Lewis Questions Gastrointestinal Flashcards

1
Q

During The assessment of the patient with acute abdominal pain, the nurse should

A

Measure body temperature because an elevated temperature might indicate an inflammatory or infectious process

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2
Q

The nurse would increase the comfort of a patient with appendicitis by

A

Flexing the patients right knee

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3
Q

When planning care for the patient with Crohn’s disease, the nurse recognizes that a major difference between ulcerative colitis and Crohn’s disease is that Crohn’s disease

A

Crohn’s disease often reoccurs after surgery whereas colitis is curable with a colectomy

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4
Q

The nurse performs a detailed assessment of the abdomen of a patient with a possible bowel obstruction, knowing that a manifestation of an obstruction in the large intestine is

A

A largely distended abdomen and also a persistent colicky abdominal pain

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5
Q

A patient with metastatic colon rectal cancer was scheduled for both chemotherapy and radiation therapy. Patient teaching regarding these therapies for this patient would include an explanation that

A

Both chemotherapy and radiation can be used as palliative treatment

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6
Q

The nurse explains to the patient undergoing ostomy surgery that the procedure that maintains the most normal functioning of the bowel is

A

A sigmoid colostomy

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7
Q

In contrast to diverticulitis the patient with diverticulosis

A

Often has no symptoms

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8
Q

Nursing intervention that is appropriate to decrease post operative Edema and pain following an inguinal hernia repair is

A

A playing scrabble support with an ice bag 😂😂😂

(haha, not Scabble- darn auto correct! ) apply support to the area and an ice pack

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9
Q

During an assessment of a patient with obstructive jaundice the nurse would expect to find

A

Clay colored stools

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10
Q

A patient with hepatitis a is in the acute phase. The nurse plans care for the patient based on the knowledge that

A

Pruritis is a common problem with jaundice and this phase

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11
Q

A patient with hepatitis B is being discharged in two days. And the discharge teaching the nurse should include instructions to

A

Use a condom during sexual intercourse

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12
Q

Patient has been told that she has elevated liver enzyme’s caused by nonalcoholic fatty liver disease. The nurse is teaching should include

A

Recommending a healthy heart diet

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13
Q

The nurse explained to the patient with acute pancreatitis that the most common pathogenic mechanism of the disorder is

A

Auto digestion of the pancreas

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14
Q

Nursing management of the patient with acute pancreatitis includes

A

Checking for signs of hypocalcemia and monitoring for infection particularly respiratory infection

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15
Q

A patient with pancreatic cancer is admitted to the hospital for evaluation of possible treatment options. The patient asked the nurse to explain the Whipple procedure that the surgeon has described. The exclamation includes the information that a Whipple procedure involves

A

A Whipple procedure involves removal of part of the pancreas, part of the stomach, the duodenum, the gallbladder, with joining of the pancreatic duct, common bile duct, and stomach into the jejunum

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16
Q

nursing management of a patient with Chole cystitis associated with Cholilithiasis is based on the knowledge that

A

Laparoscopic cholecystectomy is the treatment of choice and most patients who are symptomatic

17
Q

Teaching in relation to how management following a laparoscopic Coley cystectomy should include

A

Reporting any bile colored drainage or pus from any incision