Med Surg Exam 3 Complete Study Guide Latest |Galen College of Nursing NUR 242 MS Exam 3.

Med Surg Exam 3 Complete Study Guide Latest |Galen College of Nursing NUR 242 MS Exam 3. 1. The nurse is performing a focused abdominal assessment of a patient who has been recently admitted. In order to palpate the patient's liver, where should the nurse palpate the patient's abdomen?: Right upper quadrant 2. The nurse is assessing a patient admitted with a possible bowel obstruction. Which assessment finding would be expected in this patient?: - High-pitched sounds on abdominal auscultation 3. The nurse is preparing a patient for a capsule endoscopy. What should the nurse ensure is included in the preparation?: Ensure the patient understands the required bowel preparation. 4. When caring for the patient with heart failure, the nurse knows that which gastrointestinal process is most dependent on cardiac output and may Med Surg Exam 3 Complete Study Guide Latest |Galen College of Nursing NUR 242 MS Exam 3. 2 / 15 affect the patient's nutritional status?: Absorption 5. The nurse is reviewing the home medication list for a patient admitted with suspected hepatic failure. Which medication could cause hepatotoxicity?: - Acetaminophen 6. The nurse should recognize that the liver performs which functions? (Select all that apply.): Detoxification, Protein metabolism, Steroid metabolism 7. A patient had a gastric resection for stomach cancer. The nurse plans to teach the patient about decreased secretion of which hormone?: Gastrin 8. A patient is suspected of having acute pancreatitis after presenting to the emergency department with severe abdominal pain. Which laboratory result would indicate the presence of acute pancreatitis?: Serum amylase of 820 U/L 3 / 15 9. A patient is scheduled for surgery with general anesthesia in 1 hour and is observed with a moist but empty water glass in his hand. Which assessment finding may indicate that the patient drank a glass of water?: Easily heard, loud gurgling in abdomen 10. A patient with a family history of adenomatous polyposis had a colonoscopy with removal of multiple polyps. After the procedure, which signs and symptoms should the nurse teach the patient to report immediately?: Fever and abdominal pain 11. An older adult patient is seen in the primary care provider's office for a well check reports difficulty swallowing. What common effect of aging should the nurse assess for as a possible cause?: Xerostomia 4 / 15 12. A patient was involved in a motor vehicle crash and reports an inability to have a bowel movement. What is the best response by the nurse?: "Your sympathetic nervous system was activated, so there is slowing of the GI tract." 13. A patient reports severe pain when the nurse assesses for rebound tenderness. What may this assessment finding indicate?: Peritoneal inflammation 14. A patient with abdominal pain is being prepared for surgery to make an incision into the common bile duct to remove stones. What procedure will the nurse prepare the patient for?: Choledocholithotomy 15. An older adult patient reports difficulty swallowing. Which age-related change does the nurse teach the patient about?: Xerostomia 16. A patient is scheduled for a percutaneous transhepatic cholangiography to restore biliary drainage. The nurse discusses the patient's health history and is most concerned if the patient makes which statement?: "My tongue swells when I eat shrimp." 17. The nurse is performing an abdominal assessment for a patient. Which assessment technique by the nurse is most accurate?: Auscultate the abdomen before palpation.