NUR 1211 GI exam

NUR 1211 GI exam The patient with inflammatory bowel disease has a serum potassium of 3.4 mEq/L. Which action should the nurse implement first? Selected Answer: Incorrect a. Notify the healthcare provider Answers: a. Notify the healthcare provider Correct b. Assess the patient for muscle weakness c. Request telemetry for the patient d. Prepare to administer IV potassium 3 A client who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the client's condition is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence? Selected Answer: CorrectC. Tachycardia, hypotension, and tachypnea Answers: A. Sudden thirst, unrelieved by oral fluid administration B. Diaphoresis and sudden onset of abdominal pain CorrectC. Tachycardia, hypotension, and tachypnea D. Tarry, foul-smelling stools Response Feedback: Tachycardia, hypotension, and tachypnea are signs of recurrent bleeding. Clients who have had one GI bleed are at risk for recurrence. Tarry stools are expected short-term findings after a hemorrhage. Hemorrhage is not normally associated with sudden thirst or diaphoresis. Question 4 A 35-year-old male client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize? Answers: A. Administration of a glycerin suppository and an oral laxative CorrectB. Insertion of a nasogastric tube C. Insertion of a central venous catheter D. Administration of a mineral oil enema Response Feedback: Decompression of the bowel through a nasogastric tube is necessary for all clients with small bowel obstruction. Peripheral IV access is normally sufficient. Enemas, suppositories, and laxatives are not indicated if an obstruction is present. Question 6 A nurse is providing care for a client who is postoperative day 2 following gastric surgery. The nurses assessment should be planned in light of the possibility of what potential complications? Select all that apply. Selected Answers: CorrectA. Hemorrhage CorrectB. Pneumonia CorrectD. Atelectasis Answers: CorrectA. Hemorrhage CorrectB. Pneumonia C. Chronic gastritis CorrectD. Atelectasis