Nursing Assessment Questions
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Questions and Answers

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?

  • 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?

  • A rigid, board-like abdomen (correct)
  • Mild abdominal discomfort
  • Bradycardia
  • Paresthesia
  • What does a Billroth I procedure involve?

    <p>The stomach is anastomosed to the duodenum</p> Signup and view all the answers

    Which instruction would Thor not give to a client following gastrectomy to prevent dumping syndrome?

    <p>Drink plenty of water with each meal</p> Signup and view all the answers

    Which statement made by a client with newly diagnosed Crohn's disease indicates a need for further instruction?

    <p>I need to increase the fiber in my diet</p> Signup and view all the answers

    What is the primary goal of a Billroth I procedure?

    <p>To relieve symptoms of peptic ulcer disease</p> Signup and view all the answers

    What is a common complication that can occur after gastrectomy?

    <p>Dumping syndrome</p> Signup and view all the answers

    What are the potential complications of a barium swallow procedure? Select all that apply.

    <p>Hypoactive bowel sounds</p> Signup and view all the answers

    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?

    <p>Psoas sign</p> Signup and view all the answers

    A complete blood count (CBC) is ordered for a patient suspected of having appendicitis. Which white blood cell count would raise concern?

    <p>12.7 x 10^9/L</p> Signup and view all the answers

    A client with a hiatal hernia is taking Warfarin to manage coagulopathy. Which blood test is routinely monitored for patients on Warfarin?

    <p>Prothrombin time (PT)</p> Signup and view all the answers

    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?

    <p>Fundus and body</p> Signup and view all the answers

    Which type of cells in the islets of Langerhans produce Ghrelin, a hormone that stimulates hunger?

    <p>Epsilon cells</p> Signup and view all the answers

    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?

    <p>Ulcerative colitis</p> Signup and view all the answers

    A client has been diagnosed with hepatitis A based on flu-like symptoms and jaundice. Which statement by the client would support this diagnosis?

    <p>I recently traveled to a country with poor sanitation.</p> Signup and view all the answers

    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.

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