ULTRAMODERN ATI MEDICAL
SURGICAL GASTROINTESTINAL
EXAM RATED A+
A nurse is assessing a client who was admitted with a bowel obstruction.
The client reports severe abd pain. Which of the following findings
should indicate to the nurse that a possible bowel perforation has
occurred. -
✔✔✔ANSWER-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 lowered blood pressure, or
hypotension, results.
A nurse is caring for a client who has a hx of cirrhosis and is admitted
with manifestations of hepatic encephalopathy. The nurse should
anticipate a prescription for which of the following lab tests to determine
the possibility of recent excessive alcohol use? - ✔✔✔ANSWER-The GGT
laboratory test is specific to the hepatobiliary system in which levels can
be raised by alcohol and hepatotoxic drugs. Therefore, it is useful for
monitoring drug toxicity and excessive alcohol use.
A nurse is caring for a client who has a PEG tube and is receiving
intermittent feedings. Prior to initiating the feeding, which of the
following actions should the nurse take first? - ✔✔✔ANSWER-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 caring for a client who has acute pancreatitis. Which of the
following serum lab values should the nurse anticipate returning to the
expected reference range within 72 hrs after tx begins? - ✔✔✔ANSWER-
Pancreatitis is the most common diagnosis for marked elevations in
serum amylase. Serum amylase begins to increase about 3 to 6 hr
following the onset of acute pancreatitis. The amylase level peaks in 20
to 30 hr and returns to the expected reference range within 2 to 3 days.
A nurse is caring for a client who has celiac disease. Which of the
following foods should the nurse remove from the clients meal tray? -
✔✔✔ANSWER-Celiac disease is an autoimmune disorder characterized
by a permanent intolerance to wheat, barley, and rye. Wheat toast
contains gluten and should be removed from the client's tray.
A nurse is caring for a client who has fulminant hepatic failure. Which of
the following procedures should the nurse anticipate for this client? -
✔✔✔ANSWER-Fulminant hepatic failure, most often caused by viral
hepatitis, is characterized by the development of hepatic
encephalopathy within weeks of the onset of disease in a client without
SURGICAL GASTROINTESTINAL
EXAM RATED A+
A nurse is assessing a client who was admitted with a bowel obstruction.
The client reports severe abd pain. Which of the following findings
should indicate to the nurse that a possible bowel perforation has
occurred. -
✔✔✔ANSWER-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 lowered blood pressure, or
hypotension, results.
A nurse is caring for a client who has a hx of cirrhosis and is admitted
with manifestations of hepatic encephalopathy. The nurse should
anticipate a prescription for which of the following lab tests to determine
the possibility of recent excessive alcohol use? - ✔✔✔ANSWER-The GGT
laboratory test is specific to the hepatobiliary system in which levels can
be raised by alcohol and hepatotoxic drugs. Therefore, it is useful for
monitoring drug toxicity and excessive alcohol use.
A nurse is caring for a client who has a PEG tube and is receiving
intermittent feedings. Prior to initiating the feeding, which of the
following actions should the nurse take first? - ✔✔✔ANSWER-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 caring for a client who has acute pancreatitis. Which of the
following serum lab values should the nurse anticipate returning to the
expected reference range within 72 hrs after tx begins? - ✔✔✔ANSWER-
Pancreatitis is the most common diagnosis for marked elevations in
serum amylase. Serum amylase begins to increase about 3 to 6 hr
following the onset of acute pancreatitis. The amylase level peaks in 20
to 30 hr and returns to the expected reference range within 2 to 3 days.
A nurse is caring for a client who has celiac disease. Which of the
following foods should the nurse remove from the clients meal tray? -
✔✔✔ANSWER-Celiac disease is an autoimmune disorder characterized
by a permanent intolerance to wheat, barley, and rye. Wheat toast
contains gluten and should be removed from the client's tray.
A nurse is caring for a client who has fulminant hepatic failure. Which of
the following procedures should the nurse anticipate for this client? -
✔✔✔ANSWER-Fulminant hepatic failure, most often caused by viral
hepatitis, is characterized by the development of hepatic
encephalopathy within weeks of the onset of disease in a client without
