39155213-Gastrointestinal-Quiz-Answers PDF

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Gastrointestinal Questions 1. An adult who has cholecystitis reports clay colored stools and moderate jaundice. Which is the best explanation for the presence of clay colored stools and jaundice? 1. There is an obstruction in the pancreatic duct. 2. There are gallstones in the gallbladder. 3. Bile is no longer produced by the gallbladder. 4. There is an obstruction in the common bile duct. 2. Atropine 0.5 mg is ordered for a client having an acute attack of cholecystitis. What is the primary purpose of this drug for this client? To 1. decrease skeletal muscle spasms. 2. increase gastrointestinal peristalsis 3. decrease smooth muscle contractions 4. decrease anxiety 3. Following a cholecystectomy, drainage form the T tube for the first 24 hours postoperative was 350 cc. Proper nursing action in response to this should be to 1. notify the physician . 2. raise the level of the drainage bag to decrease rate of flow. 3. increase the IV flow rate to compensate for the loss. 4. continue to observe and measure drainage. 4. An adult male is admitted to the hospital complaining of burning epigastric pain. He reports to the nurse that he 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 intentional?” 3. “Does your weight usually fluctuate this much?” 4. “How did your eating habits change?” 5. An adult male client is admitted with a diagnosis of probable duodenal ulcer. Which of the following laboratory tests would it be most essential for the nurse to assess immediately? 1. Hemoglobin and Hematocrit 2. SGPT and SGOT 3. Na and K 4. BUN and creatinine 6. An adult client is to have a gastroduodenoscopy in the morning. The nurse’s instructions should include the information that he will be

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1. given a general anesthetic during the procedure. 2. given a local anesthetic to ease the discomfort during the procedure. 3 asked to assist by coughing during the procedure

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21. A client has an order for irrigation of a nasogastric tube. What should the nurse do before irrigating the nasogastric tube? 1. Inject a small amount of air while listening with a stethoscope over the stomach for a “swoosh.” 2. Instill 5 cc of normal saline and observe for development of coughing and dyspnea. 3. Place the end of the nasogastric tube in a glass of water and observe for bubbles. 4. Aspirate and check the pH. 22. The client who has had a hemorrhoidectomy wants to know why she cannot take a sitz bath immediately upon return from the operating room. The nurse’s response is based upon which of the following concepts? 1. Heat can stimulate bowel movement too quickly after surgery. 2. Patients are generally not awake enough for several hours to safely take sitz baths. 3. Heat applied immediately post-operatively increases the possibility of hemorrhage. 4. Sitting in water before the sutures are removed may cause infection. 23. A client with pancreatitis tells the nurse that he fears nighttime. Which of the following statements most likely relates to the client’s concerns? 1. The pain is worse at night and aggravated in the recumbent position. 2. He is afraid of the dark. 3. The mattress is uncomfortable. 4. The pain increases after a day of activity. 24. The client asks how he contracted hepatitis A. He reports all of the following. Which one is most likely related to hepatitis A? 1. He ate home canned tomatoes. 2. He ate oysters his roommate brought home from a fishing trip. 3. He stepped on a nail 2 weeks ago. 4. He donated blood 2 weeks before he got sick. 25. The client has had a liver biopsy. The nurse should position him on his right side with a pillow under his rib cage. What is the primary reason for this position? 1. To immobilize the diaphragm. 2. To facilitate full chest expansion. 3. To minimize the danger of aspiration. 4. To reduce the likelihood of bleeding

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Gastrointestinal Quiz A d R ti l

of water does not prove the location of the tube. Injecting air and listening for a “swoosh” does not tell the nurse that the tube is in the stomach. The distal end of the tube could be in the esophagus and still cause a “swoosh.” Instilling fluid in the esophagus would increase the risk of aspiration.

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(3) Heat causes vasodilation. In the immediate post-operative period this could cause hemorrhaging. Ice packs will be applied for the first 24 hours. Sitz baths are ordered after that.

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(1) The recumbent position aggravates pancreatic pain. The client will be more comfortable on his side with his knees flexed.

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(2) Shellfish that grow in contaminated waters may have the virus. Home canned tomatoes might cause food poisoning. Stepping on a nail might cause tetanus. Donating blood will not cause hepatitis. Receiving blood might cause hepatitis B or C.

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(4) The liver is a very vascular organ. It is located on the right side. Lying on the right side will put pressure on it and provide hemostasis. http://nurse.nonoy.net/2010/06/nclex-review-gastrointestinalquestions/

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1. During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with synthesis of which vitamin and may lead to hypoprothrombinemia? a. vitamin A b. vitamin D c. vitamin E d. vitamin K

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2. When evaluating a male client for complications of acute pancreatitis, the nurse would observe for: a. increased intracranial pressure. b. decreased urine output.

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