Exam (elaborations)
Med Surge GI exam
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Exam of 10 pages for the course Med Surge GI at Med Surge GI (Med Surge GI exam)
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Med Surge GI 2024-2025 examA nurse educator of a college health course is discussing tattoos with the class. Which
type of hepatitis associated with tattoos should the nurse include in the teaching plan? -
ANSWER-Hepatitis-C
A nurse is planning care for a client admitted to the hospital with abdominal spasms and
pain associated with severe diarrhea. What primary serum blood level should the nurse
monitor? - ANSWER-Potassium
A client is admitted to the hospital with ascites. The client reports drinking a quart of
vodka mixed in orange juice every day for the past three months. To assess the
potential for withdrawal symptoms, which question would be appropriate for the nurse to
ask the client? - ANSWER-"When was your last drink of vodka?
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The
nurse encourages the client to lose weight safely by changing which dietary habits? -
ANSWER-Decrease portion size and fat intake
A self-help group of clients with irritable bowel syndrome have invited a nurse to present
a program on nutrition. Which substance should the nurse teach the clients to minimize
in the diet to decrease gastrointestinal (GI) irritability? - ANSWER-Cola drinks
The postoperative prescriptions for a client who had repair of an inguinal hernia include
docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an
intermittent side effect of this medication may be: - ANSWER-Mild abdominal cramping
A nurse is caring for a client who is recovering from an acute episode of alcoholism.
Which component of a therapeutic diet should the nurse encourage the client to
consume? - ANSWER-High protein
A client is scheduled to begin chemotherapy two weeks after the client had surgery for
colon cancer. The nurse explains to the client that the delay in instituting drug therapy is
planned because the chemotherapy: - ANSWER-Interferes with cell growth and delays
wound healing
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical
manifestation of obstructive jaundice should the nurse assess the client? - ANSWER-
Clay-colored stools
A health care provider prescribes a sigmoidoscopy for one client and a barium enema
for another client. What is a nursing responsibility common to preparing both of these
clients for these procedures? - ANSWER-Ensuring an understanding of the procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should
monitor the client carefully for - ANSWER-Hypovolemic shock
, A client who had abdominal surgery asks the nurse about when the client can return to
work after discharge. The most appropriate response by the nurse is: - ANSWER-"What
type of work did you have in mind?"
A client with gastric ulcer disease asks the nurse why the health care provider has
prescribed metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to: -
ANSWER-Treat Helicobacter pylori infection."
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client
for the development of: - ANSWER-Urinary retention
A client is admitted with a diagnosis of cancer of the colon. What information about
malignant tumors of the colon should the nurse consider when caring for this client? -
ANSWER-Intestinal obstructions usually are malignant
An 85-year-old client has a three-day history of nausea, vomiting, and diarrhea. The
client develops weakness and confusion and is admitted to the hospital. To best monitor
the client's rehydration status, the nurse should assess the client's: - ANSWER-Daily
weight
A client is admitted via the emergency department with the tentative diagnosis of
diverticulitis. Which test commonly is prescribed to assess for this problem? -
ANSWER-CT scan
A nurse is obtaining a history and performing a physical assessment of a client who has
cancer of the tongue. Which clinical findings should the nurse expect to identify? (Select
all that apply.) - ANSWER-Leukoplakia
Alterations in taste
Enlarged cervical lymph nodes
A nurse is assessing a client for dehydration, The client has had diarrhea and vomiting
for 48 hours. What are indicators of dehydration? (Select all that apply.) - ANSWER-
Headache
The skin on the client's forehead remains tented after being pinched
A client is admitted for repair of bilateral inguinal hernias. Before surgery the nurse
assesses the client for signs that strangulation of the intestine may have occurred. What
is an early sign of strangulation? - ANSWER-Sharp abdominal pain
Famotidine (Pepcid) is prescribed for a client with peptic ulcer disease. The client asks
the nurse what this medication does. The nurse responds, "It: - ANSWER-Inhibits
gastric acid secretion
Which clinical indicators identified by the nurse support the probable presence of a fecal
impaction in a client? (Select all that apply.) - ANSWER-Abdominal cramps
Fecal liquid seepage
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