RN Targeted Medical Surgical Gastrointestinal Online Practice 2019 Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first? - CORRECT ANSWER: Identify the client's current level of pain
Rationale: the first action the nurse should take when using the nursing process is to assess the client. Clients who have acute pancreatitis often have severe abdominal pain. By assessing the client's level of pain, the nurse can identify the need for and implement interventions to alleviate the client's pain.
A nurse is assessing a client immediately following a paracentesis for the treatment of ascites. Which of the following findings indicates the procedure was effective? -
CORRECT ANSWER: decreased shortness of breath
Rationale: increased abdominal fluid can limit the expansion of the diaphragm and prevent the client from taking a deep breath. After excess peritoneal fluid is removed, the diaphragm will expand more freely. The nurse should identify this finding as an indicator the procedure was effective.
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings
should the nurse expect? - CORRECT ANSWER: The client reports that pain occurs
during the night
Rationale: pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5 to 3 hours after meals in during the night.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings
should the nurse expect? - CORRECT ANSWER: joint pain
Rationale: Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (SATA) - CORRECT ANSWER: -Oral temp 38.4 C (101.1 F)
-Nausea and vomiting -Right lower quadrant pain
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report to the provider? - CORRECT ANSWER: bloody stools
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Rationale: The greatest risk to the client who has cirrhosis of the liver is hemorrhagic shock due to bleeding in the esophageal varices. Therefore, bloody stools is the priority finding to report to the provider.
A nurse is assessing a client who has Crohn's disease. Which of the following findings should the nurse expect? - CORRECT ANSWER: Steatorrhea, or fatty diarrheal stools
A nurse is assessing a client who has peritonitis. Which of the following findings should
the nurse expect? - CORRECT ANSWER: board-like abdomen
Rationale: a board-like abdomen, accompanied by extreme pain and tenderness, is an expected finding for a client who had peritonitis.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the
following findings should the nurse expect? - CORRECT ANSWER: hypotension
Rationale: risk for hemorrhagic shock.
A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should identify which of the following findings as an indication of abdominal distention? -
CORRECT ANSWER: hiccups
Rationale: following surgery, hiccups can be caused by irritation of the phrenic nerve due to abdominal distention. If the hiccups are intractable, the nurse should anticipate a prescription for chlorpromazine because persistent hiccups are distressful to the client and can lead to complications, such as vomiting.
A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy.The client asks the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make? - CORRECT
ANSWER: "The CEA determines the efficacy of your chemotherapy."
Rationale: The clients CEA levels will decrease if the chemotherapy is effective.
A nurse is caring for a client who has GERD and a new prescription for metoclopramide.The nurse should plan to monitor for which of the following adverse effects? -
CORRECT ANSWER: ataxia
Rationale: monitor for extrapyramidal symptoms.
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations over the past 3 years. Which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations? (Select
all that apply.) - CORRECT ANSWER: -use progressive relaxation techniques
(Progressive relaxation techniques, a form of biofeedback, are recommend to help the client minimize stress, which can precipitate an exacerbation.)
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