NSG 219 Exam 1
afib can cause
stroke or MI
A positive or elevated Urine bilirubin indicates possible
liver disorder(cirrhosis/hepatitis), biliary obstruction, hemolytic anemia, or pernicious
anemia
positive for ova/parasites
GI parasitic infection
change in vimentin gene
colorectal cancer
EGD
mouth to esophagus, stomach, and duodenum to find bleeding, esophageal stricture,
diagnose gastric lesions/celiac disease
ERCP
mouth into the biliary tree via duodenum
allows visualization of biliary ducts, gall bladder, liver, and pancreas
M2A
a swallowable pill/imaging capsule that snaps digital pictures as it passes through the
digestive tract
sigmoidoscopy
visualization of anus, rectum, and sigmoid colon
Oversedation can cause
difficulty to arouse, poor respiratory effort, hypoxemia, tachycardia, and high/low bp
,a nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a
colonoscopy. what instructions should the nurse give?
a. check w provider about taking current meds while consuming bowel prep
b. consume normal diet before starting bowel prep
c. expect bowel prep to not begin acting until the day after all the prep is consumed
d. discontinue bowel prep once feces starts to be expelled
A
a nurse is having difficulty arousing a client following an EGD. what is the nurse's
priority action?
a. assess airway
b. allow client to sleep
c. prepare to admin antidote to sedative
d. eval preprocedure lab findings
A
a nurse in a clinic is instructing a client about a fecal blood test. what statement indicates
client understanding?
a. "i will continue taking my warfarin while completing the tests"
b."i'm glad I don't have to follow a special diet."
c. "this test determines if I have parasites in my bowel"
d. "this is an easy way to screen for colon cancer"
D
a nurse is teaching a client who will undergo a sigmoidoscopy. what is info the nurse
gives about the procedure?
a. increased flatulence can occur following the procedure
b. NPO status should be maintained preprocedure
c. conscious sedation is used
d. repositioning will occur throughout procedure
e. fluid intake is limited the day after procedure
AB
a nurse is reviewing the health record of a client who has suspected tumor of the
jejunum. the nurse should expect a prescription for which of the following tests?
a. blood alpha-fetoprotein
b. ERCP
c. GI x-ray with contrast
d. M2A
,e. colonoscopy
CD
pneumonia can occur secondary to
aspiration of feeding
a pressure change during tubing changes can cause
an air embolism
ascites
abnormal accumulation of fluid in the abdomen most often caused by cirrhosis of the
liver
Cirrhosis
Chronic disease of the liver
hypovolemia can cause a drop in
albumin
Albumin
protein in blood; maintains the proper amount of water in the blood
Orlistat
prevents digestion of fats
Lorcaserin
stimulated serotonin receptors to curve appetite
phentermine/topiramate
suppresses the appetite and induces a feeling of satiety
normal output for ileostomy
>1,000 mL/day
can be bile colored and liquid
, normal output for transverse colostomy
small semi-liquid with some mucus 2-3 days after surgery
normal output for sigmoid colostomy
small to moderate amount of mucus with semi-formed stool 4-5 days after surgery
a nurse is caring for a client following a paracentesis. Which of the following findings
indicate the bowel was perforated during the procedure?
a. report of upper chest pain
b. decreased urine output
c. pallor
d. temp elevation
D
a nurse is planning care for a client who has new prescription for TPN. which of the
following interventions should be included in the plan of care?
a. obtain a capillary blood glucose 4x per day
b. admin prescribed med through a secondary port on the TPN IV tubing
c. monitor vital signs 3x during 12 hour shift
d. change TPN tubing every 24 hr
e. ensure a daily aPTT is obtained
ACD
a nurse is providing care to a client who is 1 day post-op following a paracentesis. the
nurse observes clean pale-yellow fluid leaking from op site. what is an appropriate
intervention?
a. place a clean towel near drainage site
b. apply a dry, sterile dressing
c. apply direct pressure to the site
d. place the client supine
B
a nurse is completing discharge teaching with a client who is 3 days post-op following a
transverse colostomy. what should the nurse include in teaching?
