Saunders Gastrointestinal Latest Update
Comprehensive Questions with Approved
Answers Guaranteed Pass 100%
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 - Answer -4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back
.
A client arrives at the hospital emergency department complaining of acute right lower quadrant
abdominal pain, and appendicitis is suspected. Laboratory tests are performed, and the nurse notes that
the client's white blood cell (WBC) count is elevated. On the basis of these findings, the nurse should
question which health care provider (HCP) prescription documented in the client's medical record?
,1.
Apply a cold pack to the abdomen.
2.
Administer 30 mL of milk of magnesia (MOM).
3.
Maintain nothing by mouth (nil per os [NPO]) status.
4.
Initiate an intravenous (IV) line for the administration of IV fluids. - Answer -Administer 30 mL of
milk of magnesia (MOM).
A client arrives at the hospital emergency department complaining of acute right lower quadrant
abdominal pain. Appendicitis is suspected, and appropriate laboratory tests are performed. The
emergency department nurse reviews the test results and notes that the client's white blood cell (WBC)
count is elevated. The nurse also reviews the prescriptions from the health care provider (HCP). The
nurse should contact the HCP to question which prescription if noted in the client's record?
1.
Maintain a semi Fowler's position.
2.
Maintain on NPO (nothing by mouth) status.
3.
Apply a heating pad to the lower abdomen for comfort.
4.
Initiate an intravenous (IV) line with the administration of IV fluids. - Answer -Apply a heating pad
to the lower abdomen for comfort.
A client experiencing chronic dumping syndrome makes the following comments to the nurse. Which
one indicates the need for further teaching?
1.
,"I eat at least 3 large meals each day."
2.
"I eat while lying in a semirecumbent position."
3.
"I have eliminated taking liquids with my meals."
4.
"I eat a high-protein, low- to moderate-carbohydrate diet." - Answer -"I eat at least 3 large meals
each day."
A client had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the
stoma. What is the correct interpretation by the nurse?
1.
This is a normal, expected event.
2.
The client is experiencing early signs of ischemic bowel.
3.
The client should not have the nasogastric tube removed.
4.
This indicates inadequate preoperative bowel preparation. - Answer -This is a normal, expected
event.
A client has a large, deep duodenal ulcer diagnosed by endoscopy. Which sign or symptom indicative of a
complication should the nurse look for during the client's postprocedure assessment?
1.
Bradycardia
2.
Nausea and vomiting
3.
, Numbness in the legs
4.
A rigid, boardlike abdomen - Answer -A rigid, boardlike abdomen
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 - 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. -
Answer -1.
Administer stool softeners as prescribed.
Comprehensive Questions with Approved
Answers Guaranteed Pass 100%
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 - Answer -4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back
.
A client arrives at the hospital emergency department complaining of acute right lower quadrant
abdominal pain, and appendicitis is suspected. Laboratory tests are performed, and the nurse notes that
the client's white blood cell (WBC) count is elevated. On the basis of these findings, the nurse should
question which health care provider (HCP) prescription documented in the client's medical record?
,1.
Apply a cold pack to the abdomen.
2.
Administer 30 mL of milk of magnesia (MOM).
3.
Maintain nothing by mouth (nil per os [NPO]) status.
4.
Initiate an intravenous (IV) line for the administration of IV fluids. - Answer -Administer 30 mL of
milk of magnesia (MOM).
A client arrives at the hospital emergency department complaining of acute right lower quadrant
abdominal pain. Appendicitis is suspected, and appropriate laboratory tests are performed. The
emergency department nurse reviews the test results and notes that the client's white blood cell (WBC)
count is elevated. The nurse also reviews the prescriptions from the health care provider (HCP). The
nurse should contact the HCP to question which prescription if noted in the client's record?
1.
Maintain a semi Fowler's position.
2.
Maintain on NPO (nothing by mouth) status.
3.
Apply a heating pad to the lower abdomen for comfort.
4.
Initiate an intravenous (IV) line with the administration of IV fluids. - Answer -Apply a heating pad
to the lower abdomen for comfort.
A client experiencing chronic dumping syndrome makes the following comments to the nurse. Which
one indicates the need for further teaching?
1.
,"I eat at least 3 large meals each day."
2.
"I eat while lying in a semirecumbent position."
3.
"I have eliminated taking liquids with my meals."
4.
"I eat a high-protein, low- to moderate-carbohydrate diet." - Answer -"I eat at least 3 large meals
each day."
A client had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the
stoma. What is the correct interpretation by the nurse?
1.
This is a normal, expected event.
2.
The client is experiencing early signs of ischemic bowel.
3.
The client should not have the nasogastric tube removed.
4.
This indicates inadequate preoperative bowel preparation. - Answer -This is a normal, expected
event.
A client has a large, deep duodenal ulcer diagnosed by endoscopy. Which sign or symptom indicative of a
complication should the nurse look for during the client's postprocedure assessment?
1.
Bradycardia
2.
Nausea and vomiting
3.
, Numbness in the legs
4.
A rigid, boardlike abdomen - Answer -A rigid, boardlike abdomen
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 - 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. -
Answer -1.
Administer stool softeners as prescribed.
