Saunders - GI Questions 245 questions with complete solution graded A+

Saunders Comprehensive Review for the NCLEX-RN Examination 7th Content Area - Adult Health - Gastrointestinal - 171 Questions Text - 26 Questions - 1) The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the most appropriate nursing intervention? a. Notify the health care provider (HCP). b. Administer the prescribed pain medication. c. Call and ask the operating room team to perform surgery as soon as possible. d. Reposition the client and apply a heating pad on the warm setting to the client's abdomen. Source: Saunders - Adult GI - ANS: A Rationale: On the basis of the signs and symptoms presented in the question, the nurse should suspect peritonitis and notify the HCP. Administering pain medication is not an appropriate intervention. Heat should never be applied to the abdomen of a client with suspected appendicitis because of the risk of rupture. Scheduling surgical time is not within the scope of nursing practice, although the HCP probably would perform the surgery earlier than the prescheduled time. Cognitive Ability: Analyzing Client Needs: Physiological Integrity Integrated Process: Nursing Process: Implementation Content Area: Adult Health: Gastrointestinal Strategy(ies): Abnormality Exists, Strategic Words Priority Concepts: Clinical Judgment, InflammationTest-Taking Strategy: Note the strategic words, most appropriate. determine if an abnormality exists, focus on the signs and symptoms in the question, and consider the complications that can occur with appendicitis. Noting that the signs presented in the question indicate a complication will assist in directing you to the correct option. Review: Care of the client with appendicitis Color Key: Cyan = Strategy Magenta = Content Review Reference(s): Ignatavicius, Workman (2016), pp. . 2) A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? Select all that apply. a. Diarrhea b. Black, tarry stools c. Hyperactive bowel sounds d. Gray-blue color at the flank e. Abdominal guarding and tenderness f. Left upper quadrant pain with radiation to the back Source: Saunders - Adult GI - ANS: D E F