NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
What is a specific intervention for the treatment of acute pancreatitis? - ANSWER NPO status to reduce
GI activity and reduce pancreatic enzyme production
What is administered in order to prevent dehydration in a client with acute pancreatitis? - ANSWER IV
fluids
When a client has acute pancreatitis with severe or persistent nausea and vomiting, what action
intervention is needed? - ANSWER NGT to low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis? - ANSWER -Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis? - ANSWER Opioid analgesics for
pain
When are opioid analgesics administered for acute pancreatitits? - ANSWER -Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort? - ANSWER Fetal position
,NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
What is the standard surgical procedure for patients with cholecystitis? - ANSWER Laparoscopic
cholecystectomy
What is a laparoscopic cholecystectomy? - ANSWER -Uses several small incisions (up to 1/2 in. long) in
the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the surgical instruments and a
laparoscope (a small thin telescope, camera, and surgical equipment) are placed through the incisions to
remove the gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic cholecystectomy? - ANSWER
Assist with early ambulation to promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic cholecystectomy follow? - ANSWER Low-
fat
When can a client who is post-op laparoscopic cholecystectomy remove the dressing? - ANSWER After
24 hours
When can a client who is post-op laparoscopic cholecystectomy shower? - ANSWER -After the first 48
hours
-It is okay to get the incision a little wet in the shower, but patients should not let the water pressure
flow directly on the incision, which can increase chances of infection at the incision site
What discharge teaching should a nurse provide to a client who is post-op laparoscopic
cholecystectomy? - ANSWER -Light lifting of less than 10 pounds
-No driving while taking narcotics
What color should a stoma be post-op? - ANSWER Reddish pink
, NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
When should you contact the healthcare provider after assessing a client's stoma? - ANSWER If the
stoma is pale, dark red, purplish, or black (dark)
What can you expect the stool consistency from an ascending colostomy to be? - ANSWER Liquid
because only a little, large bowel is available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support? - ANSWER Local chapter of the UOAA has
resources for patients and their families, including specially trained visitors who provide support
What kinds of foods should a client with a colostomy avoid? - ANSWER -Foods that can cause gas such as
dark green leafy vegetables, beer, carbonated beverages, dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied? - ANSWER When there is gas or if it is one-third to one-half
full of stool
What foods can help reduce the risk of colon cancer? - ANSWER -High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
What food increases the risk of colon cancer? - ANSWER Red meat
When is colorectal cancer prevalent? - ANSWER Rare before the age of 40, but its incidence increases
rapidly with advancing age
What should a client with irritable bowel syndrome (IBS) consume daily? - ANSWER High-fiber diet (30-
40 g/day) with 8-10 cups of liquid
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
What is a specific intervention for the treatment of acute pancreatitis? - ANSWER NPO status to reduce
GI activity and reduce pancreatic enzyme production
What is administered in order to prevent dehydration in a client with acute pancreatitis? - ANSWER IV
fluids
When a client has acute pancreatitis with severe or persistent nausea and vomiting, what action
intervention is needed? - ANSWER NGT to low-intermittent suction (LIS)
How does an NGT help a client with acute pancreatitis? - ANSWER -Decompresses stomach
-Prevents abdominal distention
What class of drugs is indicated for the treatment of acute pancreatitis? - ANSWER Opioid analgesics for
pain
When are opioid analgesics administered for acute pancreatitits? - ANSWER -Around the clock
-PRN
How do you position a client with acute pancreatitis to assure comfort? - ANSWER Fetal position
,NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
What is the standard surgical procedure for patients with cholecystitis? - ANSWER Laparoscopic
cholecystectomy
What is a laparoscopic cholecystectomy? - ANSWER -Uses several small incisions (up to 1/2 in. long) in
the abdominal cavity
-Carbon dioxide gas is inserted to create space in the abdomen, and the surgical instruments and a
laparoscope (a small thin telescope, camera, and surgical equipment) are placed through the incisions to
remove the gallbladder
What is one role of a nurse when a client is preparing for a laparoscopic cholecystectomy? - ANSWER
Assist with early ambulation to promote absorption of carbon dioxide
What kind of diet should a client who is post-op laparoscopic cholecystectomy follow? - ANSWER Low-
fat
When can a client who is post-op laparoscopic cholecystectomy remove the dressing? - ANSWER After
24 hours
When can a client who is post-op laparoscopic cholecystectomy shower? - ANSWER -After the first 48
hours
-It is okay to get the incision a little wet in the shower, but patients should not let the water pressure
flow directly on the incision, which can increase chances of infection at the incision site
What discharge teaching should a nurse provide to a client who is post-op laparoscopic
cholecystectomy? - ANSWER -Light lifting of less than 10 pounds
-No driving while taking narcotics
What color should a stoma be post-op? - ANSWER Reddish pink
, NUR 355 Exam 5 126 Module 8 –
Gastrointestinal and Module 9 –
Musculoskeletal exam complete
solutions.
When should you contact the healthcare provider after assessing a client's stoma? - ANSWER If the
stoma is pale, dark red, purplish, or black (dark)
What can you expect the stool consistency from an ascending colostomy to be? - ANSWER Liquid
because only a little, large bowel is available to reabsorb the liquid from the stool
Where can you refer a client for ostomy patient support? - ANSWER Local chapter of the UOAA has
resources for patients and their families, including specially trained visitors who provide support
What kinds of foods should a client with a colostomy avoid? - ANSWER -Foods that can cause gas such as
dark green leafy vegetables, beer, carbonated beverages, dairy products, and corn
-Chewing gum, skipping meals, and smoking can also cause gas
When should a colostomy bag be emptied? - ANSWER When there is gas or if it is one-third to one-half
full of stool
What foods can help reduce the risk of colon cancer? - ANSWER -High-fiber foods
-Brassica vegetables such as broccoli and cauliflower
What food increases the risk of colon cancer? - ANSWER Red meat
When is colorectal cancer prevalent? - ANSWER Rare before the age of 40, but its incidence increases
rapidly with advancing age
What should a client with irritable bowel syndrome (IBS) consume daily? - ANSWER High-fiber diet (30-
40 g/day) with 8-10 cups of liquid
