GI/GU Quiz Flashcards

1
Q

Which patient statement alerts the nurse to perform a thorough GI history and focused assessment?
“I don’t like the taste of spicy foods.”
“I got dentures four years ago.”
“I experience occasional constipation.”
“I take ibuprofen three times daily for arthritis.”

A

“I take ibuprofen three times daily for arthritis.”

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2
Q

When obtaining a health history from a 22-year-old female client who has new-onset urinary incontinence, which finding or factors does the nurse consider significant? Select all that apply.

A recent change in the client’s oral contraceptive prescription
A foul odor from the urine
A new inability to hold urine
Urinating 10 times daily although fluid intake remains unchanged
Chemical exposure in the workplace
A burning sensation occurring on urination

A

A foul odor from the urine
A new inability to hold urine
Urinating 10 times daily although fluid intake remains unchanged
A burning sensation occurring on urination

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3
Q

When administering a new GI medication to an older patient, the nurse anticipates what?
A higher-than-normal dose is needed.
Older adults always require a lower-than-normal dose than younger patients.
Close monitoring is needed because toxic or subtherapeutic levels may develop.
Nausea and vomiting may develop rapidly and are common side effects in older adults.

A

Close monitoring is needed because toxic or subtherapeutic levels may develop.

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4
Q

When assessing a patient with an indwelling catheter the nurse notes the color as brown. Which of the following is most likely the cause of this finding?
Severe dehydration
Old urinary tract bleed
10-year history of diabetes mellitus
Congestive heart failure

A

Severe dehydration

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5
Q

A patient with kidney failure reports dyspnea. The patient’s pulse oximeter reading is 95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What is the priority intervention?
Administer oxygen by nasal cannula.
Administer lorazepam as the patient’s tachypnea is related to anxiety.
Notify the respiratory therapist.
Administer a respiratory nebulizing treatment.

A

Administer oxygen by nasal cannula.

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6
Q

A patient with a history of kidney disease is admitted with acute shoulder pain. Which order should the nurse question?

A

Ibuprofen 800 mg by mouth every 4 hours as needed for pain

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7
Q

The nurse is assessing a patient’s AV fistula and notes there is not a thrill present. What is the priority action?
Reassess in 1 hour.
Administer dialysis via the AV fistula.
Notify the physician.
Reschedule dialysis for tomorrow

A

Notify the physician.

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8
Q

A postoperative patient is having difficulty emptying their bladder completely. You note that have a distended abdomen. These findings are indicative of which of the following?

A

Urinary retention

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9
Q

Match the disease/condition with the definition or common findings.

A

Renal calculi - Kidney Stones
Cholecystitis- Gallstones
Urinary retention- Incomplete bladder emptying
Urethral stricture- Narrowing of urethra
Hypospadias- Urethra on underside
Pyelonephritis- Kidney infection

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