Digestive & Gastrointestinal System Disorders | NCLEX Quiz 63

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1. You're discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?

“Now I can never get hepatitis again.”

“I can safely give blood after 3 months.”

“I’ll never have a problem with my liver again. even if I drink alcohol.”

“My family knows that if I get tired and start vomiting. I may be getting sick again.”

Hepatitis B can recur. Patients who have had hepatitis are permanently barred from donating blood. Alcohol is metabolized by the liver and should be avoided by those who have or had hepatitis B.

Explanation

Hepatitis B can recur. Patients who have had hepatitis are permanently barred from donating blood. Alcohol is metabolized by the liver and should be avoided by those who have or had hepatitis B.

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2. Hepatic encephalopathy develops when the blood level of which substance increases?

Ammonia

Amylase

Calcium

Potassium

Ammonia levels increase d/t improper shunting of blood. causing ammonia to enter systemic circulation. which carries it to the brain.

Explanation

Ammonia levels increase d/t improper shunting of blood. causing ammonia to enter systemic circulation. which carries it to the brain.

3. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching. Gail states."If I lie still and avoid turning after the operation. I'll avoid pain. Do you think this is a good idea?" What is the best response?

“You’ll need to turn from side to side every 2 hours.”

“It’s always a good idea to rest quietly after surgery.”

“The doctor will probably order you to lie flat for 24 hours.”

“Why don’t you decide about activity after you return from the recovery room?”

To prevent venous stasis and improve muscle tone. circulation. and respiratory function. encourage her to move after surgery.

Explanation

To prevent venous stasis and improve muscle tone. circulation. and respiratory function. encourage her to move after surgery.

4. Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care?

Regular exercise.

A low-protein diet.

Allow patient to select his meals.

Rest period after small. frequent meals.

Rest periods and small frequent meals are indicated during the acute phase of hepatitis B.

Explanation

Rest periods and small frequent meals are indicated during the acute phase of hepatitis B.

5. Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell. followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?

A suture kit.

Sterile water and a suture kit.

Sterile water and sterile dressings.

Sterile saline solution and sterile dressings.

Saline solution is isotonic. or close to body fluids in content. and is used along with sterile dressings to cover an eviscerated wound and keep it moist.

Explanation

Saline solution is isotonic. or close to body fluids in content. and is used along with sterile dressings to cover an eviscerated wound and keep it moist.

6. Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?

Give tepid baths.

Avoid lotions and creams.

Use hot water to increase vasodilation.

Use cold water to decrease the itching.

For pruritus. care should include tepid sponge baths and use of emollient creams and lotions.

Explanation

For pruritus. care should include tepid sponge baths and use of emollient creams and lotions.

7. Annabelle is being discharged with a colostomy. and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?

“At first. the stoma may bleed slightly when touched.”

“The stoma should appear dark and have a bluish hue.”

“A burning sensation under the stoma faceplate is normal.”

“The stoma should remain swollen away from the abdomen.”

For the first few days to a week. slight bleeding normally occurs when the stoma is touched because the surgical site is still new. She should report profuse bleeding immediately.

Explanation

For the first few days to a week. slight bleeding normally occurs when the stoma is touched because the surgical site is still new. She should report profuse bleeding immediately.

8. You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?

Encourage her to not worry about the future.

Encourage her to express her feelings about the illness.

Discuss the effects of hepatitis B on future health problems.

Provide avenues for financial counseling if she expresses the need.

Telling her not to worry minimizes her feelings.

Explanation

Telling her not to worry minimizes her feelings.

9. Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote an order for 5mg of I.V. diazepam(Valium). Which order is correct regarding diazepam?

Give diazepam in the I.V. port closest to the vein.

Mix diazepam with 50 ml of dextrose 5% in water and give over 15 minutes.

Give diazepam rapidly I.V. to prevent the bloodstream from diluting the drug mixture.

Question the order because I.V. administration of diazepam is contraindicated.

Diazepam is absorbed by the plastic I.V. tubing and should be given in the port closest to the vein.

Explanation

Diazepam is absorbed by the plastic I.V. tubing and should be given in the port closest to the vein.

10. A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution. using a piston syringe?

Rapidly instill a stream of irrigating solution into the wound.

Apply a wet-to-dry dressing to the wound after the irrigation.

Moisten the area around the wound with normal saline solution after the irrigation.

Irrigate continuously until the solution becomes clear or all of the solution is used.

To wash away tissue debris and drainage effectively. irrigate the wound until the solution becomes clear or all the solution is used.

Explanation

To wash away tissue debris and drainage effectively. irrigate the wound until the solution becomes clear or all the solution is used.

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Aug 22, 2023

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Oct 01, 2017

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