PN Learning System Medical-Surgical:
Gastrointestinal Practice Quiz
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy.
which of the following laboratory findings should the nurse monitor prior to the procedure? -
Prothrombin time
A major complication following a liver biopsy is hemorrhage many clients who have liver disease have
clotting defects and are at risk for bleeding. along with the prothrombin time PT, the activated partial
thromboplastin time aPTT and the platelet count should be monitored. Liver dysfunction causes the
production of blood clotting factors to be reduced. which leads to an increased incidence of bruising,
nosebleeds, bleeding from the wound and gastrointestinal bleeding. this is due to a deficient absorption
of Vitamin K from the gastrointestinal caused by the inability of liver cells to use vitamin K to make
Prothrombin.
A nurse is checking a client who was admitted with bowel obstruction. the client reports severe
abdominal pain. which of the following findings should indicate to the nurse that a possible bowel
perforation has occurred? - Rigid Abdomen
Abdominal tenderness and rigidity occur with a bowel perforation. as fluid escapes into the peritoneal
cavity. there is a reduction in circulating blood volume and a lower blood pressure or hypotension result.
A nurse is assisting with the care of a client who is receiving total parental nutritional TPN therapy and
has just returned to the room following physical therapy. the nurse notes that the infusion pump for the
client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for
which of the following findings? - Diaphoresis
the nurse should recognize that the client hast the potential for the development of hypoglycemia due
to the sudden withdrawal of the TPN solution. in addition to diaphoresis, other potential manifestation
of hypoglycemia can include weakness anxiety confusion and hunger
A nurse is assisting with the admission of a client who has bleeding esophageal varices . the nurse should
anticipate a prescription for which of the following medication? - Vasopressin
, Vasopressin constricts the splanchnic bed and decreases portal pressure. Vasopressin also constricts the
distal esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to
treat bleeding varices.
Famotidine
Famotidine is an H2 receptor antagonist used to treat stress ulcers.
Esomeprazole
Esomeprazole is a proton pump inhibitor used to treat gastrointestinal reflux disease.
Omeprazole
Omeprazole is a proton pump inhibitor used to treat duodenal and gastric ulcers.
a nurse is caring for a client who has a percutaneous endoscopic gastrostomy PEG tube and is receiving
intermittent feedings. prior to initiating the feeding, which of the following actions should the nurse take
first? - Place the client in semi fowler's position
The nurse should apply the ABC priority-setting framework. This framework emphasizes the basic core
of human functioning: having an open airway, being able to breathe in adequate amounts of oxygen,
and circulating oxygen to the body's organs via the blood. An alteration in any of these can indicate a
threat to life and is therefore the nurse's priority concern. When applying the ABC priority-setting
framework, airway is always the highest priority because the airway must be clear and open for oxygen
exchange to occur. Breathing is the second priority in the ABC priority-setting framework because
adequate ventilatory effort is essential for oxygen exchange to occur. Circulation is the third priority in
the ABC priority-setting framework because delivery of oxygen to critical organs only occurs if the heart
and blood vessels are capable of efficiently carrying oxygen to them. A client who is receiving PEG tube
feedings should be positioned with the head of the bed elevated at least 30° during and after feedings to
decrease the risk of aspiration. Therefore, this is the priority action by the nurse.
a nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. which of the
following manifestations should the nurse expect? - Boardlike abdomen
Gastrointestinal Practice Quiz
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy.
which of the following laboratory findings should the nurse monitor prior to the procedure? -
Prothrombin time
A major complication following a liver biopsy is hemorrhage many clients who have liver disease have
clotting defects and are at risk for bleeding. along with the prothrombin time PT, the activated partial
thromboplastin time aPTT and the platelet count should be monitored. Liver dysfunction causes the
production of blood clotting factors to be reduced. which leads to an increased incidence of bruising,
nosebleeds, bleeding from the wound and gastrointestinal bleeding. this is due to a deficient absorption
of Vitamin K from the gastrointestinal caused by the inability of liver cells to use vitamin K to make
Prothrombin.
A nurse is checking a client who was admitted with bowel obstruction. the client reports severe
abdominal pain. which of the following findings should indicate to the nurse that a possible bowel
perforation has occurred? - Rigid Abdomen
Abdominal tenderness and rigidity occur with a bowel perforation. as fluid escapes into the peritoneal
cavity. there is a reduction in circulating blood volume and a lower blood pressure or hypotension result.
A nurse is assisting with the care of a client who is receiving total parental nutritional TPN therapy and
has just returned to the room following physical therapy. the nurse notes that the infusion pump for the
client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for
which of the following findings? - Diaphoresis
the nurse should recognize that the client hast the potential for the development of hypoglycemia due
to the sudden withdrawal of the TPN solution. in addition to diaphoresis, other potential manifestation
of hypoglycemia can include weakness anxiety confusion and hunger
A nurse is assisting with the admission of a client who has bleeding esophageal varices . the nurse should
anticipate a prescription for which of the following medication? - Vasopressin
, Vasopressin constricts the splanchnic bed and decreases portal pressure. Vasopressin also constricts the
distal esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to
treat bleeding varices.
Famotidine
Famotidine is an H2 receptor antagonist used to treat stress ulcers.
Esomeprazole
Esomeprazole is a proton pump inhibitor used to treat gastrointestinal reflux disease.
Omeprazole
Omeprazole is a proton pump inhibitor used to treat duodenal and gastric ulcers.
a nurse is caring for a client who has a percutaneous endoscopic gastrostomy PEG tube and is receiving
intermittent feedings. prior to initiating the feeding, which of the following actions should the nurse take
first? - Place the client in semi fowler's position
The nurse should apply the ABC priority-setting framework. This framework emphasizes the basic core
of human functioning: having an open airway, being able to breathe in adequate amounts of oxygen,
and circulating oxygen to the body's organs via the blood. An alteration in any of these can indicate a
threat to life and is therefore the nurse's priority concern. When applying the ABC priority-setting
framework, airway is always the highest priority because the airway must be clear and open for oxygen
exchange to occur. Breathing is the second priority in the ABC priority-setting framework because
adequate ventilatory effort is essential for oxygen exchange to occur. Circulation is the third priority in
the ABC priority-setting framework because delivery of oxygen to critical organs only occurs if the heart
and blood vessels are capable of efficiently carrying oxygen to them. A client who is receiving PEG tube
feedings should be positioned with the head of the bed elevated at least 30° during and after feedings to
decrease the risk of aspiration. Therefore, this is the priority action by the nurse.
a nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. which of the
following manifestations should the nurse expect? - Boardlike abdomen
