RN Targeted Medical Surgical Gastrointestinal Online Practice 2019

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 shortness 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 The nurse should plan to monitor the client for extra pyramdial symptoms, 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 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 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 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 Decreased hemoglobin is an expected finding in a client who has colorectal cancer because of occult intestinal bleeding. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report to the provider? Spider Angiomas Peripheral edema Bloody stools Jaundice The greatest risk to the client is hemorrhaging. Bloody stools are indication of bleeding in the gastrointestinal tract. This finding is the priority to the report to the provider. A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? Blood glucose 110 mg/dL Increased serum amylase WBC count 9000 Decreased bilirubin