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MED SURGE (GI)GASTROINTESTINAL FINAL EXAM AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$18.49
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MED SURGE (GI)GASTROINTESTINAL FINAL EXAM AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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MED SURGE GASTROINTESTINAL
MED SURGE (GI)GASTROINTESTINAL FINAL
EXAM AND PRACTICE EXAM NEWEST 2024
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
MED SURGE (GI)GASTROINTESTINAL FINAL
EXAM AND PRACTICE EXAM NEWEST 2024
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 67-year-old male patient with acute pancreatitis
has a nasogastric (NG) tube to suction and is NPO.
Which information obtained by the nurse indicates
that these therapies have been effective?
a. Bowel sounds are present.
b. Grey Turner sign resolves.
c. Electrolyte levels are normal.
d. Abdominal pain is decreased. - ....ANSWER...ANS:
D
NG suction and NPO status will decrease the release
of pancreatic enzymes into the pancreas and
decrease pain. Although bowel sounds may be
hypotonic with acute pancreatitis, the presence of
bowel sounds does not indicate that treatment with
NG suction and NPO status has been effective.
Electrolyte levels may be abnormal with NG suction
and must be replaced by appropriate IV infusion.
,Although Grey Turner sign will eventually resolve, it
would not be appropriate to wait for this to occur to
determine whether treatment was effective.
Which assessment finding is of most concern for a
46-year-old woman with acute pancreatitis?
a. Absent bowel sounds
b. Abdominal tenderness
c. Left upper quadrant pain
d. Palpable abdominal mass - ....ANSWER...ANS: D
A palpable abdominal mass may indicate the
presence of a pancreatic abscess, which will require
rapid surgical drainage to prevent sepsis. Absent
bowel sounds, abdominal tenderness, and left upper
quadrant pain are common in acute pancreatitis and
do not require rapid action to prevent further
complications.
Which action will be included in the care for a
patient who has recently been diagnosed with
asymptomatic nonalcoholic fatty liver disease
(NAFLD)?
a. Teach symptoms of variceal bleeding.
b. Draw blood for hepatitis serology testing.
,c. Discuss the need to increase caloric intake.
d. Review the patients current medication list. -
....ANSWER...ANS: D
Some medications can increase the risk for NAFLD,
and they should be eliminated. NAFLD is not
associated with hepatitis, weight loss is usually
indicated, and variceal bleeding would not be a
concern in a patient with asymptomatic NAFLD.
During change-of-shift report, the nurse learns
about the following four patients. Which patient
requires assessment first?
a. 40-year-old with chronic pancreatitis who has
gnawing abdominal pain
b. 58-year-old who has compensated cirrhosis and
is complaining of anorexia
c. 55-year-old with cirrhosis and ascites who has an
oral temperature of 102 F (38.8 C)
d. 36-year-old recovering from a laparoscopic
cholecystectomy who has severe shoulder pain -
....ANSWER...ANS: C
This patients history and fever suggest possible
spontaneous bacterial peritonitis, which would
require rapid
, assessment and interventions such as antibiotic
therapy. The clinical manifestations for the other
patients are
consistent with their diagnoses and do not indicate
complications are occurring.
DIF: Cognitive Level: Analyze (analysis) REF: 989
Which goal has the highest priority in the plan of
care for a 26-year-old homeless patient admitted
with viral hepatitis who has severe anorexia and
fatigue?
a. Increase activity level.
b. Maintain adequate nutrition.
c. Establish a stable environment.
d. Identify sources of hepatitis exposure. -
....ANSWER...ANS: B
The highest priority outcome is to maintain nutrition
because adequate nutrition is needed for hepatocyte
regeneration. Finding a home for the patient and
identifying the source of the infection would be
appropriate activities, but they do not have as high a
priority as ensuring adequate nutrition. Although the
patient's activity level will be gradually increased,
rest is indicated during the acute phase of hepatitis.
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