Chapter 21 Flashcards
Bile is produced in which organ?
Liver
Intestinal adhesions are the most common cause of:
bowel obstruction.
Which of the following statements regarding Grey Turner sign is correct?
Grey Turner sign is characterized by flank bruising and indicates internal bleeding.
Which of the following is a common sign or symptom of acute gastroenteritis?
Fever
An obese 52-year-old woman who presents with severe pain in the right upper quadrant of her abdomen and pain in her right shoulder is most likely experiencing:
Cholecystitis
The presentation of Mallory-Weiss syndrome is caused by which of the following?
Tear at the junction between the esophagus and stomach
Which of the following is a common sign of bleeding in the upper gastrointestinal tract?
Melena
Pain over the suprapubic region is suggestive of injury to the:
Bladder
Icteric sclera and acholic stools are clinical manifestations of:
cirrhosis.
Filtering of blood and recycling of dead red blood cells are functions of the:
Spleen
Blood that has been digested by stomach acids manifests as:
Coffee grounds emesis
A 38-year-old man presents with an acute onset of severe right upper quadrant abdominal pain, pain to his right shoulder, and nausea. He is conscious and alert, but is restless from the pain. His blood pressure is 150/86 mm Hg, pulse rate is 120 beats/min and strong, and respirations are 22 breaths/min and regular. You should:
start an IV with normal saline and set it to keep the vein open, place him in a position of comfort, and administer morphine and promethazine.
Clinical signs of hypokalemia include:
weakness and flattened T waves.
Esophageal varices are a direct result of:
portal hypertension.
Which of the following behaviors place a person at risk for gastrointestinal disease?
Stress
You are caring for a middle-aged man with severe abdominal pain and dark, tarry stools. He is conscious but very restless. His blood pressure is 78/52 mm Hg, pulse rate is 130 beats/min and weak, and respirations are 24 breaths/min and shallow. Further assessment reveals that his skin is cool and clammy, and his radial pulses are weakly present. You should:
administer high-flow oxygen, start two large-bore IV lines, and administer 20-mL/kg normal saline boluses until his radial pulses strengthen.
Which of the following assessment findings or techniques would be most useful when determining the extent of internal volume loss?
Orthostatic vital signs
Which of the following is a function of the liver?
Drug detoxification
Peristalsis is defined as:
rhythmic contraction.
Irritation or injury to abdominal tissue, causing activation of peripheral nerve tracts, would most likely result in which type of pain?
Somatic
