A&C 1 GASTROINTESTINAL#4 REAL EXAM
WITH UPDATED ANSWERS 100%
GUARANTEE PASS.
A nurse is providing teaching to a client with gastroesophageal reflux.
Which of the following statements by the client indicates a need for further
teaching? - CorreCt Answers -"I drink no more than 4 cups of coffee a day."
A nurse is performing gastric lavage on a client using a large bore NG tube.
Which of the following actions should the nurse take? - CorreCt Answers -
Withdraw fluid until it is clear.
The nurse should continue to instill and withdraw the lavage fluid until it is
clear.
A nurse is caring for a child who has acute appendicitis. Which of the
following results should the nurse anticipate when reviewing the client's
laboratory values? - CorreCt Answers -WBC 17,000/mm3
The expected reference range for a WBC count for a child is 5,000 to
10,000/mm3. A WBC count of 17,000/mm3 is elevated. The nurse should
expect to see an elevated WBC count because appendicitis is an acute
bacterial infection.
A nurse is taking a health history of a client who reports occasionally taking
several OTC medications, including H2 receptor antagonist (H2RA). Which
of the following outcomes indicates the H2RA is therapeutic? - CorreCt
Answers -Relief of heartburn
, Histamine2 receptor antagonists are used to treat duodenal ulcers and
prevent their return. In over-the-counter strengths, these medications, such
as cimetidine and ranitidine, are used to relieve or prevent heartburn, acid
indigestion, and sour stomach.
A nurse is admitting a client with suspected appendicitis. Identify where the
nurse will palpate to assess for pain at McBurney's point. - CorreCt
Answers -McBurney's point is located by drawing a line from the navel to
the right iliac crest. Divide the line into three equal lengths. McBurney's
point is midway between the navel to the iliac crest. Pressure over this point
will elicit pain in clients with appendicitis.
A parent calls a clinic and reports to a nurse that his 2 month old infant is
hungry more than usual but is projectile vomiting immediately after eating.
Which of the following responses should the nurse make? - CorreCt
Answers -"Bring your baby in to the clinic today."
Projectile vomiting followed by hunger are characteristic of pyloric stenosis.
The infant needs to be examined in the clinic by a provider as soon as
possible.
A nurse is assessing a client who has peptic ulcer disease. Which of the
following findings should the nruse identify as the priority? - CorreCt
Answers -Hematemesis
When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority finding is hematemesis, which indicates
massive bleeding.
WITH UPDATED ANSWERS 100%
GUARANTEE PASS.
A nurse is providing teaching to a client with gastroesophageal reflux.
Which of the following statements by the client indicates a need for further
teaching? - CorreCt Answers -"I drink no more than 4 cups of coffee a day."
A nurse is performing gastric lavage on a client using a large bore NG tube.
Which of the following actions should the nurse take? - CorreCt Answers -
Withdraw fluid until it is clear.
The nurse should continue to instill and withdraw the lavage fluid until it is
clear.
A nurse is caring for a child who has acute appendicitis. Which of the
following results should the nurse anticipate when reviewing the client's
laboratory values? - CorreCt Answers -WBC 17,000/mm3
The expected reference range for a WBC count for a child is 5,000 to
10,000/mm3. A WBC count of 17,000/mm3 is elevated. The nurse should
expect to see an elevated WBC count because appendicitis is an acute
bacterial infection.
A nurse is taking a health history of a client who reports occasionally taking
several OTC medications, including H2 receptor antagonist (H2RA). Which
of the following outcomes indicates the H2RA is therapeutic? - CorreCt
Answers -Relief of heartburn
, Histamine2 receptor antagonists are used to treat duodenal ulcers and
prevent their return. In over-the-counter strengths, these medications, such
as cimetidine and ranitidine, are used to relieve or prevent heartburn, acid
indigestion, and sour stomach.
A nurse is admitting a client with suspected appendicitis. Identify where the
nurse will palpate to assess for pain at McBurney's point. - CorreCt
Answers -McBurney's point is located by drawing a line from the navel to
the right iliac crest. Divide the line into three equal lengths. McBurney's
point is midway between the navel to the iliac crest. Pressure over this point
will elicit pain in clients with appendicitis.
A parent calls a clinic and reports to a nurse that his 2 month old infant is
hungry more than usual but is projectile vomiting immediately after eating.
Which of the following responses should the nurse make? - CorreCt
Answers -"Bring your baby in to the clinic today."
Projectile vomiting followed by hunger are characteristic of pyloric stenosis.
The infant needs to be examined in the clinic by a provider as soon as
possible.
A nurse is assessing a client who has peptic ulcer disease. Which of the
following findings should the nruse identify as the priority? - CorreCt
Answers -Hematemesis
When using the urgent vs. non-urgent approach to client care, the nurse
should determine that the priority finding is hematemesis, which indicates
massive bleeding.
