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MED SURG EXAM 3
1.The nurse is performing a focused abdominal assessment of a patient who has been recently admitted. In order to palpate the patient's liver, where should the nurse palpate the patient's abdomen?: Right upper quadrant
2.The nurse is assessing a patient admitted with a possible bowel ob- struction. Which assessment finding would be expected in this patient?: - High-pitched sounds on abdominal auscultation
3.The nurse is preparing a patient for a capsule endoscopy. What should
the nurse ensure is included in the preparation?: Ensure the patient
understands the required bowel preparation.
4.When caring for the patient with heart failure, the nurse knows that
which gastrointestinal process is most dependent on cardiac output and
may affect the patient's nutritional status?: Absorption
5.The nurse is reviewing the home medication list for a patient admitted
with suspected hepatic failure. Which medication could cause
hepatotoxicity?: - Acetaminophen
6.The nurse should recognize that the liver performs which functions?
(Select all that apply.): Detoxification, Protein metabolism, Steroid
metabolism
7.A patient had a gastric resection for stomach cancer. The nurse plans
to teach the patient about decreased secretion of which hormone?:
Gastrin
8.A patient is suspected of having acute pancreatitis after presenting to
the emergency department with severe abdominal pain. Which laboratory
result would indicate the presence of acute pancreatitis?: Serum amylase
of 820 U/L
9.A patient is scheduled for surgery with general anesthesia in 1 hour and is observed with a moist but empty water glass in his hand. Which assessment finding may indicate that the patient drank a glass of water?: Easily heard, loud gurgling in abdomen
10.A patient with a family history of adenomatous polyposis had a colonoscopy with removal of multiple polyps. After the procedure, which signs and symptoms should the nurse teach the patient to report immedi- ately?: Fever and abdominal pain
11.An older adult patient is seen in the primary care provider's office for a well check reports difficulty swallowing. What common effect of aging should the nurse assess for as a possible cause?: Xerostomia .A patient was involved in a motor vehicle crash and reports an
inability to have a bowel movement. What is the best response by the
nurse?: "Your sympathetic nervous system was activated, so there is
slowing of the GI tract."
13.A patient reports severe pain when the nurse assesses for rebound ten-
derness. What may this assessment finding indicate?: Peritoneal
inflammation
14.A patient with abdominal pain is being prepared for surgery to make an incision into the common bile duct to remove stones. What procedure will the nurse prepare the patient for?: Choledocholithotomy
15.An older adult patient reports difficulty swallowing. Which age-
related change does the nurse teach the patient about?: Xerostomia
16.A patient is scheduled for a percutaneous transhepatic cholangiography to restore biliary drainage. The nurse discusses the patient's health history and is most concerned if the patient makes which statement?: "My tongue swells when I eat shrimp."
17.The nurse is performing an abdominal assessment for a patient. Which assessment technique by the nurse is most accurate?: Auscultate
the ab- domen before palpation.
18.The nurse is reviewing the laboratory test results for a patient with metastatic lung cancer who was admitted with a diagnosis of malnutrition. The serum albumin level is 4.0 g/dL, and prealbumin is 10 mg/dL. How will the nurse interpret these results?: The serum albumin level is normal, but the low prealbumin level accurately reflects the patient's nutritional status.
19.A patient who has sustained severe burns in a motor vehicle accident is starting parenteral nutrition (PN). Which principle should guide the nurse's administration of PN?: Central PN requires rapid dilution in a large volume of blood.
20.The nurse is providing care for a patient who is a strict vegetarian. Which would be the best dietary choices the nurse recommends to prevent
iron deficiency?: Soybeans and hot breakfast cereal
21.A patient who is unable to swallow because of progressive amyotroph- ic lateral sclerosis is prescribed enteral nutrition through a newly placed gastrostomy tube. Which task is appropriate for the nurse to
delegate to unlicensed assistive personnel (UAP)?: Position the patient
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