RN Targeted Medical Surgical
RN Targeted Medical Surgical
Gastrointestinal Online Practice 2019
A nurse is assessing a client immediately following a paracentesis for the treatment of
ascites. which of the following findings indicates the procedure was effective?
Presence of a fluid wave
Increased heart rate
Equal pre and post weights
Decreased SOB
decreased shortnesss of breath
increased abdominal fluid can limit the expansion of the diaphragm and prevent the
client from taking a deep breath. once excess peritoneal fluid is removed, the diaphragm
will expand more freely. the nurse should identify this finding as an indicator of the
effectiveness of the paracentesis.
a nurse is caring for a client who has GERD and a new prescription for metoclopramide.
the nurse should plan to monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia
ataxia
the nurse should plan to monitor the client for extrapyramdial symtoms, such as ataxia,
and should report any positive findings to the provider.
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?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
RN Targeted Medical Surgical
, RN Targeted Medical Surgical
ammonia 180 mcg/dl
the nurse should report an increased serum ammonia level because it can indicate
portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the following findings should
the nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds
board-like abdomen
a board-like, distended abdomen is an expected finding in this client
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?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium
Magnesium hydroxide aka
Milk of magnesia
the nurse should clarify a prescription for milk of magnesia with the provider. this
medication increases gastrointestinal motility, which can increase the client's risk for an
electrolyte imbalance.
a nurse is reviewing the laboratory values of a client who has colorectal cancer. which of
the following findings should the nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL
RN Targeted Medical Surgical
RN Targeted Medical Surgical
Gastrointestinal Online Practice 2019
A nurse is assessing a client immediately following a paracentesis for the treatment of
ascites. which of the following findings indicates the procedure was effective?
Presence of a fluid wave
Increased heart rate
Equal pre and post weights
Decreased SOB
decreased shortnesss of breath
increased abdominal fluid can limit the expansion of the diaphragm and prevent the
client from taking a deep breath. once excess peritoneal fluid is removed, the diaphragm
will expand more freely. the nurse should identify this finding as an indicator of the
effectiveness of the paracentesis.
a nurse is caring for a client who has GERD and a new prescription for metoclopramide.
the nurse should plan to monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia
ataxia
the nurse should plan to monitor the client for extrapyramdial symtoms, such as ataxia,
and should report any positive findings to the provider.
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?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
RN Targeted Medical Surgical
, RN Targeted Medical Surgical
ammonia 180 mcg/dl
the nurse should report an increased serum ammonia level because it can indicate
portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the following findings should
the nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds
board-like abdomen
a board-like, distended abdomen is an expected finding in this client
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?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium
Magnesium hydroxide aka
Milk of magnesia
the nurse should clarify a prescription for milk of magnesia with the provider. this
medication increases gastrointestinal motility, which can increase the client's risk for an
electrolyte imbalance.
a nurse is reviewing the laboratory values of a client who has colorectal cancer. which of
the following findings should the nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL
RN Targeted Medical Surgical