a. mucus will be present in stool for 5-7 days after surgery
b. expect 500-1,000 mL of semi-liquid stool after 2 weeks
c. stoma should be moist and pink
afib can cause
stroke or MI
A positive or elevated Urine bilirubin indicates possible
liver disorder(cirrhosis/hepatitis), biliary obstruction, hemolytic anemia, or pernicious
anemia
positive for ova/parasites
GI parasitic infection
change in vimentin gene
colorectal cancer
EGD
mouth to esophagus, stomach, and duodenum to find bleeding, esophageal stricture,
diagnose gastric lesions/celiac disease
ERCP
mouth into the biliary tree via duodenum
allows visualization of biliary ducts, gall bladder, liver, and pancreas
M2A
a swallowable pill/imaging capsule that snaps digital pictures as it passes through the
digestive tract
sigmoidoscopy
visualization of anus, rectum, and sigmoid colon
Oversedation can cause
difficulty to arouse, poor respiratory effort, hypoxemia, tachycardia, and high/low bp
,a nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a
colonoscopy. what instructions should the nurse give?
a. check w provider about taking current meds while consuming bowel prep
b. consume normal diet before starting bowel prep
c. expect bowel prep to not begin acting until the day after all the prep is consumed
d. discontinue bowel prep once feces starts to be expelled
A
a nurse is having difficulty arousing a client following an EGD. what is the nurse's
priority action?
a. assess airway
b. allow client to sleep
c. prepare to admin antidote to sedative
d. eval preprocedure lab findings
A
a nurse in a clinic is instructing a client about a fecal blood test. what statement indicates
client understanding?
a. "i will continue taking my warfarin while completing the tests"
b."i'm glad I don't have to follow a special diet."
c. "this test determines if I have parasites in my bowel"
d. "this is an easy way to screen for colon cancer"
D
a nurse is teaching a client who will undergo a sigmoidoscopy. what is info the nurse
gives about the procedure?
a. increased flatulence can occur following the procedure
b. NPO status should be maintained preprocedure
c. conscious sedation is used
d. repositioning will occur throughout procedure
e. fluid intake is limited the day after procedure
AB
a nurse is reviewing the health record of a client who has suspected tumor of the
jejunum. the nurse should expect a prescription for which of the following tests?
a. blood alpha-fetoprotein
b. ERCP
c. GI x-ray with contrast
d. M2A
,e. colonoscopy
CD
pneumonia can occur secondary to
aspiration of feeding
a pressure change during tubing changes can cause
an air embolism
ascites
abnormal accumulation of fluid in the abdomen most often caused by cirrhosis of the
liver
Cirrhosis
Chronic disease of the liver
hypovolemia can cause a drop in
albumin
Albumin
protein in blood; maintains the proper amount of water in the blood
Orlistat
prevents digestion of fats
Lorcaserin
stimulated serotonin receptors to curve appetite
phentermine/topiramate
suppresses the appetite and induces a feeling of satiety
normal output for ileostomy
>1,000 mL/day
can be bile colored and liquid
, normal output for transverse colostomy
small semi-liquid with some mucus 2-3 days after surgery
normal output for sigmoid colostomy
small to moderate amount of mucus with semi-formed stool 4-5 days after surgery
a nurse is caring for a client following a paracentesis. Which of the following findings
indicate the bowel was perforated during the procedure?
a. report of upper chest pain
b. decreased urine output
c. pallor
d. temp elevation
D
a nurse is planning care for a client who has new prescription for TPN. which of the
following interventions should be included in the plan of care?
a. obtain a capillary blood glucose 4x per day
b. admin prescribed med through a secondary port on the TPN IV tubing
c. monitor vital signs 3x during 12 hour shift
d. change TPN tubing every 24 hr
e. ensure a daily aPTT is obtained
ACD
a nurse is providing care to a client who is 1 day post-op following a paracentesis. the
nurse observes clean pale-yellow fluid leaking from op site. what is an appropriate
intervention?
a. place a clean towel near drainage site
b. apply a dry, sterile dressing
c. apply direct pressure to the site
d. place the client supine
B
a nurse is completing discharge teaching with a client who is 3 days post-op following a
transverse colostomy. what should the nurse include in teaching?
a. mucus will be present in stool for 5-7 days after surgery
b. expect 500-1,000 mL of semi-liquid stool after 2 weeks
c. stoma should be moist and pink
