Digestive & Gastrointestinal System Disorders | NCLEX Quiz 60

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1. Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?

Explanation

Signs and Symptoms of pneumothorax include dyspnea and decreased or absent breath sounds over the affected lung (right lung).

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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 60 - Quiz

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2. Your goal is to minimize David's risk of complications after a herniorrhaphy. You instruct the patient to:

Explanation

Teach the pt to avoid activities that increase intra-abdominal pressure such as coughing. sneezing. or straining with a bowel movement.

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3. Jason. a 22 y.o. accident victim. requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?

Explanation

Aspirating the stomach contents confirms correct placement. If an X-ray is ordered. it should be done immediately. not in 24 hours.

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4. Michael. a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76. pulse 96. Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube. you explain the purpose to patient. Which of the following is a most accurate explanation?

Explanation

An NG tube is inserted into the patient’s stomach to drain fluid and gas.

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5. Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?

Explanation

After a liver biopsy. the patient is placed on the right side to compress the liver and to reduce the risk of bleeding or bile leakage.

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6. Stephanie. a 28 y.o. accident victim. requires TPN. The rationale for TPN is to provide:

Explanation

TPN is given I.V. to provide all the nutrients your patient needs. TPN isn’t a tube feeding nor is it a liquid dietary supplement.

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7. Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?

Explanation

Because obesity weakens the abdominal muscles. advise weight loss for the patient who has had a hernia repair.

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8. Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?

Explanation

Increasing fluids helps empty the stomach. A high carb diet isn’t restricted and fat intake shouldn’t be increased.

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9. A patient with Crohn's disease is admitted after 4 days of diarrhea. Which of the following urine specific gravity values do you expect to find in this patient?

Explanation

The normal range of specific gravity of urine is 1.010 to 1.025; a value of 1.030 may be seen with dehydration.

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10. Type A chronic gastritis can be distinguished from type B by its ability to:

Explanation

Type A causes changes in parietal cells.

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Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the...
Your goal is to minimize David's risk of complications after a...
Jason. a 22 y.o. accident victim. requires an NG tube for feeding....
Michael. a 42 y.o. man is admitted to the med-surg floor with a...
Develop a teaching care plan for Angie who is about to undergo a liver...
Stephanie. a 28 y.o. accident victim. requires TPN. The rationale for...
Janice is waiting for discharge instructions after her herniorrhaphy....
Matt is a 49 y.o. with a hiatal hernia that you are about to counsel....
A patient with Crohn's disease is admitted after 4 days of diarrhea....
Type A chronic gastritis can be distinguished from type B by its...
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