
NR 340 Unit 7 GI Alterations
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8 questions
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- Q1The 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 factorsFibrinogen levelsBlood glucose levelsAlbumin levels60s
- Q2The 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 bleedingportal hypertension is a result of varices formation.the most common site for varices formation is the rectumthe splanchnic system does not develop collateral circulation in low-pressure veins60s
- Q3The 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
- Q4The 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 cavityan abdominal mass that may be present and growingThe presence of strong abdominal contractions indicate the lack of diseasehe pigmentation of the skin may indicate nutritional status60s
- Q5In implementing large-volume gastric lavage for a patient with gastrointestinal (GI) bleeding, the nurse is aware that:small-bore gastric tubes are always usediced saline is required to stop GI bleedingmost upper GI hemorrhages are self-limitinggastric tubes are left in place to reduce acid production60s
- Q6A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?HypolipidemiaDiabetes mellitusCOPDGallstones60s
- Q7A 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 KAdminister diureticsReduce the client's intake of proteinRestrict the client's intake of fluids60s
- Q8A 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 RBCsInitiate a dopamine IV infusion for the clientElevate the client's feetIncrease the client's IV fluid rate60s