Exam 3- Med surg Questions With Complete Solutions
___________ is a condition characterized by yellowing of the
sclera and the skin. Correct Answers Jaundice
. A NANDA-accepted nursing diagnosis that could be written
for the patient who is hemorrhaging and in hypovolemic shock
from a bleeding peptic ulcer would include Correct Answers
Ineffective tissue perfusion (gastrointestinal).
. Which would be a major nursing concern to monitor
postoperatively in a patient who has had a liver transplant?
Correct Answers Infection
a 35yo man has been admitted with a diagnosis of peptic ulcers.
Which drugs are most commonly used in these patients to
decrease acid secretions? Correct Answers Tagamet and Zantac
a 56 yo patient has cirrhosis of the liver. He has an accumulation
of serous fluid in the abdominal cavity called ascites. THe nurse
is assisting hte physician in the procedure to remove this fluid
from his abdominal cavity. This procedure is called an: Correct
Answers abdominal apracentesis
A 56-year-old patient with diverticulitis has been admitted to the
medical unit. The nurse will most likely document which
assessment in the charting? Correct Answers Pain in the left
lower quadrant
A 63-year-old patient is admitted with acute diverticulitis. The
most appropriate nursing intervention to lessen this patient's
,signs and symptoms of increased flatus and chronic constipation
alternating with diarrhea, anorexia, and nausea would be to
Correct Answers encourage a diet high in fiber content.
A 78yo patient is admitted with common bile duct obstruction
related to cancer of the pancreas. Which clinical manifestations
would the nurse expect to find: Correct Answers Scleral icterus
Dark, tea-colored urine
Jaundice
a 78yo woman was admitted during the evening shift with a
tentative diagnosis of cancer of esophagus. The nurse in her
intial assessment finds the patient's major complaint is: Correct
Answers dysphagia
A client arrives at the emergency department and complains of
severe abdominal pain. The initial diagnosis is acute abdomen,
and an x-ray and an abdominal ultrasonogram are prescribed to
be obtained immediately. The nurse prepares the client for these
diagnostic tests and reviews the health care provider's
prescriptions. Which of the following prescriptions would the
nurse question if written on the health care provider's
prescription form? Correct Answers Administration of an
analgesic
A client being seen in a health care provider's office has just
been scheduled for a barium swallow the next day. The nurse
writes down which of the following instructions for the client to
follow before the test? Correct Answers "Remove jewelry
before the test."
,A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting, and a gastric ulcer is
suspected. The nurse should gather which of the following
additional supportive data for this diagnosis from the client?
Correct Answers History of alcohol use, smoking, and weight
loss
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting. A gastric ulcer is suspected.
Which of the following data would further support this
diagnosis? Correct Answers History of alcohol use, smoking,
and weight loss
A client diagnosed with pernicious anemia asks the nurse what
caused the deficiency. The nurse replies that it is likely a result
of which of the following conditions that is part of the client's
health history? Correct Answers Hemigastrectomy
A client has been diagnosed with chronic gastritis and has been
told that there is too little intrinsic factor being produced. The
nurse tells the client that which of the following will be
prescribed to treat the problem? Correct Answers Vitamin B12
injections
A client has had extensive surgery on the gastrointestinal tract
and has been started on parenteral nutrition (PN). The client tells
the nurse, "I think I'm going crazy...I feel like I'm starving and
yet that bag is supposed to be feeding me." The best response of
, the nurse would be: Correct Answers "That is because the
empty stomach sends signals to the brain to stimulate hunger."
A client has just returned from the radiology department
following an upper gastrointestinal (GI) series. The nurse
reviews the health care provider's prescriptions, expecting to
note which of the following needed for routine post-procedure
care? Correct Answers A laxative
A client has just undergone a gastroscopy. Which action should
be taken by the nurse as the essential post-procedure nursing
intervention? Correct Answers Monitoring for the gag reflex
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse places highest priority on which of the following
items as part of the client's care plan? Correct Answers
Checking for return of a gag reflex
A client has undergone subtotal gastrectomy and the nurse is
preparing the client for discharge. Which item should be
included when teaching the client about ongoing self-
management? Correct Answers Smaller, more frequent meals
should be eaten.
