Rasmussen NUR2571 Final (GI GU) Exam Questions
With Correct Answers
Dysphagia |(Assessment) |- |CORRECT |ANSWER✔✔-Difficulty |swallowing |liquids |or |solids.
Recurrent |pulmonary |infections. |(Related |to |aspiration)
Coughing |after |eating |or |drinking.
Dysphagia |(Diagnostics) |- |CORRECT |ANSWER✔✔-Barium |swallow |test |or |an |endoscopic |
evaluation.
Swallow |studies |are |preformed |by |occupational |therapy, |NOT |the |nurse.
The |nurse |can |do |a |swallow |screening |and |request |a |consult |with |OT |for |further |evaluation.
Dysphagia |(Nursing |Interventions) |- |CORRECT |ANSWER✔✔-Provide |the |patient |with |thickened |
fluids |and |foods.
- Do |not |provide |a |patient |on |thickened |fluids |with |a |straw!
| |
Keep |the |patients |head |of |bed |at |30-45 |degrees |to |prevent |aspiration.
Appendicitis |(S/S) |- |CORRECT |ANSWER✔✔-Generalized |abdominal |pain |that |progressively |
worsens.
Nausea |and |vomiting
Localized |RLQ |pain |(McBurney's |Point)**
Rebound |tenderness.
A |patient |admitted |with |appendicitis |is |scheduled |for |an |appendectomy |tomorrow. |As |the |
nurse |you |are |evaluating |the |patients |pain, |the |patient |states |their |pain |suddenly |went |away. |
, What |does |this |indicate? |- |CORRECT |ANSWER✔✔-Sudden |relief |of |pain |indicates |that |the |
appendix |has |ruptured.
This |is |a |medical |emergency |that |will |require |the |patient |to |go |in |for |emergency |surgery.
A |ruptured |appendix |places |the |patient |at |a |high |risk |for |developing |septicemia.
The |nurse |is |admitting |a |child |with |a |diagnosis |of |"Rule |out |appendicitis" |The |nurse |assesses |
this |client |for |which |manifestations? |(SATA)
a. |Generalized |abdominal |pain
b. |Pain |localizing |in |the |right |lower |quadrant
c. |Fatty |stools
d. |Elevated |white |blood |cell |count |- |CORRECT |ANSWER✔✔-Answer: |A, |B, |D; |Pain |related |to |
appendicitis |begins |as |generalized |abdominal |pain, |however |as |it |progresses |it |intensifies |and |
becomes |more |localized |in |the |right |lower |quadrant. |Fatty |stools |are |not |a |clinical |
manifestation |of |appendicitis. |During |appendicitis, |WBCs |can |elevated |to |15,000 |- |20,000.
Appendicitis |(Patho) |- |CORRECT |ANSWER✔✔-Infection |of |the |appendix |causes |inflammation |
and |blockage, |possibly |leading |to |rupture.
Appendicitis |(Treatment |& |Interventions) |- |CORRECT |ANSWER✔✔-Surgical |removal |of |the |
appendix.
Place |the |patient |in |semi-fowlers |position |on |their |right |side |to |prevent |spread |of |infection.
Apply |cold |packs |for |discomfort.
Do |not |administer |laxatives.
True/False
Heat |therapy |is |a |beneficial |way |of |managing |pain |in |a |patient |with |appendicitis. |- |CORRECT |
ANSWER✔✔-FALSE
Heat |stimulates |vasodialation |and |allows |for |the |spread |of |infection. |COLD |is |the |only |therapy |
that |should |be |utilized.
With Correct Answers
Dysphagia |(Assessment) |- |CORRECT |ANSWER✔✔-Difficulty |swallowing |liquids |or |solids.
Recurrent |pulmonary |infections. |(Related |to |aspiration)
Coughing |after |eating |or |drinking.
Dysphagia |(Diagnostics) |- |CORRECT |ANSWER✔✔-Barium |swallow |test |or |an |endoscopic |
evaluation.
Swallow |studies |are |preformed |by |occupational |therapy, |NOT |the |nurse.
The |nurse |can |do |a |swallow |screening |and |request |a |consult |with |OT |for |further |evaluation.
Dysphagia |(Nursing |Interventions) |- |CORRECT |ANSWER✔✔-Provide |the |patient |with |thickened |
fluids |and |foods.
- Do |not |provide |a |patient |on |thickened |fluids |with |a |straw!
| |
Keep |the |patients |head |of |bed |at |30-45 |degrees |to |prevent |aspiration.
Appendicitis |(S/S) |- |CORRECT |ANSWER✔✔-Generalized |abdominal |pain |that |progressively |
worsens.
Nausea |and |vomiting
Localized |RLQ |pain |(McBurney's |Point)**
Rebound |tenderness.
A |patient |admitted |with |appendicitis |is |scheduled |for |an |appendectomy |tomorrow. |As |the |
nurse |you |are |evaluating |the |patients |pain, |the |patient |states |their |pain |suddenly |went |away. |
, What |does |this |indicate? |- |CORRECT |ANSWER✔✔-Sudden |relief |of |pain |indicates |that |the |
appendix |has |ruptured.
This |is |a |medical |emergency |that |will |require |the |patient |to |go |in |for |emergency |surgery.
A |ruptured |appendix |places |the |patient |at |a |high |risk |for |developing |septicemia.
The |nurse |is |admitting |a |child |with |a |diagnosis |of |"Rule |out |appendicitis" |The |nurse |assesses |
this |client |for |which |manifestations? |(SATA)
a. |Generalized |abdominal |pain
b. |Pain |localizing |in |the |right |lower |quadrant
c. |Fatty |stools
d. |Elevated |white |blood |cell |count |- |CORRECT |ANSWER✔✔-Answer: |A, |B, |D; |Pain |related |to |
appendicitis |begins |as |generalized |abdominal |pain, |however |as |it |progresses |it |intensifies |and |
becomes |more |localized |in |the |right |lower |quadrant. |Fatty |stools |are |not |a |clinical |
manifestation |of |appendicitis. |During |appendicitis, |WBCs |can |elevated |to |15,000 |- |20,000.
Appendicitis |(Patho) |- |CORRECT |ANSWER✔✔-Infection |of |the |appendix |causes |inflammation |
and |blockage, |possibly |leading |to |rupture.
Appendicitis |(Treatment |& |Interventions) |- |CORRECT |ANSWER✔✔-Surgical |removal |of |the |
appendix.
Place |the |patient |in |semi-fowlers |position |on |their |right |side |to |prevent |spread |of |infection.
Apply |cold |packs |for |discomfort.
Do |not |administer |laxatives.
True/False
Heat |therapy |is |a |beneficial |way |of |managing |pain |in |a |patient |with |appendicitis. |- |CORRECT |
ANSWER✔✔-FALSE
Heat |stimulates |vasodialation |and |allows |for |the |spread |of |infection. |COLD |is |the |only |therapy |
that |should |be |utilized.
