Podcast
Questions and Answers
Which of the following raises the risk of hepatitis transmission?
Which of the following raises the risk of hepatitis transmission?
- Eating cakes and pastries only if they are homemade
- Having a blood transfusion 30 years ago (correct)
- Sharing a razor with a board mate (correct)
- Drinking a fruit juice along the food stands in the street
What amount of green-brown drainage from the T-tube 24 hours after a cholecystectomy would alert Nurse Tom?
What amount of green-brown drainage from the T-tube 24 hours after a cholecystectomy would alert Nurse Tom?
- Any amount is a cause for concern (correct)
- 1000 ml
- 750 ml
- 500 ml
Which assessment finding would most likely indicate perforation of a peptic ulcer?
Which assessment finding would most likely indicate perforation of a peptic ulcer?
- A rigid, board-like abdomen (correct)
- Mild abdominal discomfort
- Bradycardia
- Paresthesia
What does a Billroth I procedure involve?
What does a Billroth I procedure involve?
Which instruction would Thor not give to a client following gastrectomy to prevent dumping syndrome?
Which instruction would Thor not give to a client following gastrectomy to prevent dumping syndrome?
Which statement made by a client with newly diagnosed Crohn's disease indicates a need for further instruction?
Which statement made by a client with newly diagnosed Crohn's disease indicates a need for further instruction?
What is the primary goal of a Billroth I procedure?
What is the primary goal of a Billroth I procedure?
What is a common complication that can occur after gastrectomy?
What is a common complication that can occur after gastrectomy?
What are the potential complications of a barium swallow procedure? Select all that apply.
What are the potential complications of a barium swallow procedure? Select all that apply.
A client is suspected of having appendicitis. Which physical exam maneuver is described as having the patient lie on their left side while their right thigh is flexed backward?
A client is suspected of having appendicitis. Which physical exam maneuver is described as having the patient lie on their left side while their right thigh is flexed backward?
A complete blood count (CBC) is ordered for a patient suspected of having appendicitis. Which white blood cell count would raise concern?
A complete blood count (CBC) is ordered for a patient suspected of having appendicitis. Which white blood cell count would raise concern?
A client with a hiatal hernia is taking Warfarin to manage coagulopathy. Which blood test is routinely monitored for patients on Warfarin?
A client with a hiatal hernia is taking Warfarin to manage coagulopathy. Which blood test is routinely monitored for patients on Warfarin?
A client with gastric carcinoma who underwent a gastrectomy is experiencing pernicious anemia. Which part of the stomach is responsible for producing intrinsic factor, which is essential for vitamin B12 absorption?
A client with gastric carcinoma who underwent a gastrectomy is experiencing pernicious anemia. Which part of the stomach is responsible for producing intrinsic factor, which is essential for vitamin B12 absorption?
Which type of cells in the islets of Langerhans produce Ghrelin, a hormone that stimulates hunger?
Which type of cells in the islets of Langerhans produce Ghrelin, a hormone that stimulates hunger?
A patient presents to the emergency department with frequent, bloody diarrhea and abdominal pain in the left lower quadrant. Which condition is most likely suspected?
A patient presents to the emergency department with frequent, bloody diarrhea and abdominal pain in the left lower quadrant. Which condition is most likely suspected?
A client has been diagnosed with hepatitis A based on flu-like symptoms and jaundice. Which statement by the client would support this diagnosis?
A client has been diagnosed with hepatitis A based on flu-like symptoms and jaundice. Which statement by the client would support this diagnosis?
Study Notes
Barioum Swallow
- Diaphoresis, constipation, hypoactive bowel sounds, and abdominal pain are potential complications that the nurse should assess after the procedure.
Appendicitis
- The nurse assesses the patient by instructing them to lie on their left side while the right thigh is flexed backward, which is referred to as the Psoas sign.
- A complete blood count may show an increased white blood cell count, which would alert the nurse.
Hiatal Hernia
- Patients taking Warfarin to manage coagulopathy should have their prothrombin time and partial thromboplastin time monitored.
Gastric Carcinoma
- Pernicious anemia can occur after gastrectomy due to the loss of intrinsic factors associated with the fundus and body of the stomach.
Islets of Langerhans
- Epsilon cells produce Ghrelin, which stimulates hunger.
Gastrointestinal Disorders
- Bloody diarrhea and abdominal pain in the left lower quadrant may indicate ulcerative colitis.
Hepatitis A
- Flu-like symptoms and jaundice, along with a history of consuming contaminated food or drinks, support a diagnosis of hepatitis A.
Cholecystectomy
- A T-tube draining over 1250 ml of green-brown drainage within 24 hours after surgery is a cause for concern.
Peptic Ulcer
- Perforation of a peptic ulcer may be indicated by a rigid, board-like abdomen.
Billroth I Procedure
- This procedure involves anastomosing the stomach to the duodenum.
Gastrectomy
- Dumping syndrome can be prevented by eating small, frequent meals, avoiding foods that can irritate the stomach, and limiting fluids taken with meals.
Crohn's Disease
- During exacerbation episodes, patients should avoid caffeinated beverages, reduce stress, and avoid high-fiber foods.
- Patients may experience exacerbations and remissions with Crohn's disease.
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Description
Nursing assessment questions about potential complications after a procedure and assessing a client with suspected appendicitis.
