RN Targeted Medical Surgical Gastrointestinal Online Practice
decreased shortnesss of breath
A nurse is assessing a client immediate-
ly following a paracentesis for the treat-
increased abdominal fluid can limit the
ment of ascites. which of the following
expansion of the diaphragm and prevent
findings indicates the procedure was ef-
the client from taking a deep breath. once
fective?
excess peritoneal fluid is removed, the
Presence of a fluid wave
diaphragm will expand more freely. the
Increased heart rate
nurse should identify this finding as an
Equal pre and post weights
indicator of the effectiveness of the para-
Decreased SOB
centesis.
a nurse is caring for a client who has
GERD and a new prescription for meto-
ataxia
clopramide. the nurse should plan to
monitor for which of the following ad-
the nurse should plan to monitor the
verse effects?
client for extrapyramdial symtoms, such
Thrombocytopenia
as ataxia, and should report any positive
Hearing loss
findings to the provider.
Hypersalivation
Ataxia
a nurse is reviewing the laboratory re-
sults of a client who has hepatic cirrhosis.
ammonia 180 mcg/dl
which of the following laboratory findings
should the nurse report to the provider?
the nurse should report an increased
Albumin 4.0 g/dL
serum ammonia level because it can in-
INR 1.0
dicate portal-systemic encephalopathy
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
a nurse is assessing a client who has
peritonitis. which of the following findings
board-like abdomen
should the nurse expect?
Bloody diarrhea
a board-like, distended abdomen is an
Board like abdomen
expected finding in this client
Periumbilical cyanosis
Increased bowel sounds
a nurse is reviewing the prescriptions Magnesium hydroxide aka
for a client who has Campylobacter en- Milk of magnesia
teritis. which of the following prescrip-
1/8
, RN Targeted Medical Surgical Gastrointestinal Online Practice
tions should the nurse clarify with the
the nurse should clarify a prescription
provider?
for milk of magnesia with the provider.
0.45% sodium chloride IV
this medication increases gastrointesti-
Magnesium hydroxide
nal motility, which can increase the
Ciprofloxacin
client's risk for an electrolyte imbalance.
Potassium
a nurse is reviewing the laboratory val-
ues of a client who has colorectal cancer.
which of the following findings should the hemoglobin 9.1 g/dl
nurse expect?
Negative fecal occult blood test decreased hemoglobin is an expected
Decreased serum carcinoembryonic finding in a client who has colorectal can-
antigen (CEA) level cer because of occult intestinal bleeding.
Hct 43%
Hgb 9.1 g/dL
a nurse is assessing a client who has
bloody stools
cirrhosis. which of the following findings
is the priority for the nurse to report to the
the greatest risk to the client is hemor-
provider?
rhaging. bloody stools are indication of
Spider Angiomas
bleeding in the gastrointestinal tract. this
Peripheral edema
finding is the priority to the report to the
Bloody stools
provider.
Jaundice
a nurse is reviewing the laboratory re-
sults of a client who has acute pancreati-
increased serum amylase
tis. which of the following findings should
the nurse expect?
serum amylase levels are increased in
Blood glucose 110 mg/dL
a client who has acute pancreatitis be-
Increased amylase
cause of the pancreatic cell injury.
WBC count 9000
Decreased bilirubin
a nurse is caring for a client who has
use progressive relaxation techniques.
ulcerative colitis. the client has had sev-
progressive relaxation techniques, a
eral exacerbations over the past 3 years.
form of biofeedback, are recommended
which of the following instructions should
to help the client minimize stress, which
the nurse include in the plan of care to
can precipitate an exacerbation. arrange
minimize the risk of further exacerba-
activities to allow for daily
tions? SATA
2/8
decreased shortnesss of breath
A nurse is assessing a client immediate-
ly following a paracentesis for the treat-
increased abdominal fluid can limit the
ment of ascites. which of the following
expansion of the diaphragm and prevent
findings indicates the procedure was ef-
the client from taking a deep breath. once
fective?
excess peritoneal fluid is removed, the
Presence of a fluid wave
diaphragm will expand more freely. the
Increased heart rate
nurse should identify this finding as an
Equal pre and post weights
indicator of the effectiveness of the para-
Decreased SOB
centesis.
a nurse is caring for a client who has
GERD and a new prescription for meto-
ataxia
clopramide. the nurse should plan to
monitor for which of the following ad-
the nurse should plan to monitor the
verse effects?
client for extrapyramdial symtoms, such
Thrombocytopenia
as ataxia, and should report any positive
Hearing loss
findings to the provider.
Hypersalivation
Ataxia
a nurse is reviewing the laboratory re-
sults of a client who has hepatic cirrhosis.
ammonia 180 mcg/dl
which of the following laboratory findings
should the nurse report to the provider?
the nurse should report an increased
Albumin 4.0 g/dL
serum ammonia level because it can in-
INR 1.0
dicate portal-systemic encephalopathy
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
a nurse is assessing a client who has
peritonitis. which of the following findings
board-like abdomen
should the nurse expect?
Bloody diarrhea
a board-like, distended abdomen is an
Board like abdomen
expected finding in this client
Periumbilical cyanosis
Increased bowel sounds
a nurse is reviewing the prescriptions Magnesium hydroxide aka
for a client who has Campylobacter en- Milk of magnesia
teritis. which of the following prescrip-
1/8
, RN Targeted Medical Surgical Gastrointestinal Online Practice
tions should the nurse clarify with the
the nurse should clarify a prescription
provider?
for milk of magnesia with the provider.
0.45% sodium chloride IV
this medication increases gastrointesti-
Magnesium hydroxide
nal motility, which can increase the
Ciprofloxacin
client's risk for an electrolyte imbalance.
Potassium
a nurse is reviewing the laboratory val-
ues of a client who has colorectal cancer.
which of the following findings should the hemoglobin 9.1 g/dl
nurse expect?
Negative fecal occult blood test decreased hemoglobin is an expected
Decreased serum carcinoembryonic finding in a client who has colorectal can-
antigen (CEA) level cer because of occult intestinal bleeding.
Hct 43%
Hgb 9.1 g/dL
a nurse is assessing a client who has
bloody stools
cirrhosis. which of the following findings
is the priority for the nurse to report to the
the greatest risk to the client is hemor-
provider?
rhaging. bloody stools are indication of
Spider Angiomas
bleeding in the gastrointestinal tract. this
Peripheral edema
finding is the priority to the report to the
Bloody stools
provider.
Jaundice
a nurse is reviewing the laboratory re-
sults of a client who has acute pancreati-
increased serum amylase
tis. which of the following findings should
the nurse expect?
serum amylase levels are increased in
Blood glucose 110 mg/dL
a client who has acute pancreatitis be-
Increased amylase
cause of the pancreatic cell injury.
WBC count 9000
Decreased bilirubin
a nurse is caring for a client who has
use progressive relaxation techniques.
ulcerative colitis. the client has had sev-
progressive relaxation techniques, a
eral exacerbations over the past 3 years.
form of biofeedback, are recommended
which of the following instructions should
to help the client minimize stress, which
the nurse include in the plan of care to
can precipitate an exacerbation. arrange
minimize the risk of further exacerba-
activities to allow for daily
tions? SATA
2/8
