SAUNDERS GASTROINTESTINAL
TEST REVIEW
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?
1.
Notify the health care provider (HCP).
2.
Administer the prescribed pain medication.
3.
Call and ask the operating room team to perform surgery as soon as possible.
4.
Reposition the client and apply a heating pad on the warm setting to the client's
abdomen. - CORRECT ANSWER-Notify the health care provider (HCP).
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.
1.
Diarrhea
2.
Black, tarry stools
3.
Hyperactive bowel sounds
4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back - CORRECT ANSWER-4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back
.
,The nurse is assessing a client who is experiencing an acute episode of cholecystitis.
Which of these clinical manifestations support this diagnosis? Select all that apply.
1.
Fever
2.
Positive Cullen's sign
3.
Complaints of indigestion
4.
Palpable mass in the left upper quadrant
5.
Pain in the upper right quadrant after a fatty meal
6.
Vague lower right quadrant abdominal discomfort - CORRECT ANSWER-1.
Fever
3.
Complaints of indigestion
5.
Pain in the upper right quadrant after a fatty meal
A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my
taste for food." What instruction should the nurse give the client to provide adequate
nutrition?
1.
Select foods high in fat.
2.
Increase intake of fluids, including juices.
3.
Eat a good supper when anorexia is not as severe.
4.
Eat less often, preferably only 3 large meals daily. - CORRECT ANSWER-Increase
intake of fluids, including juices
A client has developed hepatitis A after eating contaminated oysters. The nurse
assesses the client for which expected assessment finding?
1.
Malaise
2.
Dark stools
3.
Weight gain
4.
,Left upper quadrant discomfort - CORRECT ANSWER-Malaise
A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate
for this client? Select all that apply.
1.
Administer stool softeners as prescribed.
2.
Instruct the client to limit fluid intake to avoid urinary retention.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
5.
Help the client to a Fowler's position to place pressure on the rectal area and decrease
bleeding. - CORRECT ANSWER-1.
Administer stool softeners as prescribed.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD)
about substances to avoid. Which items should the nurse include on this list? Select all
that apply.
1.
Coffee
2.
Chocolate
3.
Peppermint
4.
Nonfat milk
5.
Fried chicken
6.
Scrambled eggs - CORRECT ANSWER-1.
Coffee
2.
Chocolate
3.
Peppermint
5.
Fried chicken
, A client has undergone esophagogastroduodenoscopy. The nurse should place highest
priority on which item as part of the client's care plan?
1.
Monitoring the temperature
2.
Monitoring complaints of heartburn
3.
Giving warm gargles for a sore throat
4.
Assessing for the return of the gag reflex - CORRECT ANSWER-Assessing for the
return of the gag reflex
The nurse has taught the client about an upcoming endoscopic retrograde
cholangiopancreatography (ERCP) procedure. The nurse determines that the client
needs further information if the client makes which statement?
1.
"I know I must sign the consent form."
2.
"I hope the throat spray keeps me from gagging."
3.
"I'm glad I don't have to lie still for this procedure."
4.
"I'm glad some intravenous medication will be given to relax me." - CORRECT
ANSWER-"I'm glad I don't have to lie still for this procedure."
The health care provider has determined that a client has contracted hepatitis A based
on flulike symptoms and jaundice. Which statement made by the client supports this
medical diagnosis?
1.
"I have had unprotected sex with multiple partners."
2.
"I ate shellfish about 2 weeks ago at a local restaurant."
3.
"I was an intravenous drug abuser in the past and shared needles."
4.
"I had a blood transfusion 30 years ago after major abdominal surgery." - CORRECT
ANSWER-"I ate shellfish about 2 weeks ago at a local restaurant."
The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis.
The nurse instructs the client to include which foods rich in vitamin B12 in the diet?
Select all that apply.
TEST REVIEW
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?
1.
Notify the health care provider (HCP).
2.
Administer the prescribed pain medication.
3.
Call and ask the operating room team to perform surgery as soon as possible.
4.
Reposition the client and apply a heating pad on the warm setting to the client's
abdomen. - CORRECT ANSWER-Notify the health care provider (HCP).
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.
1.
Diarrhea
2.
Black, tarry stools
3.
Hyperactive bowel sounds
4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back - CORRECT ANSWER-4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back
.
,The nurse is assessing a client who is experiencing an acute episode of cholecystitis.
Which of these clinical manifestations support this diagnosis? Select all that apply.
1.
Fever
2.
Positive Cullen's sign
3.
Complaints of indigestion
4.
Palpable mass in the left upper quadrant
5.
Pain in the upper right quadrant after a fatty meal
6.
Vague lower right quadrant abdominal discomfort - CORRECT ANSWER-1.
Fever
3.
Complaints of indigestion
5.
Pain in the upper right quadrant after a fatty meal
A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my
taste for food." What instruction should the nurse give the client to provide adequate
nutrition?
1.
Select foods high in fat.
2.
Increase intake of fluids, including juices.
3.
Eat a good supper when anorexia is not as severe.
4.
Eat less often, preferably only 3 large meals daily. - CORRECT ANSWER-Increase
intake of fluids, including juices
A client has developed hepatitis A after eating contaminated oysters. The nurse
assesses the client for which expected assessment finding?
1.
Malaise
2.
Dark stools
3.
Weight gain
4.
,Left upper quadrant discomfort - CORRECT ANSWER-Malaise
A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate
for this client? Select all that apply.
1.
Administer stool softeners as prescribed.
2.
Instruct the client to limit fluid intake to avoid urinary retention.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
5.
Help the client to a Fowler's position to place pressure on the rectal area and decrease
bleeding. - CORRECT ANSWER-1.
Administer stool softeners as prescribed.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD)
about substances to avoid. Which items should the nurse include on this list? Select all
that apply.
1.
Coffee
2.
Chocolate
3.
Peppermint
4.
Nonfat milk
5.
Fried chicken
6.
Scrambled eggs - CORRECT ANSWER-1.
Coffee
2.
Chocolate
3.
Peppermint
5.
Fried chicken
, A client has undergone esophagogastroduodenoscopy. The nurse should place highest
priority on which item as part of the client's care plan?
1.
Monitoring the temperature
2.
Monitoring complaints of heartburn
3.
Giving warm gargles for a sore throat
4.
Assessing for the return of the gag reflex - CORRECT ANSWER-Assessing for the
return of the gag reflex
The nurse has taught the client about an upcoming endoscopic retrograde
cholangiopancreatography (ERCP) procedure. The nurse determines that the client
needs further information if the client makes which statement?
1.
"I know I must sign the consent form."
2.
"I hope the throat spray keeps me from gagging."
3.
"I'm glad I don't have to lie still for this procedure."
4.
"I'm glad some intravenous medication will be given to relax me." - CORRECT
ANSWER-"I'm glad I don't have to lie still for this procedure."
The health care provider has determined that a client has contracted hepatitis A based
on flulike symptoms and jaundice. Which statement made by the client supports this
medical diagnosis?
1.
"I have had unprotected sex with multiple partners."
2.
"I ate shellfish about 2 weeks ago at a local restaurant."
3.
"I was an intravenous drug abuser in the past and shared needles."
4.
"I had a blood transfusion 30 years ago after major abdominal surgery." - CORRECT
ANSWER-"I ate shellfish about 2 weeks ago at a local restaurant."
The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis.
The nurse instructs the client to include which foods rich in vitamin B12 in the diet?
Select all that apply.
