RN Targeted Medical Surgical
Gastrointestinal Online Practice 2019
A nurse is assessing a client immediately following a paracentesis for the treatment of
ascites. which of the following findings indicates the procedure was effective?
Presence of a fluid wave
Increased heart rate
Equal pre and post weights
Decreased SOB
decreased shortnesss of breath
increased abdominal fluid can limit the expansion of the diaphragm and prevent the client
from taking a deep breath. once excess peritoneal fluid is removed, the diaphragm will
expand more freely. the nurse should identify this finding as an indicator of the effectiveness
of the paracentesis.
a nurse is caring for a client who has GERD and a new prescription for metoclopramide. the
nurse should plan to monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia
ataxia
the nurse should plan to monitor the client for extrapyramdial symtoms, such as ataxia, and
should report any positive findings to the provider.
a nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. which of the
following laboratory findings should the nurse report to the provider?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
ammonia 180 mcg/dl
, the nurse should report an increased serum ammonia level because it can indicate
portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the following findings should the
nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds
board-like abdomen
a board-like, distended abdomen is an expected finding in this client
a nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. which of
the following prescriptions should the nurse clarify with the provider?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium
Magnesium hydroxide aka
Milk of magnesia
the nurse should clarify a prescription for milk of magnesia with the provider. this medication
increases gastrointestinal motility, which can increase the client's risk for an electrolyte
imbalance.
a nurse is reviewing the laboratory values of a client who has colorectal cancer. which of the
following findings should the nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL
hemoglobin 9.1 g/dl
decreased hemoglobin is an expected finding in a client who has colorectal cancer because
of occult intestinal bleeding.
a nurse is assessing a client who has cirrhosis. which of the following findings is the priority
for the nurse to report to the provider?
Spider Angiomas
Peripheral edema
Gastrointestinal Online Practice 2019
A nurse is assessing a client immediately following a paracentesis for the treatment of
ascites. which of the following findings indicates the procedure was effective?
Presence of a fluid wave
Increased heart rate
Equal pre and post weights
Decreased SOB
decreased shortnesss of breath
increased abdominal fluid can limit the expansion of the diaphragm and prevent the client
from taking a deep breath. once excess peritoneal fluid is removed, the diaphragm will
expand more freely. the nurse should identify this finding as an indicator of the effectiveness
of the paracentesis.
a nurse is caring for a client who has GERD and a new prescription for metoclopramide. the
nurse should plan to monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia
ataxia
the nurse should plan to monitor the client for extrapyramdial symtoms, such as ataxia, and
should report any positive findings to the provider.
a nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. which of the
following laboratory findings should the nurse report to the provider?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL
ammonia 180 mcg/dl
, the nurse should report an increased serum ammonia level because it can indicate
portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the following findings should the
nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds
board-like abdomen
a board-like, distended abdomen is an expected finding in this client
a nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. which of
the following prescriptions should the nurse clarify with the provider?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium
Magnesium hydroxide aka
Milk of magnesia
the nurse should clarify a prescription for milk of magnesia with the provider. this medication
increases gastrointestinal motility, which can increase the client's risk for an electrolyte
imbalance.
a nurse is reviewing the laboratory values of a client who has colorectal cancer. which of the
following findings should the nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL
hemoglobin 9.1 g/dl
decreased hemoglobin is an expected finding in a client who has colorectal cancer because
of occult intestinal bleeding.
a nurse is assessing a client who has cirrhosis. which of the following findings is the priority
for the nurse to report to the provider?
Spider Angiomas
Peripheral edema
