Emergency Nursing Orientation 3.0:
Gastrointestinal Emergencies
Which disorder results from obstruction and distention of a lumen, causing decreased
blood flow, ischemia, and bacterial invasion? - ANS-Appendicitis
A patient presents with sudden right upper quadrant pain that radiates to her right
shoulder after eating. You should suspect the patient has which disorder? -
ANS-Cholecystitis
Which finding commonly occurs in patients with a bowel obstruction? - ANS-Intractable
vomiting
In a patient with gastroesophageal reflux disease (GERD), which of these is increased?
- ANS-Gastric emptying time
Which disorder can cause bronchospasm? - ANS-Gastroesophageal reflux disease
Which statement by a patient with diverticulitis indicates the need for further discharge
instructions? - ANS-"I'll eat a low-fiber diet."
During the abdominal assessment, which action should be performed? - ANS-Observe
the patient's position.
Which assessment finding is likely to be present in a patient with acute pancreatitis? -
ANS-Hypoactive bowel sounds
Which medication is classified as a proton pump inhibitor? - ANS-Omeprazole (Prilosec)
In a patient with significant upper gastrointestinal bleeding, which laboratory test result
is increased? - ANS-Blood urea nitrogen (BUN)/creatinine level
For a patient with upper gastrointestinal bleeding from peptic ulcer disease, you should
expect to administer which medication to control the bleeding? - ANS-Pantoprazole
(Protonix)
A patient with upper gastrointestinal bleeding usually presents with which sign or
symptom? - ANS-Hematemesis
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