Nurs 327 Study Guide Questions With Complete Solutions
A client comes to the clinic reporting pain in the epigastric
region. What statement by the client suggests the presence of a
duodenal ulcer?
"My pain resolves when I have something to eat."
"The pain really interferes with my quality of life."
"I know that my father and my grandfather both had ulcers."
"I seem to have bowel movements more often than I usually do."
Correct Answers pain resolved when i eat
A client has been brought to the emergency department with
abdominal pain and is subsequently diagnosed with appendicitis.
The client is scheduled for an appendectomy but questions the
nurse about how his health will be affected by the absence of an
appendix. How should the nurse best respond?
"Your appendix doesn't play a major role, so you won't notice
any difference after your recovery from surgery."
"The surgeon will encourage you to limit your fat intake for a
few weeks after the surgery, but your body will then begin to
compensate."
"Your body will absorb slightly fewer nutrients from the food
you eat, but you won't be aware of this."
"Your small intestine will adapt over time to the absence of
your appendix." Correct Answers appendix doesnt play a major
role
A client has been taking a 10-day course of antibiotics for
pneumonia. The client has been having white patches that look
,like milk curds in the mouth. What treatment will the nurse
educate the client about?
Nystatin
Cephalexin
Fluocinolone acetonide oral base gel
Acyclovir Correct Answers nystatin
A client has symptoms suggestive of peritonitis. Nursing
management would not include:
limiting analgesics to avoid the formation of paralytic ileus.
accurate recording of input and output.
inserting a nasogastric tube.
inserting a urinary retention catheter. Correct Answers limiting
analgesics
A client in the emergency department reports that a piece of
meat became stuck in the throat while eating. The nurse notes
the client is anxious with respirations at 30 breaths/min, frequent
swallowing, and little saliva in the mouth. An
esophagogastroscopy with removal of foreign body is scheduled
for today. What would be the first activity performed by the
nurse?
Assess lung sounds bilaterally. Administer prescribed morphine
intravenously. Obtain consent for the esophagogastroscopy.
Suction the oral cavity of the client. Correct Answers lung
sounds bilat
, A client is being treated for prolonged diarrhea. Which foods
should the nurse encourage the client to consume?
Protein-rich foods Potassium-rich foods High-fiber foods High-
fat foods Correct Answers potassium
A client is postoperative day 1 following gastrostomy. The nurse
is planning interventions to address the nursing diagnosis of
Risk for Infection Related to Presence of Wound and Tube.
What intervention is most appropriate?
Administer antibiotics via the tube as prescribed.
Wash the area around the tube with soap and water daily.
Cleanse the skin within 2 cm of the insertion site with hydrogen
peroxide once per shift.
Irrigate the skin surrounding the insertion site with normal
saline before each use. Correct Answers wash area with soap
and water daily
A client is treated for gastrointestinal problems related to
chronic cholecystitis. What pathophysiological process related
to cholecystitis does the nurse understand is the reason behind
the client's GI problems?
Contractile spasms of the gallbladder decreases appetite and
leads to malnutrition.
Inflammation of the gallbladder causes pain and impacts gastric
motility.
Reduced or absent bile as a result of obstruction impacts
digestion. Increased bile as a result of inflammation leads to
indigestion. Correct Answers reduced or absent bile
A client comes to the clinic reporting pain in the epigastric
region. What statement by the client suggests the presence of a
duodenal ulcer?
"My pain resolves when I have something to eat."
"The pain really interferes with my quality of life."
"I know that my father and my grandfather both had ulcers."
"I seem to have bowel movements more often than I usually do."
Correct Answers pain resolved when i eat
A client has been brought to the emergency department with
abdominal pain and is subsequently diagnosed with appendicitis.
The client is scheduled for an appendectomy but questions the
nurse about how his health will be affected by the absence of an
appendix. How should the nurse best respond?
"Your appendix doesn't play a major role, so you won't notice
any difference after your recovery from surgery."
"The surgeon will encourage you to limit your fat intake for a
few weeks after the surgery, but your body will then begin to
compensate."
"Your body will absorb slightly fewer nutrients from the food
you eat, but you won't be aware of this."
"Your small intestine will adapt over time to the absence of
your appendix." Correct Answers appendix doesnt play a major
role
A client has been taking a 10-day course of antibiotics for
pneumonia. The client has been having white patches that look
,like milk curds in the mouth. What treatment will the nurse
educate the client about?
Nystatin
Cephalexin
Fluocinolone acetonide oral base gel
Acyclovir Correct Answers nystatin
A client has symptoms suggestive of peritonitis. Nursing
management would not include:
limiting analgesics to avoid the formation of paralytic ileus.
accurate recording of input and output.
inserting a nasogastric tube.
inserting a urinary retention catheter. Correct Answers limiting
analgesics
A client in the emergency department reports that a piece of
meat became stuck in the throat while eating. The nurse notes
the client is anxious with respirations at 30 breaths/min, frequent
swallowing, and little saliva in the mouth. An
esophagogastroscopy with removal of foreign body is scheduled
for today. What would be the first activity performed by the
nurse?
Assess lung sounds bilaterally. Administer prescribed morphine
intravenously. Obtain consent for the esophagogastroscopy.
Suction the oral cavity of the client. Correct Answers lung
sounds bilat
, A client is being treated for prolonged diarrhea. Which foods
should the nurse encourage the client to consume?
Protein-rich foods Potassium-rich foods High-fiber foods High-
fat foods Correct Answers potassium
A client is postoperative day 1 following gastrostomy. The nurse
is planning interventions to address the nursing diagnosis of
Risk for Infection Related to Presence of Wound and Tube.
What intervention is most appropriate?
Administer antibiotics via the tube as prescribed.
Wash the area around the tube with soap and water daily.
Cleanse the skin within 2 cm of the insertion site with hydrogen
peroxide once per shift.
Irrigate the skin surrounding the insertion site with normal
saline before each use. Correct Answers wash area with soap
and water daily
A client is treated for gastrointestinal problems related to
chronic cholecystitis. What pathophysiological process related
to cholecystitis does the nurse understand is the reason behind
the client's GI problems?
Contractile spasms of the gallbladder decreases appetite and
leads to malnutrition.
Inflammation of the gallbladder causes pain and impacts gastric
motility.
Reduced or absent bile as a result of obstruction impacts
digestion. Increased bile as a result of inflammation leads to
indigestion. Correct Answers reduced or absent bile
