WorksheetsGastrointestinal Post Lecture Questions
Total questions: 10
Worksheet time: 10mins
A patient is scheduled for a liver biopsy. Which laboratory result would be of most concern to the nurse?
Hemoglobin of 11 g/dL
Prothrombin time of 32 seconds
Serum ammonia level of 56 mcg N/dL
White blood cell count of 14.2 × 103/μL
The nurse listens to bowel sounds for 60 seconds and does not hear gurgling. Which action should the nurse take next?
Document the bowel sounds as hypoactive.
Administer the prescribed drug for constipation.
Continue to listen for at least another 60 seconds.
Review the patient’s dietary intake for the past 24 hours.
A client with a peptic ulcer complains of sudden, severe upper abdominal pain. On assessment of the abdomen, the nurse finds the abdomen rigid and board-like with absent bowel sounds. The nurse understands these symptoms are of which gastrointestinal event?
Perforation
Gastric outlet obstruction
Hemorrhage
Chron's exacerbation
After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which statement by the patient indicates that the teaching has been effective?
I can have a glass of low-fat milk at bedtime.
I will have to eliminate all spicy foods from my diet.
I will have to use herbal teas instead of caffeinated drinks.
I should keep something in my stomach all the time to neutralize the excess acids.
Diagnostic testing is planned for a patient with a suspected peptic ulcer. The nurse explains to the patient that the most reliable test to determine the presence and location of an ulcer is:
endoscopy.
gastric analysis.
a barium swallow test.
a serologic test for H. pylori.
The nurse teaches a patient with a history of upper GI bleeding how to check for bloody stools. Which statement by the nurse is appropriate?
Blood is never obvious in stools and must be detected by a lab test.
If vomiting of bright red blood occurs, stools will not be black and sticky.
Acute bleeding in your stomach will cause bright red blood in your stools.
Stools that are black and tarry occur with slow bleeding from the stomach.
D.B. must undergo surgical intervention. Which comment indicates that additional instruction about the care of his new ileostomy is needed?
I should change the appliance daily to prevent odors.
When I change the appliance, I should check the skin for irritation.
I should clean around the stoma with mild soap and water and pat dry.
I’ll need to alter the appliance opening when the stoma becomes smaller as the area heals.
The surgical treatment of choice for the patient with symptomatic gallbladder disease is a:
cholecystotomy.
choledocholithotomy.
cholecystoduodenostomy.
laparoscopic cholecystectomy.
A patient with advanced cirrhosis who has ascites is short of breath and has an increased respiratory rate. The nurse should:
initiate oxygen therapy at 2 L/min to increase gas exchange.
notify the health care provider so that a paracentesis can be performed.
ask the patient to cough and breathe deeply to clear respiratory secretions.
place the patient in Fowler’s position to relieve pressure on the diaphragm.
Which information given by a 70-yr-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?
The patient had a blood transfusion in 2005
The patient used IV drugs about 20 years ago.
The patient frequently eats in fast-food restaurants
The patient traveled to a country with poor sanitation
