Gl practice Flashcards
A nurse is reviewing the admission lab result of a pt who has acute pancreatitis. Which of the following findings should the nurse expect?
a) Decreased blood lipase level
b) Decreased blood amylase level
c) Increased blood calcium level
d) Increased blood glucose level
d
A nurse is preparing to administer pancrelipase to a pt who has pancreatitis. Which of the following actions should the nurse take?
a) Insturact the pt to chew the medication before swallowing
b) Offer a glass of water following medication administration
c) Administger the med 30 min before meals
d) Sprine the contents n peanut butter
b
a-should swallow without chew
c-with every meal and snacls
d-can be sprine non proteine food
A nurse is completing an admission assessment of a pt who has pancreatitis. Which of the following findings should the nurse expect?
a) Pain in right upper quadrant radiation to the shoulder
b) Report of pain is worse when sitting upright
c) Pain relieved with defecation
d) Epigastric pain radiation to the left sholder
d
pain can be radiate to the back, left flanl, or left sholder
a-cholecystitis
b-when laying down
c-assuming the fetal position
A nurse is assessing an apt who has pancreatitis, Which of the following findings should the nurse identify as a manifestation of pancreatitis?
a) Generalized cyanosis
b) Hyperactive bowel sound
c) Gray-blue discoloration of the skin around the umbilicus
d) Wheezing in the lower lung fields
c
a-jundice
b-absent sound
d-diminished breath sounds as well as dyspnea or orthopnea
A nurse is completing nutrition teaching for a pt who has pancreatitis. Which of the following statements by the pt indicates an understanding of the teaching? SATA
a) I plan to eat sall, frequent meals
b) I will eat easy-to-digest food with limited spice
c) I will use skim mile when cooking
d) I plan to drink regular cola
e) I will limit alcohol intake to two drinks per day
a,b,c
d-caffeing free drinks are recommended
e-should avoid alcohol intake
A nurse is completing an assessment of a pt who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? SATA
a) Rigid abdomen
b) Tachycardia
c) Elevated BP
d) Circumoral cyanosis
e) Rebound tenderness
a,b,e
A nurse is teaching a pt who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?
a) Eat 3 moderate sized meals a day
b) Drink at least one glass of water wig each meal
c) Eat a bedtime snack that contains a milk product
d) Increase protein in the diet
d
Eat a high-protein,high-fat, low-fiber, and moderate to low-carb diet
a-should small meals
b-eliminate liquid with meals and 1 hr prior and following meals
c-avoid milk product
A nurse is completing discharge teaching for a pt who has an infection due to H.pylori. Which pf the following statements by the pt indicates an understanding of the teaching?
a) I will continue my prescription for corticosteroids
b) I will schedule a CT scan to monitor improvement
c) I will take a combination of medications for treatment
d) I will have my throat swabbed to recheck for this bacteria
c
antibiotic and H2 blocker
b-not CT scan, EGD
d-obtain gastric sample
A nurse is completing assessments of a pt who has a gastric ulcer. Which of the following findings should the nurse expect? SATA
a) Pt reoprts pain relieved by eating
b) Pt states that pain often occurs at night
c) Pt reports a sensation of bloating 膨満感
d) Pt states that pain occurs 30 min to 1hr after a meal
e) Pt experiences pai upper palpation of the epigastric region
c,d,e
A nurse is teaching a pt who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching? SATA
a) Take the med 1hr before a meal
b) Limit NSAIDs when taking this med
c) Expect skin flushing when taking this med
d) Increase fiber intake when taking this med
e) Chew the med thoroughly before swallowing
a,b
e- do not chew the med
A nurse is teaching about pernicious anemia with a pt who has chronic gastritis. Which of the following information should the nurse include in the teaching?
a) Pernicious anemia is caused when the cells producing gastric acid are damaged
b) Expect a monthly injection of vitamin B12
c) Plan to take vitamin K supplements
d) Pernicious anemia is caused by an increased production of intrinsic factor
b
A nurse is caring for a pt who has a new diagnosis of GERD. The nurse should expect prescripitions for which of the following medications? SATA
a) Antacids
b) Histamine2 receptor antagonists
c) Opioid analgestics
d) Fiber laxatives
e) PPI
a,b,e
A nurse is completing an assesment of a pt who has GERD, Which hof following is an expected finding?
a) Absence of saliva
b) Painful swallowing
c) Sweet taste in mouth
d) Absence of erucation
b
d/t espphageal stricture of inflammation
a-hypersalivation
c-bitter taste in th mouth
d-incrasing burping
erucation=burping
A nurse is teaching a pt who has hiatal hernia. Which of the following pt statments indicates an understanding of the teaching?
a) I can take my meds with soda
b) Peppermint tea will increase my indigestion
c) wearing an abdominal binder will limit my manifestaitons
d) I can life weights as a way to excersise
b
c-avoid such as tight clothes
A nurse is teaching about pernicious anemia with a ot who has chronic gastritis. Which of the following information should the nurse include in the teaching?
a) pernicious anemia is caused wehn the cell producing gastric acid are damaged
b) Expect a onthly injection of Vb12
c) Plan to take NL supplements
d) Perinicious anemia is caused by an increased production of intrinsic factor
b
