Nur 201 GI Practice Quiz

A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? (Select all that apply)

• Left upper quadrant pain with radiation to the back

• black, tarry stool

• hyperactive bowel sounds

• gray-blue color at the flank

• abdominal guarding and tenderness

A 72-year-old patient was admitted with epigastric pain due to a gastric ulcer. Which patient assessment warrants an urgent change in the nursing plan of care?

• Chest pain relieved with eating or drinking water

• Back pain 3 or 4 hours after eating a meal

• Burning epigastric pain 90 minutes after breakfast
  

• Rigid abdomen and vomiting following indigestion

What should the nurse instruct the patient to do to best enhance the effectiveness of a daily dose of docusate sodium (Colace)?

• Take a dose of mineral oil at the same time.
  

• Add extra salt to food on at least one meal tray.
  

• Ensure dietary intake of 10 g of fiber each day. 
  

• Take each dose with a full glass of water or other liquid.

A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my taste for food." What instruction should the nurse give the client to provide adequate nutrition?

• select foods high in fat

• increase intake of fluids, including juices

• eat a good supper when anorexia is not as severe

• eat less often, preferably only 3 large meals a day

A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected assessment finding?

• Malaise

• Dark stools

• Weight gain

• Left upper quadrant discomfort

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer?

• Bradycardia

• Numbness in the legs

• Nausea and vomiting

• A rigid-board like abdomen

Which method is best to use when confirming initial placement of a blindly inserted small-bore NG feeding tube?

• X-ray

• Air insertion

• Observing patient for coughing

• pH measurement of gastric aspirate

A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the nurse carefully assesses the patient for (select all that apply)

• hypokalemia

• hypoglycemia

• hypercalcemia

• hypomagnesemia

• hypophosphatemia

Which criteria must be met for a diagnosis of metabolic syndrome? (select all that apply)

• hypertension

• high triglycerides

• elevated plasma glucose

• increased waist circumference

• decreased low-density lipoproteins

A client has GERD. What changes should the nurse recommend to improve symptoms? (select all that apply)

• Eat large meals

• Quit smoking

• Raise the foot of the bed 4-6 inches

• lose weight

• quit drinking alcohol