NURS 405 - Unit 3 Quiz (Accurately Solved 100%)
A nurse is completing a health history on a client whose diagnosis is chronic gastritis. Which of the data should the nurse consider most significantly related to the etiology of the client's health problem?
a. Takes over-the-counter antacids frequently throughout the day.
b. Smokes one pack of cigarettes daily.
c. Consumes one or more protein drinks daily.
d. Reports a history of social drinking on a weekly basis. correct answers Smokes one pack of cigarettes daily.
A client who experienced a large upper gastrointestinal (GI) bleed due to gastritis has had the bleeding controlled and is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence?
a. Tachycardia, hypotension, and tachypnea
b. Tarry, foul-smelling stools
c. Diaphoresis and sudden onset of abdominal pain
d. Sudden thirst, unrelieved by oral fluid administration correct answers Tachycardia, hypotension, and tachypnea
A client presents to the clinic reporting vomiting and burning in the mid-epigastria. The nurse knows that in the process of confirming peptic ulcer disease, the health care provider is likely to order a diagnostic test to detect the presence of what?
a. Infection with Helicobacter pylori
b. A metabolic acid-base imbalance
c. Excessive stomach acid secretion
d. An incompetent pyloric sphincter correct answers Infection with Helicobacter pylori
A client is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this client's care, which of the following nursing diagnoses should the nurse prioritize?
a. Anxiety related to bowel obstruction and subsequent hospitalization
b. Imbalanced nutrition: Less than body requirements related to impaired absorption
c. Impaired skin integrity related to bowel obstruction
d. Ineffective tissue perfusion related to bowel ischemia correct answers Ineffective tissue perfusion related to bowel ischemia
The nurse is caring for a client who is undergoing diagnostic testing for suspected malabsorption.
When taking this client's health history and performing the physical assessment, the nurse should
recognize what finding as most consistent with this diagnosis?
a. Bloody bowel movements accompanied by fecal incontinence
b. Foul-smelling diarrhea that contains fat c. Recurrent constipation coupled with weight loss
d. Fever accompanied by a rigid, tender abdomen correct answers Foul-smelling diarrhea that contains fat
A client who underwent a gastric resection 3 weeks ago is having their diet progressed on a daily
basis. Following the latest meal, the client reports dizziness and palpitations. Inspection reveals that the client is diaphoretic. What is the nurse's best action?
a. Insert a nasogastric tube promptly.
b. Reposition the client supine.
c. Monitor the client closely for further signs of dumping syndrome.
d. Assess the client for signs and symptoms of aspiration. correct answers Monitor the client closely for further signs of dumping syndrome.
A client has been admitted to the hospital after diagnostic imaging revealed the presence of a gastric outlet obstruction (GOO). What is the nurse's priority intervention?
a. Administration of antiemetics
b. Insertion of an NG tube for decompression
c. Administration of proton pump inhibitors as prescribed
d. Infusion of hypotonic IV solution correct answers Insertion of an NG tube for decompression
A client comes to the clinic reporting pain in the epigastric region. What statement by the client is specific to the presence of a duodenal ulcer?
a. "I know that my father and my grandfather both had ulcers."
b. "I seem to have bowel movements more often than I usually do."
c. "My pain resolves when I have something to eat."
d. "The pain begins right after I eat." correct answers "My pain resolves when I have something to eat."
A nurse is initiating parenteral nutrition (PN) to a postoperative client who has developed complications. The nurse should initiate therapy by performing which of the following actions?
a. Increasing the rate of infusion at mealtimes to mimic the circadian rhythm of the body
b. Initiating the infusion slowly and monitoring the client's fluid and glucose tolerance
c. Starting with a rapid infusion rate to meet the client's nutritional needs as quickly as possible
d. Changing the rate of administration every 2 hours based on serum electrolyte values correct answers Initiating the infusion slowly and monitoring the client's fluid and glucose tolerance
A nurse is creating a care plan for a client who is receiving parenteral nutrition. The client's care plan should include nursing action(s) relevant to what potential complications? Select all that apply.
