MED-SURG: GI SYSTEM 2024 EXAM UPDATE.COMPLETE QUESTIONS AND ANSWERS

MED-SURG: GI SYSTEM 2024 EXAM UPDATE.COMPLETE QUESTIONS AND ANSWERS A client with jaundice associated with hepatitis expresses concern over the change in skin color. Which does the nurse explain is the cause of this color change? 1. Stimulation of the liver to produce an excess quantity of bile pigments 2. Inability of the liver to remove normal amounts of bilirubin from the blood 3. Increased destruction of red blood cells during the acute phase of the disease 4. Decreased prothrombin levels, leading to multiple sites of intradermal bleeding --Correct Answer-- 2. Inability of the liver to remove normal amounts of bilirubin from the blood On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform first? 1. Assist the client to ambulate. 2. Obtain the client's vital signs. 3. Administer the prescribed analgesic. 4. Encourage use of the incentive spirometer. --Correct Answer-- 2. Obtain the client's vital signs. When admitting an older client, the stool specimen confirmed a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse inquires about potentially assigning Room 2010, Bed B, the same isolation room as another client (2010, Bed A) who has MRSA. Which response would the nurse receive? 1. "The other client's infection is not contagious." 2. "This is the usual practice when antibiotic therapy is started." 3. "Placing clients with the same infection in 1 room is safe." 4. "As soon as a private room becomes available, we will move the client." --Correct Answer-- 3. "Placing clients with the same infection in 1 room is safe." A client who previously resided in a foreign country has a chronic vitamin A deficiency. Which information about vitamin A would the nurse consider when assessing the client? 1. Vitamin A is an integral part of the retina's pigment called melanin. 2. It is a component of the rods and cones, which control color visualization. 3. Vitamin A is the material in the cornea that prevents the formation of cataracts. 4. It is a necessary element of rhodopsin, which controls responses to light and dark environments. --Correct Answer-- 4. It is a necessary element of rhodopsin, which controls responses to light and dark environments. The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction. Which tube would the nurse select? 1. Levin 2. Dobhoff 3. Salem sump 4. Gastrostomy --Correct Answer-- 3. Salem sump A client had a colon resection and formation of a colostomy 2 days ago. Which color indicates to the nurse that the stoma is viable? 1. Blue 2. Gray 3. Brick red 4. Dark purple --Correct Answer-- 3. Brick red