which of the following ulcers is associated with extensive burn injury?

answer

Curling's Ulcer

question

A client experienced extensive burns and 72 hours later has developed an ulcer. Which of the following types of ulcer is most likely in this client?

answer

Curling's Ulcer

question

Which of the following are classified as a histamine-2 receptor antagonist?

answer

Pepcid

question

Which of the following is considered an isotonic solution?

answer

0.9% normal saline

question

The nurse is assigned a client with calcium level of 4.0 mg/dL. Which system assessment would the nurse ask detailed questions?

answer

Neurological (because that would indicate hypocalcemia)

question

Patients diagnosed with hypervolemia should avoid sweet or dry food because

answer

It increases the patients desire to consume fluid

question

Which foods should be avoided following acute gallbladder inflammation?

answer

Cheese

question

A patient with acute pancreatitis has been started on total parenteral nutrition (TPN). Following the administration of the TPN, which of the following should the nurse plan to monitor?

answer

Blood glucose every 4 to 6 hours

question

A nurse is caring for a client diagnosed with cholelithiasis. Which of the following would be most appropriate for a client who is experiencing biliary colic?

answer

Administer analgesic to the client

question

Which diagnostic produces images of the body by detecting the radiation emitted from radioactive substances?

answer

Positron emission tomography (PET)

question

A client with a history of peptic ulcer disease is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?

answer

Prepare for nasogastric irrigations

question

The nurse is caring for patient scheduled to undergo radical neck dissection. During preoperative teaching, the nurse includes that which of the following as associated complications?

answer

Shoulder drop

question

A client with achalasia recently underwent pneumatic dilation. The nurse intervenes after the procedure by

answer

Assessing lung sounds

question

Morbid obesity is defined as being how many pounds over the person's ideal body weight?

answer

100

question

Which diagnostic test would be used first to evaluate a client with upper GI bleeding?

answer

Hemoglobin and hematocrit

question

What is the most appropriate nursing diagnosis for the client with acute pancreatitis?

answer

Deficient fluid volume

question

Which foods should be avoided following acute gallbladder inflammation?

answer

Cheese

question

A client hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis?

answer

light-headedness or paresthesia

question

he nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

answer

Radiography of the Gallbladder

question

A physician suspects that a client has peptic ulcer disease. With which of the following diagnostic procedures would the nurse most likely prepare to assist?

answer

Endoscopy

question

The client has been taking famotidine (Pepcid) at home. The nurse prepares a teaching plan for the client indicating that the medication acts primarily to achieve which of the following?

answer

Inhibit gastric acid secretions

question

A patient who has undergone colostomy surgery is experiencing constipation. Which of the following interventions should a nurse consider for such a patient?

answer

Suggest fluid intake of 2L per day

question

Which of the following is the major cause of morbidity and mortality in patients with acute pancreatitis?

answer

Pancreatic necrosis

question

To confirm an acid-base imbalance, it is necessary to assess which of the following findings from the results of a client's arterial blood gas (ABG) results?

answer

pH , PaCO2, HCO3

question

A 57-year-old homeless female with a history of alcohol abuse has been admitted to your hospital unitwith signs and symptoms of hypovolemia—minus the weight loss. She exhibits a localized enlargement of her abdomen. What condition could she be presenting?

answer

Third-spacing

question

A client has a respiratory rate of 38 breaths/min. What effect does breathing faster have on arterial pH level?

answer

Increases arterial pH

question

Which sign suggests that a client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?

answer

Jugular vein distention

question

Which nerve is implicated in the Chvostek's sign?

answer

Facial

question

Oral intake is controlled by the thirst center, located in which of the following cerebral areas?

answer

Hypothalamus

question

To compensate for decreased fluid volume (hypovolemia), the nurse can anticipate which response by the body?

answer

Tachycardia

question

A client has a serum calcium level of 7.2 mg/dl. During the physical examination, the nurse expects to assess:

answer

Troussaui's sign

question

A priority nursing intervention for a client with hypervolemia involves which of the following?

answer

Monitoring respiratory status for signs and symptoms of pulmonary complications

question

Which type of diarrhea is caused by increased production and secretion of water and electrolytes by the intestinal mucosa into the intestinal lumen?

answer

Secretory Diarrhea

question

A client suspected of having colorectal cancer requires which diagnostic study to confirm the diagnosis?

answer

Sigmoidoscopy

question

The nurse is irrigating a patient's colostomy when the patient begins to complain of cramping. What is the appropriate action by the nurse?

answer

Clamp the tubing and allow the patient to rest

question

The nurse teaches the patient whose surgery will result in a sigmoid colostomy that the feces expelled through the colostomy will be

answer

Solid

question

A patient underwent a continent ileostomy. Within which timeframe should the patient expect to empty the reservoir?

answer

Every 4 to 6 hours

question

Which of the following laxatives should be used by a cardiac patient who should avoid straining?

answer

Colace

question

The nurse knows that the client with cholelithiasis can have a nutritional deficiency. The obstruction of bile flow due to cholelitiasis can interfere with the absorption of

answer

Vitamin A

question

Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about how many months of medication with UDCA or CDCA for stones to dissolve?

answer

6 to 12

question

Air embolism is a potential complication of IV therapy. The nurse should be alert to which clinical manifestation associated with air embolism?

answer

Chest Pain

question

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?

answer

Serum antibodies for H.pylori

question

Hickman and Groshong are examples of which type of central venous access device?

answer

Tunneled central catheters

question

Which of the following terms is used to describe stone formation in a salivary gland, usually the submandibular gland?

answer

Sialolithiasis

question

A nursing student is preparing a teaching plan about peptic ulcer disease. The student knows to include teaching about the percentage of clients with peptic ulcers who experience bleeding. The percentage is

answer

15%

Nurs 327 Exam #3 – Flashcards

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