A client in the emergency department reports right lower
quadrant abdominal pain. After noting a white blood cell count
of 16,500/mm3, the nurse would question a prescription for
which of the following? Correct Answers Milk of magnesia
A client is admitted to an acute care facility with complications
of celiac disease. Which question would be helpful initially in
___________ is a condition characterized by yellowing of the
sclera and the skin. Correct Answers Jaundice
. A NANDA-accepted nursing diagnosis that could be written
for the patient who is hemorrhaging and in hypovolemic shock
from a bleeding peptic ulcer would include Correct Answers
Ineffective tissue perfusion (gastrointestinal).
. Which would be a major nursing concern to monitor
postoperatively in a patient who has had a liver transplant?
Correct Answers Infection
a 35yo man has been admitted with a diagnosis of peptic ulcers.
Which drugs are most commonly used in these patients to
decrease acid secretions? Correct Answers Tagamet and Zantac
a 56 yo patient has cirrhosis of the liver. He has an accumulation
of serous fluid in the abdominal cavity called ascites. THe nurse
is assisting hte physician in the procedure to remove this fluid
from his abdominal cavity. This procedure is called an: Correct
Answers abdominal apracentesis
A 56-year-old patient with diverticulitis has been admitted to the
medical unit. The nurse will most likely document which
assessment in the charting? Correct Answers Pain in the left
lower quadrant
A 63-year-old patient is admitted with acute diverticulitis. The
most appropriate nursing intervention to lessen this patient's
,signs and symptoms of increased flatus and chronic constipation
alternating with diarrhea, anorexia, and nausea would be to
Correct Answers encourage a diet high in fiber content.
A 78yo patient is admitted with common bile duct obstruction
related to cancer of the pancreas. Which clinical manifestations
would the nurse expect to find: Correct Answers Scleral icterus
Dark, tea-colored urine
Jaundice
a 78yo woman was admitted during the evening shift with a
tentative diagnosis of cancer of esophagus. The nurse in her
intial assessment finds the patient's major complaint is: Correct
Answers dysphagia
A client arrives at the emergency department and complains of
severe abdominal pain. The initial diagnosis is acute abdomen,
and an x-ray and an abdominal ultrasonogram are prescribed to
be obtained immediately. The nurse prepares the client for these
diagnostic tests and reviews the health care provider's
prescriptions. Which of the following prescriptions would the
nurse question if written on the health care provider's
prescription form? Correct Answers Administration of an
analgesic
A client being seen in a health care provider's office has just
been scheduled for a barium swallow the next day. The nurse
writes down which of the following instructions for the client to
follow before the test? Correct Answers "Remove jewelry
before the test."
,A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting, and a gastric ulcer is
suspected. The nurse should gather which of the following
additional supportive data for this diagnosis from the client?
Correct Answers History of alcohol use, smoking, and weight
loss
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting. A gastric ulcer is suspected.
Which of the following data would further support this
diagnosis? Correct Answers History of alcohol use, smoking,
and weight loss
A client diagnosed with pernicious anemia asks the nurse what
caused the deficiency. The nurse replies that it is likely a result
of which of the following conditions that is part of the client's
health history? Correct Answers Hemigastrectomy
A client has been diagnosed with chronic gastritis and has been
told that there is too little intrinsic factor being produced. The
nurse tells the client that which of the following will be
prescribed to treat the problem? Correct Answers Vitamin B12
injections
A client has had extensive surgery on the gastrointestinal tract
and has been started on parenteral nutrition (PN). The client tells
the nurse, "I think I'm going crazy...I feel like I'm starving and
yet that bag is supposed to be feeding me." The best response of
, the nurse would be: Correct Answers "That is because the
empty stomach sends signals to the brain to stimulate hunger."
A client has just returned from the radiology department
following an upper gastrointestinal (GI) series. The nurse
reviews the health care provider's prescriptions, expecting to
note which of the following needed for routine post-procedure
care? Correct Answers A laxative
A client has just undergone a gastroscopy. Which action should
be taken by the nurse as the essential post-procedure nursing
intervention? Correct Answers Monitoring for the gag reflex
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse places highest priority on which of the following
items as part of the client's care plan? Correct Answers
Checking for return of a gag reflex
A client has undergone subtotal gastrectomy and the nurse is
preparing the client for discharge. Which item should be
included when teaching the client about ongoing self-
management? Correct Answers Smaller, more frequent meals
should be eaten.
A client in the emergency department reports right lower
quadrant abdominal pain. After noting a white blood cell count
of 16,500/mm3, the nurse would question a prescription for
which of the following? Correct Answers Milk of magnesia
A client is admitted to an acute care facility with complications
of celiac disease. Which question would be helpful initially in
