COR- RECT!!!
1. The nurse caring for a client Answer D. I.V. infusions containing normal saline
solution and
with small-bowel potassium should be given first to maintain fluid and
obstruc- tion would electrolyte balance. For the client's comfort and to assist
plan to imple- ment in bowel decom- pression, the nurse should prepare to
which nursing inter- insert an NG tube next. A blood sample is then obtained
vention first? for laboratory studies to aid in the diagnosis of bowel
obstruction and guide treatment. Blood studies usually
a. Administering pain include a complete blood count, serum electrolyte levels,
med- ication and blood urea nitrogen level. Pain medication often is
withheld
b. Obtaining a blood sample until obstruction is diagnosed because analgesics can
decrease
for laboratory studies obstruction in the pancreatic duct.
c. Preparing to insert a 2. There are gallstones in the
na- sogastric (NG) tube gallbladder.
d. Administering I.V. 3. Bile is no longer pro- duced by
fluids the gallbladder.
4. There is an obstruction in the
2. 1. An adult who has
common bile duct.
chole- cystitis reports
clay colored stools and
moderate jaun- dice.
Which is the best ex-
planation for the
presence of clay
colored stools and
jaundice?
1. There is an
1/
75
, GI EXAM STUDY GUIDE QUESTIONS AND ANSWERS VERIFIED 100%
COR- RECT!!!
intestinal motility
(4) Clay colored stools means bile is not
getting through to the duodenum. The
bile duct is obstructed so bile backs up
into the bloodstream causing jaundice
2/
75
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COR- RECT!!!
3. Atropine 0.5 mg is (3) Atropine is an anticholinergic drug , which will decrease
ordered for a client con- tractions of the gallbladder.
having an acute attack
of cholecystitis. What is
the primary purpose of
this drug for this client?
1. decrease skeletal
muscle spasms.
2. increase
gastrointestinal
peristalsis
3. decrease smooth
muscle contractions
4. decrease anxiety
4. An adult male is admitted to (4) Weight gain may occur due to increased
consumption of food
the hospital as the client tries to feed a duodenal ulcer. "Why"
complaining of burning questions are threatening to clients. #3 asks for a yes or
epigastric pain. He no answer. This will not
reports to the nurse that he give as much information as asking about the eating
habits.
has gained 14 pounds
over the last two
months. Which nursing
response is best?
1. "Why were you
eating more?"
2. "Has the weight
gain been
, GI EXAM STUDY GUIDE QUESTIONS AND ANSWERS VERIFIED 100%
COR- RECT!!!
intentional?"
3. "Does your weight
usual- ly fluctuate this
much?"
4. "How did your
eating habits
change?"
5.