Questions and Answers
Which of the following raises the risk of hepatitis transmission?
What amount of green-brown drainage from the T-tube 24 hours after a cholecystectomy would alert Nurse Tom?
Which assessment finding would most likely indicate perforation of a peptic ulcer?
What does a Billroth I procedure involve?
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Which instruction would Thor not give to a client following gastrectomy to prevent dumping syndrome?
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Which statement made by a client with newly diagnosed Crohn's disease indicates a need for further instruction?
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What is the primary goal of a Billroth I procedure?
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What is a common complication that can occur after gastrectomy?
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What are the potential complications of a barium swallow procedure? Select all that apply.
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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?
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A complete blood count (CBC) is ordered for a patient suspected of having appendicitis. Which white blood cell count would raise concern?
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A client with a hiatal hernia is taking Warfarin to manage coagulopathy. Which blood test is routinely monitored for patients on Warfarin?
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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?
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Which type of cells in the islets of Langerhans produce Ghrelin, a hormone that stimulates hunger?
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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?
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A client has been diagnosed with hepatitis A based on flu-like symptoms and jaundice. Which statement by the client would support this diagnosis?
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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.
