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RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL
EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS
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A nurse is providing discharge teaching for a client who has peptic ulcer
disease and a new prescription for famotidine. Which of the following
statements by the client indicates an understanding of the teaching -
ANS✓"I should take this medication at bedtime"
The nurse should instruct the client to take the medication at bedtime to
inhibit the action of histamine at the H2-receptor site in the stomach.
A nurse is reviewing the prescriptions for a client who has campylobacter
enteritis. Which of the following prescriptions should the nurse clarify with
the provider? - ANS✓Magnesium hydroxide
Nausea, vomiting, and diarrhea are manifestations of enteritis. The nurse
should clarify a prescription for magnesium hydroxide, also known as milk
of magnesia, with the provider. This medication increases gastrointestinal
motility, which can increase the client's risk for an electrolyte imbalance
and contribute to dehydration.
A nurse is assessing a client who has peritonitis. Which of the following
findings should the nurse expect? - ANS✓Board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and
tenderness, is an expected finding for a client who has peritonitis.
A nurse is assessing a client who has Chrohn's disease. Which of the
following findings should the nurse expect? - ANS✓Fatty diarrheal stools
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Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's
disease
A nurse is developing a plan of care for a client who has cirrhosis and
ascites. Which of the following interventions should the nurse include in
the plan? - ANS✓Measure the clients abdominal girth daily
The nurse should measure the client's abdominal girth and weigh the client
daily to monitor the amount of fluid accumulation in the abdomen and the
effectiveness of treatment measures.
A nurse is assessing a client immediately following a paracentesis for the
treatment of ascites. Which of the following indicates the procedure was
effective? - ANS✓Decreased shortness of breath
Increased abdominal fluid can limit the expansion of the diaphragm and
prevent the client from taking a deep breath. After excess peritoneal fluid is
removed, the diaphragm will expand more freely. The nurse should identify
this finding as an indicator the procedure was effective.
A nurse is providing dietary teaching for a client who has a new diagnosis of
celiac disease. Which of the following statements by the client indicates an
understanding of the teaching? - ANS✓I will eat beans to ensure the I get
enough fiber in my diet
Clients who have celiac disease must maintain a gluten-free diet, which
eliminates fiber-rich whole wheat products. Clients should eat beans, nuts,
fruits, and vegetables to ensure an adequate intake of fiber.
A nurse is reviewing the laboratory results of a client who has hepatic
cirrhosis. Which of the following laboratory findings should the nurse
report to the provider? - ANS✓Ammonia 180 mcg/dL
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