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NR 340 Unit 7 GI Alterations

Quiz by ascrombie

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8 questions
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  • Q1
    The patient is admitted with severe ascites related to chronic liver disease. In trying to determine the cause of the ascites, the nurse should evaluate which laboratory values?
    Clotting factors
    Fibrinogen levels
    Blood glucose levels
    Albumin levels
    60s
  • Q2
    The patient has end-stage chronic liver failure and has been vomiting “coffee-ground” material. The provider has ordered the insertion of a nasogastric tube. In inserting the tube, the nurse must be aware that:
    esophageal varices may be present and rupture could lead to bleeding
    portal hypertension is a result of varices formation.
    the most common site for varices formation is the rectum
    the splanchnic system does not develop collateral circulation in low-pressure veins
    60s
  • Q3
    The nurse is listening to a lecture on hepatitis. Which statement by the nurse indicates that teaching has been effective?
    “No special precautions are needed when caring for someone with this disease.”
    “Universal precautions should be followed to prevent spread of the virus.”
    “Hepatitis is self-limiting and is followed by full recovery.”
    “Liver transplantation is a first-line treatment to prevent complications.”
    60s
  • Q4
    The nurse is caring for a patient complaining of abdominal pain. The nurse notes that the patient’s abdomen is more distended that it was earlier that morning. The nurse interprets this as:
    the presence of trapped air or fluid in the abdominal cavity
    an abdominal mass that may be present and growing
    The presence of strong abdominal contractions indicate the lack of disease
    he pigmentation of the skin may indicate nutritional status
    60s
  • Q5
    In implementing large-volume gastric lavage for a patient with gastrointestinal (GI) bleeding, the nurse is aware that:
    small-bore gastric tubes are always used
    iced saline is required to stop GI bleeding
    most upper GI hemorrhages are self-limiting
    gastric tubes are left in place to reduce acid production
    60s
  • Q6
    A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?
    Hypolipidemia
    Diabetes mellitus
    COPD
    Gallstones
    60s
  • Q7
    A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?
    Administer vitamin K
    Administer diuretics
    Reduce the client's intake of protein
    Restrict the client's intake of fluids
    60s
  • Q8
    A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?
    Administer a unit of packed RBCs
    Initiate a dopamine IV infusion for the client
    Elevate the client's feet
    Increase the client's IV fluid rate
    60s

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