Study Guide Pre-Test RN Adult: Gastrointestinal Correctly Solved.

Study Guide Pre-Test RN Adult: Gastrointestinal Correctly Solved. AST - CORRECT ANSWER Elevated with hepatitis or cirrhosis Expected range 5 to 40 units/L ALT - CORRECT ANSWER Elevated with hepatitis or cirrhosis expected range 3 to 35 IU/L or 8 to 20 units/L ALP - CORRECT ANSWER Elevated with hepatitis or cirrhosis Expected range 30-120 units/L Amylase - CORRECT ANSWER Elevated with pancreatitis Lipase - CORRECT ANSWER Elevated with pancreatitis Total Bilrubin - CORRECT ANSWER Elevated with liver bile duct or hepatic disorders Direct and indirect conjunction Bilirubin - CORRECT ANSWER Elevated with liver, bile duct or hepatic disorders Albumin - CORRECT ANSWER Decrease with hepatic disease Alpha - fetoprotein - CORRECT ANSWER Increased levels are indicative of liver cancer Ammonia - CORRECT ANSWER Increased levels indicate liver disease Hepatic - CORRECT ANSWER Of or relating to the liver Cirrhosis - CORRECT ANSWER Chronic liver damage from a variety of causes bleeding to scarring in liver failure Q: A nurse is reviewing the bowel prep using poly ethylene glycol with a client scheduled for colonoscopy. Which of the following should be included in the teaching? A. Check with the provider about taking current medications - CORRECT ANSWER R: some medications may be withheld when taking Goleytely due to their lack of absorption. This should be discussed with the provider. Q: a nurse is having difficulty arousing a client following an Esophagastroduodenoscopy (EGD) which of the following is the priority action by the nurse? A. Assess the clients airway - CORRECT ANSWER Using the airway, breathing, and circulation, ABC, framework, the priority intervention is airway maintenance Q: a nurse and a clinical is instructing the client about a fecal occult blood test, which requires mailing three specimens, which of the following statements by the client indicates understanding of the teaching? D. This is an easy way to rule out having colon cancer. - CORRECT ANSWER Fecal occult blood testing is a screening procedure for colon cancer Q: a nurse is completing procedure teaching for a client who undergo a sigmoidoscopy which of the following should be included in the teaching? - CORRECT ANSWER Increased flatulence can occur due to the installation of air during the procedure. The client is instructed to remain in NPO after midnight the night before the procedure Q: a nurse is reviewing the health record of a client who is being admitted with a suspected tumor of the jejunum. The nurse should anticipate a prescription for which of the following tests? C. Gastrointestinal x-ray with contrast - CORRECT ANSWER A gastrointestinal x-ray with contrast involve the client drinking barium, which is been traced through the small intestine to the junction with the colon. This would identify a tumor in the jejunum.