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WorksheetsGastrointestinal Quiz #3 (Transcribed for Scored Test)
Total questions: 10
Worksheet time: 5mins
A client is admitted with bowel obstruction. The client has nausea, vomiting, and crampy abdominal pain. The health care provider has written the following prescriptions: for the client to be up ad lib, have narcotics for pain, have a nasogastric tube inserted if needed, and for IV, Ringer’s lactate, and hyperalimentation fluids. What should the nurse do in order of priority, from first to last? All options must be used. Options: Assist with ambulation to promote peristalsis; Insert a nasogastric tube; Administer IV Ringer’s lactate; Start an infusion of hyperalimentation fluids.
A. Assist with ambulation to promote peristalsis.
B. Insert a nasogastric tube.
C. Administer IV Ringer’s lactate
D. Start an infusion of hyperalimentation fluids.
A,C,B, D
,C,A, D,B
C,A,,B, D
A,C,D, B
The client asks the nurse, Is it really possible to lead a normal life with an ileostomy? Which action by the nurse would be the most effective to address this question?
Have the client talk with a member of the clergy about these concerns.
Tell the client to worry about those concerns after surgery.
Arrange for a person with an ostomy to visit the client postoperatively.
Notify the surgeon of the client’s question.
A client who has a history of an inguinal hernia is admitted to the hospital with sudden, severe abdominal pain, vomiting, and abdominal distension. The nurse should assess the client further for which complication?
Peritonitis
Incarcerated hernia
Strangulated hernia
Intestinal perforation
Following an emergency cholecystectomy, the client has a Jackson-Pratt drain with closed suction. After 4 hours, the drainage unit is full. What should the nurse do?
Notify the surgeon
Remove the drain and suction unit
Check the dressing for bleeding
Empty the drainage unit
The nurse should monitor the client with acute pancreatitis for which complication?
Heart failure
Duodenal ulcer
Cirrhosis
Pneumonia
A nurse is developing a care plan for a client with hepatic encephalopathy. Which are the goals for the care of this client? Select all that apply.
Prevent constipation
Administer lactulose to reduce blood ammonia levels
Monitor coordination while walking
-Check the pupil reaction
-Provide Food and fluids high in carb
Encourage physical activity
A client with a Sengstaken-Blakemore tube has a sudden drop in SpO2 and an increase in respiratory rate to 40 breaths/min. What should the nurse do in order from first to last? All options must be used. Steps: Affirm airway obstruction by tube; Remove tube; Deflate the tube by cutting with bedside scissors; Apply oxygen via face mask.
1. Affirm airway obstruction by tube.
2. Remove tube
3. Deflate the tube by cutting with bedside scissors.
4. Apply oxygen via face mask.
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The healthcare provider instructs a client with alcohol-induced cirrhosis to stop drinking alcohol. The nurse should assess the client for which expected outcome?
Absence of delirium
Having a balanced diet
Improved liver function
Reduced weight
The nurse’s assignment consists of four clients. From highest to lowest priority, in which order should the nurse assess the clients after receiving the morning report? All options must be used. Clients: The client with cirrhosis became confused and disoriented during the night; The client, who is 1 day postoperative following a cholecystectomy, has a T tube inserted; The client with acute pancreatitis is requesting pain medication; The client with hepatitis B who has questions about discharge instructions.
1-The client with cirrhosis became confused and disoriented during the night.
2. The client, who is 1 day postoperative following a cholecystectomy, has a T tube
inserted.
3. The client with acute pancreatitis is requesting pain medication.
4. The client with hepatitis B who has who has questions about discharge instructions.
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The nurse is taking care of a client who has an IV infusion pump. The pump alarm rings. What should the nurse do in order from first to last? Steps: Silence the pump; Determine if the infusion pump is plugged into an electrical outlet; Assess the client’s access site for infiltration or inflammation; Assess the tubing for hindrances to flow of solution.
1. Silence the pump
2. Determine if the infusion pump is plugged into an electrical outlet.
3. Assess the client’s access site for infiltration or inflammation.
4. Assess the tubing for hindrances to flow of solution.
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