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WorksheetsUnit 2 GI Practice Quiz
Total questions: 17
Worksheet time: 34mins
Which of the following would the nurse expect to assess in a client with hepatic encephalopathy?
Increased motor activity
Asterixis
Negative Babinski reflex
Irritability
After undergoing a liver biopsy, a client should be placed in which position?
Semi-Fowler's position
Prone position
Supine position
Right lateral decubitus position
A client has received a diagnosis of portal hypertension. What does portal hypertension treatment aim to reduce? Select all that apply.
fluid output
blood coagulation
venous pressure
fluid accumulation
Which position should be used for a client undergoing a paracentesis?
Right Side
Upright at the edge of the bed
Prone
Trendeleburg
Supine
When caring for a client with cirrhosis, which symptoms should a nurse report immediately? Select all that apply.
diarrhea or constipation
signs of GI bleeding
anorexia and dyspepsia
change in mental status
The nurse is asking the client with acute pancreatitis to describe the pain. What pain symptoms does the client describe related to acute pancreatitis?
Dull pain, points to epigastric area
Sharp, stabbing pain in the left lower quadrant of the abdomen
Severe mid-abdominal to upper abdominal pain radiating to both sides and to the back
Severe abdominal pain that radiates to the right shoulder
A physician orders lactulose (Cephulac), 30 ml three times daily, when a client with cirrhosis develops an increased serum ammonia level. To evaluate the effectiveness of lactulose, the nurse should monitor _________________.
level of consciousness (LOC).
stool frequency.
urine output.
abdominal girth.
A nurse is caring for a client who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this client's plan of care?
Measurement of abdominal girth and body weight
Assessment for variceal bleeding
Assessment for signs and symptoms of jaundice
Monitoring of results of liver function testing
The nurse identifies a potential collaborative problem of electrolyte imbalance for a client with severe acute pancreatitis. Which assessment finding alerts the nurse to an electrolyte imbalance associated with acute pancreatitis?
Muscle twitching and finger numbness
Paralytic ileus and abdominal distention
Hypotension
Decreased blood glucose concentration
A 37-year-old male client presents at the emergency department (ED) reporting nausea, vomiting and severe abdominal pain in all quadrants. The client’s abdomen is rigid, and there is bruising to the client’s flank. The client’s wife states that he has a history of smoking and alcohol use and was on a drinking binge for the past 2 days. The ED nurse should assist in assessing the client for what health problem?
Severe pancreatitis with possible peritonitis
Acute cholecystitis
Chronic pancreatitis
Acute appendicitis with possible perforation
Which nursing action is most appropriate for a client hospitalized with severe acute pancreatitis?
Withholding all oral intake, as ordered, to decrease pancreatic secretions
Administering tylenol, as ordered, for pain
Limiting I.V. fluids, as ordered, to decrease cardiac workload
Keeping the client supine to increase comfort
When caring for the patient with acute pancreatitis, the nurse must consider pain relief measures. What nursing interventions could the nurse provide? (Select all that apply.)
Encouraging bed rest to decrease the metabolic rate
Assisting the patient into the prone position
Withholding oral feedings to limit the release of digestive enzymes
Administering IV opioid analgesics as ordered
Administering prophylactic antibiotics
A client is admitted with severe epigastric abdominal pain radiating to the back and elevated amylase/lipase levels. He is vomiting, reports difficulty breathing, and complaining of numbness and tingling of lips and extremities. Upon assessment, the nurse determines that the client is experiencing tachycardia and hypotension. Which actions are priority interventions for this client? Select all that apply.
Administer pain-relieving medication
Administer a low-fat diet
Administer IV fluids
Administer replacement electrolytes
Assist the client to a semi-Fowler position
What would NOT be a symptom of ulcerative colitis?
Diarrhea with blood and pus
Abdominal pain
Constipation
Anemia
Which is a priority focus of care for a client experiencing an exacerbation of Crohn’s disease?
encouraging regular exercise program to build muscle.
promoting bowel rest with NPO or clear liquid diet.
maintaining current weight with a diet plan.
decreasing episodes of rectal bleeding from hemorrhoids.
To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions
“Lie down after meals to promote digestion.”
“Avoid coffee and alcoholic beverages.”
“Take bicarbonate antacids with meals.”
“Do not drink fluids with meals.”
The client developed a paralytic ileus after abdominal surgery. Which intervention should the nurse include in the plan
Administer a laxative of choice.
Encourage client to increase oral fluids.
Encourage client to take deep breaths.
Maintain a patent nasogastric tube.
