Quiz 4 Gastrointestinal

Question 1

A nurse is caring for a client with GERD Which of the following instructions would the nurse recommend when teaching this client?

Answer 1

1. Avoid bending at the waist for a long period of time
2. Avoid the use of caffeine, chocolate, and alcohol
3. Sleep with the head of the bed elevated
4. Maintain a normal body weight

Question 2

URQ pain. Obese woman has been diagnosed with cholelithiasis. The nurse has taught the client about the pathophysiology as well as the treatment options. Which of the following demonstrates a sound understanding of her diagnosis?

Answer 2

This explains why my skin has been yellow lately and why I have had stomach pain and pain that spreads to my upper back and right shoulder

Question 3

The nurse knows that the patient with acute pancreatitis .. experience muscle twitching and jerking. How should the nurse interpret these symptoms?

Answer 3

The client may developing hypocalcemia {muscle excitability (twitching or jerking of muscles) and deep tendon reflex}

Question 4

During the morning of a clients encephalopathy, you note the patient is disoriented.. patients hands demonstrate a flapping motion. What lab result would you expect?

Answer 4

Increase in ammonia {Altered LOC and asterixis (flapping hands)}

Question 5

In client care for a patient with melena, the nurse expects what occurrence with the stool?

Answer 5

Black and tarry

Question 6

When planning care for a client with fulminant hepatic failure. The nurse is going to look for the following abnormal lab values?

Answer 6

Prolonged profound thrombin time (PTT/PT)

Question 7

What causes massive inflammation and necrosis of acute pancreatitis?

Answer 7

Autodigestion of pancreatic tissue by pancreatic enzymes

Question 8

What is the most common cause of GI bleeding?

Answer 8

H. pylori

Question 9

The nurse is discharging a client with a a dx of pancreatitis. Which of the following instructions would be essential in his discharge instructions:

Answer 9

Dietary restrictions that include avoiding high-fat foods

Question 10

The nurse orders for a client with acute pancreatitis include the following: Strict NPO, Intermittent suction, Anti-tube. The nurse recognizes that these interventions will:

Answer 10

Reduce the secretion of pancreatic enzymes

Question 11

What is a initial pathological change of alcoholic liver disease:

Answer 11

Accumulation of fat and hepatocytes

Question 12

You are planning care for a pt with esophageal varices, which of the following actions would be priority:

Answer 12

Assessing for S/S of Hemorrhage

Question 13

A client with liver failure is dx with cirrhosis. What is the nurse understanding the primary liver disfunction of his condition?

Answer 13

Pyrosis (sour taste) leading to the restriction of decreased vessel pressures

Question 14

A nurse is caring for a client with portal hypertension, who is diagnosed with asterixis. Which assessment finding corresponds to the diagnosis?

Answer 14

Muscle tremor and downward flapping of the hands

Question 15

What reason should the nurse expect when there is a change in urine color with a client with liver disease?

Answer 15

Accumulation of bilirubin in the blood stream

Question 16

A nurse is teaching a client who has just had an acute episode of cholecystitis about dietary changes;

Answer 16

The nurse should teach the client to avoid eating fried eggs

Question 17

The health care provider dx a client with acute cholecystitis; which clinical finding should the nurse expect when performing:

Answer 17

Intolerance to foods high in fat
Epigastric pain
Pain referred to the tip of the right scapula  
POS murphy's sign
Post prandial epigastric pain

Question 18

Which complication should you expect in a client with an obstruction in the common bile duct

Answer 18

Cholelystitis

Question 19

What assessment finding of a patient with acute pancreatitis

Answer 19

Gray- turners sign

Question 20

A pt with GERD has a dx of Barrett’s Esophagus with minor cell changes. Which of the following principles should be integrated in the pts subsequent care:

Answer 20

The pt would require and upper endoscopy every 6 months to detect changes