Questions and Answers
Which finding indicates that a paracentesis for the treatment of ascites was effective?
A nurse should monitor for which adverse effect in a client with a new prescription for metoclopramide?
Which laboratory finding should the nurse report for a client with hepatic cirrhosis?
What finding should the nurse expect in a client with peritonitis?
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Which prescription for a client with Campylobacter enteritis should the nurse clarify?
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What laboratory finding should the nurse expect in a client with colorectal cancer?
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Which finding is a priority for the nurse to report for a client with cirrhosis?
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What finding should the nurse expect in a client with acute pancreatitis?
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The nurse should include progressive relaxation techniques in the plan of care to minimize stress for a client with ulcerative colitis who has had several exacerbations over the past 3 years. This will help reduce the risk of further exacerbations by minimizing _____.
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What should a client do to prepare for a colonoscopy?
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Which food selection indicates effective teaching for a client with chronic pancreatitis?
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Why is blood drawn for a CEA level in a client receiving chemotherapy for colorectal cancer?
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Which medication inhibits gastric acid secretion for a client with peptic ulcer disease?
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What finding should a client with a new colostomy report to the provider?
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Which food should the nurse recommend to a client concerned about flatus and odor with a new colostomy?
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What indicates that a client understands discharge teaching after being prescribed famotidine?
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What dietary advice should a nurse give to an older adult client with mild diverticulitis?
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Which food should a nurse encourage a postoperative client following a gastrectomy to include in their diet to prevent dumping syndrome?
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What is the first action a nurse should take when admitting a client with acute pancreatitis?
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What finding indicates acute gastric dilation for a postoperative client following a gastrectomy?
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Which finding should the nurse expect in a client with upper gastrointestinal bleeding?
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What dietary change should a client with celiac disease implement?
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What indicates understanding of discharge teaching for a client with chronic hepatitis C?
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What finding should the nurse expect in a client with acute hepatitis B?
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What finding should the nurse expect in a client with Crohn's disease?
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What findings should the nurse expect in a client with appendicitis?
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What symptom should the nurse expect from a client with a duodenal ulcer?
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Which statement by a client with GERD indicates effective teaching?
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What should the nurse instruct a client prescribed lactulose regarding expected effects?
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Which intervention should be included in the plan of care for a client with cirrhosis and ascites?
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Study Notes
Paracentesis Assessment
- Decreased shortness of breath indicates effective paracentesis by relieving abdominal fluid pressure on the diaphragm.
GERD Medication Monitoring
- Ataxia is an adverse effect of metoclopramide; monitor for possible extrapyramidal symptoms.
Hepatic Cirrhosis Labs
- A serum ammonia level of 180 mcg/dL is concerning and indicates potential portal-systemic encephalopathy.
Peritonitis Assessment
- A board-like abdomen suggests peritonitis and indicates severe abdominal rigidity.
Campylobacter Enteritis Prescriptions
- Clarify the prescription for magnesium hydroxide (Milk of Magnesia) as it may enhance gastrointestinal motility and risk electrolyte imbalance.
Colorectal Cancer Findings
- A hemoglobin level of 9.1 g/dL is expected due to potential occult intestinal bleeding.
Cirrhosis Priorities
- Bloody stools represent a high priority for reporting due to the risk of gastrointestinal hemorrhage.
Acute Pancreatitis Indicators
- Increased serum amylase is a classic finding in acute pancreatitis due to pancreatic damage.
Ulcerative Colitis Management
- Recommend progressive relaxation techniques and daily rest periods to minimize stress and intestinal motility; avoid carbonated beverages.
Colonoscopy Preparation
- Clients should consume clear liquids for 24 hours prior to the procedure and maintain NPO status for 4-6 hours before colonoscopy.
Chronic Pancreatitis Dietary Recommendations
- Low-fat options like bananas are recommended to manage symptoms effectively.
CEA Levels in Colorectal Cancer
- CEA levels help assess chemotherapy effectiveness, decreasing when treatment is successful.
Peptic Ulcer Medication Teaching
- Famotidine inhibits gastric acid secretion; important for managing peptic ulcer disease.
Ileostomy Discharge Instructions
- A dark purple stoma indicates compromised blood supply and requires immediate attention.
Colostomy Dietary Teaching
- Recommend yogurt to manage flatus issues and promote digestive health.
Famotidine Administration
- Advise the client to take famotidine at bedtime for optimal efficacy.
Diverticulitis Client Teaching
- Clients should consume low-fiber foods only if advised; typically, a higher fiber diet helps prevent complications.
Dietary Choices Post-Gastrectomy
- Eggs are an excellent choice to prevent dumping syndrome due to their protein-rich, low-sugar content.
Acute Pancreatitis Initial Actions
- Identify the client’s current level of pain as the first priority in care.
Gastric Dilation Signs
- Hiccups can indicate acute gastric dilation following surgery.
Upper GI Bleeding Signs
- Hypotension is a critical sign expected in clients with upper gastrointestinal bleeding.
Celiac Disease Dietary Management
- Clients must adhere to a gluten-free diet, supplemented with beans for adequate fiber intake.
Chronic Hepatitis C Patient Education
- Avoid medications containing acetaminophen due to the risk of liver toxicity.
Acute Hepatitis B Symptoms
- Joint pain is a common symptom observed in clients with acute hepatitis B.
Crohn's Disease Findings
- Fatty, diarrheal stools are typical in clients experiencing Crohn's disease.
Appendicitis Expected Findings
- Expect a temperature of 101.1°F, nausea and vomiting, and right lower quadrant pain.
Duodenal Ulcer Pain Characteristics
- Pain typically occurs 1.5 to 3 hours after meals and often during the night.
GERD Education Acknowledgment
- Clients should reduce carbonated beverage intake to mitigate GERD symptoms.
Lactulose Instructions for Cirrhosis
- Advise clients to expect two to three soft stools daily with lactulose therapy.
Cirrhosis and Ascites Care Plan
- Daily measurement of abdominal girth is essential for monitoring fluid retention in cirrhotic clients.
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Description
Test your knowledge on the effectiveness of paracentesis in treating ascites. This quiz includes questions on assessments and outcomes significant for nursing care in the gastrointestinal field. Enhance your understanding of the nursing assessment process following such procedures.
