Quiz 4 Prep

Question 1

What is the pathological process causing esophageal varices is:

Answer 1

Portal hypertension

Question 2

The nurse is caring for a client with acute pancreatitis. Which of the following statements is true regarding the care of this patient?

Answer 2

An elevated serum lipase and amylase levels are diagnostic signs.

Question 3

Regarding symptom management for a pt with GERD, what would you tell your pt to help them manage their symptoms?

Answer 3

1. Mx a normal body weight
2. Decrease intake of foods high in caffeine
3. Avoid bending at the waist for long periods of time

Question 4

S/S of Cholelithiasis:

Answer 4

1. Referred right scapula pain (upper back)

2. Jaundice

Question 5

S/S of HYPOcalcemia:

Answer 5

1. Muscle excitability (muscle twitching)

2. Deep tendon reflex

Question 6

S/S of increases ammonia levels:

Answer 6

1. Altered LOC

2. Asterixis

Question 7

What is melena?

Answer 7

Tarry stools { usually occur in an infants first bowl movement }

Question 8

What lab values would you see for a pt with Fulminant Hepatitis?

Answer 8

1. Elevated lipase and amylase
2. PT
   [Elevated serum Nh3 - Bilirubin - LFTs/ Prolonged PT ]

Question 9

Pathophys of Pancreatitis:

Answer 9

Autodigestion caused by enzymes being released into pancreatic tissue when obstruction of pancreas and panc duct occurs

Question 10

What bacteria is responsible for GI bleeding?

Answer 10

H. pylori (also common amongst healthcare workers)

Question 11

For a pt with pancreatitis, what patient teaching would you provide for their diet and intake?

Answer 11

1. NO alcohol

2. NO fatty foods (keep a low-fat diet)

Question 12

For a pt with acute pancreatitis, what nursing interventions would you expect to implement?

Answer 12

1. NPO (the patient will NOT be eating)

2. Decompress the stomach by NGT

Question 13

What is the assessment priority for a patient with hematemesis?

Answer 13

Their blood pressure and pulse

Question 14

What would be the priority nursing Dx for a pt with esophageal varices?

Answer 14

Risk for bleeding / monitor for hemorrhage bleeding

Question 15

Pathophys for Asities:

Answer 15

The liver is no longer making enough protein to keep the blood inside the blood vessels. (Blood gets trapped in the abdominal wall)

Question 16

S/S of Hepatic encephalopathy

Answer 16

1. Altered LOC

2. Bilirubin in urine (dark colored urine)

Question 17

What kind of diet will you tell your patient with cholecystitis (inflammation of gallbladder wall) to observe

Answer 17

NO fatty foods
Eat lean meats
High fiber

Question 18

S/S of acute Cholecystitis:

Answer 18

1. Intolerance of foods high in fat
2. POS Murphy’s Sign
3. Pain referred to right scapula
4. Post - prandial epigastric pain (pain after meals)

Question 19

Pathophys of Cholecystitis: [lithiasis = gallstones]

Answer 19

Gall stones obstruct the bile duct

Question 20

What is the common Grey Turners sign?

Answer 20

Bruising (ecchymosis) over the flank

Question 21

What is Cullen’s Sign?

Answer 21

Bruising over the naval

Question 22

What is the Dx testing for a pt with Barrett’s Esophagus?

Answer 22

Upper Endoscopy