[Gastrointestinal] Medical-Surgical Nursing Review Questions And Answers Already Passed

The nurse recognizes which of the following as appropriate interventions for the patient with acute pancreatitis? A. Manage pain and increase pancreativ secretions. B. Hydrate aggressively to decrease serum calcium levels. C. Administer corticosteroids to decrease pancreatic inflammation. D. Increase fluid volume and decrease pancreatic enzymes. <<Ans>> D A 35-year-old patient had gastric bypass surgery 12 hours ago. She is receiving morphine by a patient-controlled analgesia (PCA) pump for pain. The pulse oximetry reading is 94% and the patient has a respiratory rate of 18 breaths/minute. However, the nurse notes the patient appears confused and has hypersomnolence during the day. The patient is diagnosed with obesity hyperventilation syndrome. Which of the following is the best nursing intervention to improve the patient's mentation? A. Arousing and turning the patient hourly B. Obtaining an order to begin oxygen by nasal cannula C. Assisting the patient to a semi-Fowler's position and encouraging deep breathing D. Discontinuing the PCA and giving naloxone (Narcan) per order <<Ans>> C A patient with a new diagnosis of erosive esophaditis has been prescribed esomeprazole (Nexium). The nurse should teach the patient to: A. take the medication an hour before meals. B. avoid taking antacids with this medication. C. mix and take within 60 minutes, if using a suspension. D. crush caplets and mix with applesauce if swallowing is difficult. <<Ans>> A A patient is admitted to the medical-surgical unit with abdominal pain radiating to the right shoulder. The patient also complains of nausea and vomiting. A tentative diagnosis of cholecytitis with cholelithiasis has been made and the nurse prepares the patient for hepatobiliary imminodiacetic acid (HIDA) scanning. The nurse should instruct the patient to: A. take the radioactive tracer by mouth prior to the procedure. B. fast for 4 hours prior to the procedure. C. limit fluids following the study. D. take opioid analgesics immediately before the procedure. <<Ans>> B A female patient diagnosed with colorectal cancer underwent colon resection and creation of a colostomy 3 days ago. The nurse begins to provide information on care of the colostomy when the patient states, "My husband will be taking care of it for me. Please teach him." The nurse's best response would be: A. "It seems you have problems with accepting your colostomy. Would you like me to ask the doctor for a psychology consult?" B. "You seem to be tired right now. I'll come back later when you feel more like participating in education about your care routines." C. "What concerns do you have about performing your own colostomy care?" D. "When your husband arrives, I'll be happy to instruct him on your care needs." <<Ans>> C Pancreatitis is confirmed as a diagnosis for a patient recently admitted with acute, severe abdominal pain associated with guarding and rigidity of the abdomen. The nurse should instruct the patient on the importance of: A. eating a low-protein diet. B. accurate intake and output. C. regular ambulation. D. completing a bowel prep for testing. <<Ans>> B