A nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client closely for which acid-base disorder that is most likely to occur?
A nurse is caring for a client with severe diarrhea. The nurse monitors the client closely, understanding that this client is at risk for developing which acid-base disorder?
A client has acute diverticulitis. Which principle should the nurse keep in mind while planning care for this client?
Avoid Fiber intake
A nurse is teaching the client about an upcoming colonoscopy procedure. The nurse would include in the instructions that the client will be placed in which of the following positions for the procedure
Left sims position
A nurse is preparing to perform an abdominal examination. The initial step would be?
A nurse provides instructions to a client following a liver biopsy. The nurse tells the client to
Lie on the right side for 2 hours
A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that this client is at risk for which vitamin deficiency
A nurse is caring for a client following a Billroth 2 procedure. On review of the postoperative orders, what is ok to do
coughing and deep breathing
The nurse is providing discharge instructions to a client following gastrectomy. Which measure will the nurse instruct the client to follow to help prevent dumping syndrome
Limit the fluids taken with meals
a nurse is monitoring a client for early signs and symptoms of dumping syndrome. Which of the following symptoms will indicate this occurrence
sweating and pallor
a nurse is reviewing the record of a client with Crohns disease. What would the nurse expect to see documented in the record?
A client with ascites is scheduled for a paracentesis. The nurse is assisting the physician in performing the procudure. Which position will the nurse help client?
an ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. the nurse explains to the client that this test
requires the client to lie still for short intervals
It has been determined that a client with hepatitis has contracted the infection from contaminated food. What type of hepatitis is this client most likely experiencing?
A nurse is reviewing the physicians orders written for a client admitted with acute pancreatitis. which physician order would the nurse verify if noted on the clients chart?
Morphine sulfate for pain
An anticholinergic medication
prepare to insert a nasogastric tube
Morphine sulfate for pain
A client with hiatal hernia chronically experiences heartburn following meals. The nurse would teach the client to avoid which of the following, which is contraindicated with hiatal hernia?
Lying recumbent following meals
A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse would observe which of the following apperances in the stoma if prolapse occured
Protruding and swollen
A client with acute pancreatitis is experiencing severe pain from the disorder. the nurse tells the client to avoid which position that could aggravate the pain
A nurse is evaluating the effect of dietary couseling on the client with cholecystitis. the nurse determines that the client understands the instructions given if the client states which food item is acceptable to include in the diet?
turkey and lettuce sandwich
A client is admitted to the hospital with acute viral hepatitis. Which of the following s/s would the nurse expect to note upon this diagnosis
Of the following infection control methods, which would be the priority to include in the plan of care to prevent hep B in a client considered to be at high risk for exposure
Hepatitis B vaccine
A client is admitted to the hospital with viral hepatitis and is complaning of a loss of appetite. In order to provide adequate nutrition the nurse encourages the client to
Increase intake of fluids
A client presents to the emergency room with upper GI bleeding and is in moderate distress. Which nursing action would be the priority for this client?
A nurse is caring for a client with acute pancreatitis and a history of alcoholism and is monitoring the client for complications. Which of the following data would be a sign of paralytic ileus?
inability to pass flatus
A client has no appetite and food makes the client nauseated. which nursing intervention would be appropriate?
Offer small, frequent meals
A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. The nurse would plan to include which risk factor for coloractal cancer in the material
Personal history of ulcerative colitis or gastointestinal polyps
A nurse is reviewing the orders of a client admitted to the hospital with a diagnosis of acute pancreatitis. Choose the interventions that the nurse would expect to be prescribed
Encourage coughing and deep breathing
Meperidine as prescribed for pain
before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. The nurse understands that the rationale for checking gastric residual volume before administering the tube feeding is to
Evaluate absorption of the last feeding
An adult client with hepatic encephalopathy has a serum ammonia level of 95mcg/dL and receives treatment with lactulose syrup. The nurse determines that the client has the best and most optimal response if the level changes to which of the following after medication administration?
A nurse provides medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy?
the nizatidine will cause to produce less stomach acid
the nurse observes that a client with a nasogastric tube connected to continuous gastric suction is mouth breathing, has dry mucous membranes and has a foul breath odor. In planning care which nursing intervention would be beast to keep clients oral mucosa
Brush clients teeth
A nurse has given the client with hepatitis instructions about postdischarge management during convalescence. the nurse determines that the client need further teaching if he states
Resume full activity level within 1 week
A nurse is assigned to care for a client with a Segstaken-Blakemore tube. The nurse would suspect that the client has which diagnosis?
A nurse is collecting data on a client admitted to the hospital with hepatitis. Which data would indicate that the client may have liver damage
A nurse is planning care for a client with hepatitis plans to meet the clients safety needs by
monitoring prothrombin and partial thromplastin values
A nurse is collecting admission data on the client with hepatitis. Which of the following findings would be of concern to the nurse?
Confusion or drowsiness
Py has cirrhosis and nursing diagnosis is ineffective breathing pattern realted to pressure of the diaphragm. Which position will facilitate breathing
a mechanical and chemical process involving the breakdown of foods
A client with Chrons disease is seen by the physician and a CBC has been ordered. The nurse provides instructions to the client who will be reporting to the laboratory in the morning to has the test done. what should the nurse tell the client about the test
no special preperation is necessary
Spleen is located in the
a client is admitted to the hospital with a diagnosis of acute pancreatitis the nurse plans care, knowing that which problem occurs with this disorder?
Alteration in comfort related to abdominal pain
the client with hepatic encephalopathy is receiving lactulose. The nurse determines that the medication is effective if what is observed/
client previously oriented to person only; can now state name, year, and present location
A client with viral nepatitis states to the nurse "I am so Yellow" the nurse would appropriately
Assist the client in expressing feelings
Patients with liver abscess are seen with cague signs and symptoms which are often
fever accompanied by chills, abdominal pain and tenderness in the right upper quadrant
A patient is scheduled for surgery for a common bile duct exploration. the nurse would expect the patient to return from surgery with
a T-tube connected to gravity drainage
Which types of hepatitis have vaccines for
A and B
advanced cirrhosis has abdomen swollen because of
portal hypertension and hypoalbuminemia causes fluid shift into the peritoneal space
protein product is
monitoring the color of stools of a patient with hepatitis A is important what color is it?
The t-tube during surgery is used because
keep the common vile duct open until edema resolves and allow drainage of bile into drainage bag
A client is scheduled for an endoscopic retrograde ERCP. the nurse includes which intervention in the plan for the client?
After the procedure, keep client nothing per mouth until gag reflux returns
A nurse has taught a client about upcoming endoscopic retrograde ERCP procedure. The nurse determines that the client needs additional information if the client makes which statement?
Im glad i dont have to lie still for this procedure
Subjective s/s of viral hepatitis
anorexia and photophobia
which of the nursing interventions is most important when a client is initially diagnosed with any type of hepatitis
a client is admitted with hep B institute what precations
The nurse monitors for which serologic marker in the client who is a carrier of chronic hapatitis
which is the nurses best responses to client receiving lactulose who reports several soft stools daily
this is expected with this medication
the nurse is assessing a client who states having recently noted dark urine and light clay colored stools. nurses vitals on
the nurse recognizes that fetor hepaticus is consistent with which assessment finding
a fruity or musty breath odor
what is true of cholelithiasis
laparoscopic cholecytectomy is the surgery of choice
most accurate to diagnose GERD
24 hour ambulatory pH monitoring
the client with cirrhosis may develop portal hypertension assosiated with what condition
extend arm, flex wrist upward and extend your fingers
ascities reslt of cirrhosis, which procedure health care provider perform allow extended control of fluid build up