- Hyperglycemia
- Dumping syndrome
A nurse is completing a health history on a client whose diagnosis is chronic gastritis. Which of the data should the nurse consider most significantly related to the etiology of the client's health problem?
a. Takes over-the-counter antacids frequently throughout the day.
b. Smokes one pack of cigarettes daily.
c. Consumes one or more protein drinks daily.
d. Reports a history of social drinking on a weekly basis. correct answers Smokes one pack of cigarettes daily.
A client who experienced a large upper gastrointestinal (GI) bleed due to gastritis has had the bleeding controlled and is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence?
a. Tachycardia, hypotension, and tachypnea
b. Tarry, foul-smelling stools
c. Diaphoresis and sudden onset of abdominal pain
d. Sudden thirst, unrelieved by oral fluid administration correct answers Tachycardia, hypotension, and tachypnea
A client presents to the clinic reporting vomiting and burning in the mid-epigastria. The nurse knows that in the process of confirming peptic ulcer disease, the health care provider is likely to order a diagnostic test to detect the presence of what?
a. Infection with Helicobacter pylori
b. A metabolic acid-base imbalance
c. Excessive stomach acid secretion
d. An incompetent pyloric sphincter correct answers Infection with Helicobacter pylori
A client is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this client's care, which of the following nursing diagnoses should the nurse prioritize?
a. Anxiety related to bowel obstruction and subsequent hospitalization
b. Imbalanced nutrition: Less than body requirements related to impaired absorption
c. Impaired skin integrity related to bowel obstruction
d. Ineffective tissue perfusion related to bowel ischemia correct answers Ineffective tissue perfusion related to bowel ischemia
The nurse is caring for a client who is undergoing diagnostic testing for suspected malabsorption.
When taking this client's health history and performing the physical assessment, the nurse should
recognize what finding as most consistent with this diagnosis?
a. Bloody bowel movements accompanied by fecal incontinence
b. Foul-smelling diarrhea that contains fat c. Recurrent constipation coupled with weight loss
d. Fever accompanied by a rigid, tender abdomen correct answers Foul-smelling diarrhea that contains fat
A client who underwent a gastric resection 3 weeks ago is having their diet progressed on a daily
basis. Following the latest meal, the client reports dizziness and palpitations. Inspection reveals that the client is diaphoretic. What is the nurse's best action?
a. Insert a nasogastric tube promptly.
b. Reposition the client supine.
c. Monitor the client closely for further signs of dumping syndrome.
d. Assess the client for signs and symptoms of aspiration. correct answers Monitor the client closely for further signs of dumping syndrome.
A client has been admitted to the hospital after diagnostic imaging revealed the presence of a gastric outlet obstruction (GOO). What is the nurse's priority intervention?
a. Administration of antiemetics
b. Insertion of an NG tube for decompression
c. Administration of proton pump inhibitors as prescribed
d. Infusion of hypotonic IV solution correct answers Insertion of an NG tube for decompression
A client comes to the clinic reporting pain in the epigastric region. What statement by the client is specific to the presence of a duodenal ulcer?
a. "I know that my father and my grandfather both had ulcers."
b. "I seem to have bowel movements more often than I usually do."
c. "My pain resolves when I have something to eat."
d. "The pain begins right after I eat." correct answers "My pain resolves when I have something to eat."
A nurse is initiating parenteral nutrition (PN) to a postoperative client who has developed complications. The nurse should initiate therapy by performing which of the following actions?
a. Increasing the rate of infusion at mealtimes to mimic the circadian rhythm of the body
b. Initiating the infusion slowly and monitoring the client's fluid and glucose tolerance
c. Starting with a rapid infusion rate to meet the client's nutritional needs as quickly as possible
d. Changing the rate of administration every 2 hours based on serum electrolyte values correct answers Initiating the infusion slowly and monitoring the client's fluid and glucose tolerance
A nurse is creating a care plan for a client who is receiving parenteral nutrition. The client's care plan should include nursing action(s) relevant to what potential complications? Select all that apply.
- Hyperglycemia
- Dumping syndrome
