quiz 2 Flashcards
A 19-year-old presents with abdominal pain in the right lower quadrant. Physical examination reveals rebound tenderness and a low-grade fever. What might a possible diagnosis be? Select one: a. Colon cancer b. Pancreatitis c. Appendicitis d. Hepatitis
appendicitis
A 31-year-old female is diagnosed with acute pancreatitis. Which of the following will be part of the treatment plan? (Select all that apply.) Select one or more: a. Narcotic analgesics b. IV fluids c. Restriction of food intake d. Nasogastric suctioning e. Steroid therapy
a. Narcotic analgesics
b. IV fluids
c. Restriction of food intake
d. Nasogastric suctioning
A 39-year-old is diagnosed with a duodenal ulcer. Which of the following behaviours may have contributed to the development of the ulcer? Select one: a. Regular NSAID use b. Consuming limited fibre c. Antacid consumption d. Drinking caffeinated beverages
a. Regular NSAID use
A 50-year-old is diagnosed with gastroesophageal reflux. What is the cause of this condition?
Select one:
a. Sympathetic nerve stimulation
b. Fibrosis of the lower third of the esophagus
c. Reverse peristalsis of the stomach
d. Loss of muscle tone at the lower esophageal sphincter
d. Loss of muscle tone at the lower esophageal sphincter
A 50-year-old male reports episodes of frequently recurring crampy abdominal pain, diarrhea, and bloody stools. What might a possible diagnosis be? Select one: a. Achalasia b. Hiatal hernia c. Pyloric obstruction d. Ulcerative colitis
d. Ulcerative colitis
Acute pancreatitis often manifests with pain to which of the following regions? Select one: a. Suprapubic b. Right lower quadrant c. Right upper quadrant d. Epigastric
d. Epigastric
Cholecystitis is inflammation of the gallbladder wall usually caused by:
Select one:
a. obstruction of the cystic duct by a gallstone.
b. accumulation of fat in the wall of the gallbladder.
c. viral infection of the gallbladder.
d. accumulation of bile in the hepatic duct.
a. obstruction of the cystic duct by a gallstone.
During a busy day, the nurse admits all of the following clients to the medical-surgical unit. Which clients are most important to refer to the dietitian for a complete nutritional assessment? (Select all that apply.)
Select one or more:
a. A 24-year-old who has a history of weight gains and losses
b. A 45-year-old admitted with chest pain and possible myocardial infarction (MI)
c. A 66-year-old who is admitted for debridement of an infected surgical wound
d. A 53-year-old who complains of intermittent nausea for the past 2 days
e. A 32-year-old with rheumatoid arthritis who takes prednisone daily
a. A 24-year-old who has a history of weight gains and losses
c. A 66-year-old who is admitted for debridement of an infected surgical wound
e. A 32-year-old with rheumatoid arthritis who takes prednisone daily
The health care provider prescribes intravenous (IV) ranitidine for a client with gastrointestinal (GI) bleeding caused by peptic ulcer disease. When teaching the client about the effect of the medication, which of the following information should the nurse include?
Select one:
a. “Ranitidine covers the ulcer with a protective material that promotes healing.”
b. “Ranitidine decreases secretion of gastric acid.”
c. “Ranitidine neutralizes the acid in the stomach.”
d. “Ranitidine constricts the blood vessels in the stomach and decreases bleeding.”
b. “Ranitidine decreases secretion of gastric acid.”
The nurse is admitting a client with acute cholecystitis. Which of the following findings is most important for the nurse to report to the health care provider?
Select one:
a. The client’s stools are clay coloured.
b. The client complains of chronic heartburn.
c. The client has an increase in pain after eating.
d. The client’s urine is bright yellow.
a. The client’s stools are clay coloured
The nurse is admitting a client with an exacerbation of inflammatory bowel disease (IBD). Which of the following nursing actions should the nurse include in the plan of care? Select one: a. Restrict oral fluid intake. b. Increase dietary fibre intake. c. Ambulate four times daily. d. Monitor stools for blood.
d. Monitor stools for blood.
The nurse is assessing a client with gastro-esophageal reflux disease (GERD) who is experiencing increasing discomfort. Which of the following client statements indicate that additional client education about GERD is needed?
Select one:
a. “I sleep with the head of the bed elevated on 10-cm blocks.”
b. “I eat small meals throughout the day and have a bedtime snack.”
c. “I take antacids between meals and at bedtime each night.”
d. “I quit smoking several years ago, but I still chew a lot of gum.”
b. “I eat small meals throughout the day and have a bedtime snack.
The nurse is caring for a client who has a new diagnosis of Crohn's disease after having frequent diarrhea and a weight loss of 4.5 kg over 2 months. Which of the following topics should the nurse plan to include in the teaching plan? Select one: a. Activity restrictions b. Enteral nutrition c. Medication use d. Fluid restriction
c. Medication use
The nurse is caring for a client with recurring heartburn who receives a new prescription for esomeprazole. Which of the following information should the nurse include when teaching the client about this medication?
Select one:
a. It treats gastro-esophageal reflux disease by decreasing stomach acid production.
b. It coats and protects the lining of the stomach and esophagus from gastric acid.
c. It reduces the reflux of gastric acid by increasing the rate of gastric emptying.
d. It neutralizes stomach acid and provides relief of symptoms in a few minutes.
a. It treats gastro-esophageal reflux disease by decreasing stomach acid production.
The nurse is obtaining a health history from a client with acute pancreatitis. Which of the following information should the nurse specifically assess when conducting a health history? Select one: a. Cigarette smoking b. Alcohol use c. Diabetes mellitus d. High-protein diet
b. Alcohol use
