Adult Exam 3 - Chapter 48 Flashcards

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The nurse is interviewing a client who reports having abdominal cramping, bloating and diarrhea after drinking milk or ingesting other dairy products. What health problem does the client most likely have?

A. Steatorrhea

B. Ulcerative colitis

C. Crohn Disease

D. Lactose Intolerance



The primary health care provider documents that a client has a bruit over the abdominal aorta. What teaching will the nurse provide for assistive personnel (AP) based on this assessment finding?

A. Use warm compresses on the clients abdomen continuously.

B. Avoid washing the client's abdomen too aggressively.

C. Apply ice to the client's abdomen every 4 hours.

D. Massage the client's abdomen to help reduce pain



A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam hydrochloride. The client's resporatory rate is 8 breaths/min. What action by the nurse is appropriate?

A. Administer naloxone.

B.Call the rapid response team

C. Provide physical stimulation

D. Ventilate with a bag valve - mask



A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing regimen. What statement by the client indicates a need for further teaching?

A. Its a good thing I love orange and cherry gelatin.

B. My spouse will be here to drive me home

C. Ill avoid ibuprofen for several days before the test

D. Ill buy a case of clear gatorade before the prep.



A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to reports a spot of bright red blood not he toiler paper today. What response by the nurse is appropriate?

A. Ask the client to call back if this happens again today.

B.Instruct the client to go to the emergency department.

C. Remind the client that a small amount of bleeding is possible.

D. Tell the client to come to the clinic this afternoon.



An older adult has had an instance of drug toxicity and asks why this happens, has been on this medication for years at the same dose. What response by the nurse is best?

A. Changes in your liver cause drugs to be metabolized differently.

B. Perhaps you don't need as high a dose of the drug as before.

C. Stomach muscles atrophy with age and you digest more slowly.

D. Your body probably can't tolerate as much medication anymore.



To promote comfort and the passage of flatus after a colonoscopy, in what position does the nurse place the client?

A. Left Lateral

B. Prone

C.Right Lateral

D. Supine



A nurse is assessing a client reporting right upper quadrant abdominal pain. What technique would the nurse use to assess the client's abdomen?

A. Auscultate after palpating

B.Avoid any type of palpation

C.Lightly palpate the RUQ first

D. Lightly palpate the RUQ last



The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ?

A. kidneys

B. liver


D. stomach



A client is recovering from an esophagpgastroduodenoscopy (AGD) and request something to drink. What action by the nurse is appropratie?

A. Allow the client cool liquids only.

B. Assess the client's gag reflex

C.Remind the client to remain NPO

D.Tell the client to wait 4 hours



The assistive personnel note that a client had a dark stool. What stool test would the nurse obtain for this client?

A. culture and sensitivity

B. Parasites and Ova

C. Occult blood test

D. Total fat content



The nurse is aware of the most recent American Cancer Society Screening Guidelines for colon cancer, which include which accepted testing modalities for people over the age of 50? (Select all that apply)

A. Colonoscopy every 10 years

B. Endoscopy every 5 years

C. Computed tomography (CT) colongraphy every 5 years

D. Double contrast barium enema every 10 years

E. Flexible sigmoidoscopy every 5 years

A,C and E


A client has an endoscopic retrograde cholangiopancreatopgraphy (ERCP). The nurse teaches the client and family about signs of potential complications which include what problems? (Select all that apply)

A. Cholangitis



D.Renal Lithiasis


A,B,C and E


The nurse working with older clients understands age- related changes in the gastrointestinal system. Which changes does this include? (Select all that apply.)

A. Decreased hydrochloric acid production

B. Diminished sensation that can lead to constipation

C. Fat not digested as well in older adults

D.Increased peristalsis in the large intestine

E.Pancreatic vessels become calcified

A,B,C and E


The nurse working with clients who's gastrointestinal problems know that which laboratory values are related to which organ functions or dysfunctions? (Select all that apply)

A. Alanine aminotransferase: biliary system

B. Ammonia: Liver

C. Amylase: Liver

D. Lipade: Pancreas

E. Urine urobilinogen: Stomach

B, D


A nurse cares for a client who is recovering from a colonoscopy. Which actions would the nurse take? (Select all that apply.)

A. Obtain vital signs every 15 to 30 minutes until alert

B. Assess the client for rectal bleeding and severe pain.

C. Administer prescribed pain medications as needed.

D. Monitor the client's serum and urine glucose levels

E. Confirm the client has a ride home and plans to rest

A,B and E