GI PATHO FINAL TEST BANK Exam
Questions with Verified Answers
nurse assessing client who has pain in RUQ for 4 hours, reports pain is radiating to
upper thoracic region, lab report suggests elevated liver enzymes & serum bilirubin,
what condition? - Answer-biliary colic
calculous biliary colic is pain caused by irritation of gallbladder in which pain lasts for
several hours, will have NV & pain in RUQ & right flank
physical exam of client exhibits Cullen Sign & Grey-Turner sign, which condition? -
Answer-acute pancreatitis
Cullen sign is bluish discoloration that is present around umbilicus & Grey-Turner sign is
reddish-brown discoloration that is present along flanks
after providing volume replacement in client, nurse still finds client to be hypotensive,
which action should be performed? - Answer-initiate use of central catheter
central catheters used for nutrition & medicine to clients to manage fluid & electrolyte
balance
a nurse is assessing client who has episodic abdominal pain, constipation, flatulence,
on assessment & review of lab findings, concludes that client has jaundice & elevated
serum amylase, what condition? - Answer-chronic pancreatitis
episodic epigastric, LUQ pain, anorexia, constipation, flatulence, elevation serum
amylase & lipase occurs with pancreatic inflammation, malfunction results in jaundice
nurse finds increased glucose levels in client who has chronic pancreatitis, what should
nurse interpret from finding? - Answer-the client's beta cells are damaged
glucose levels increase when there is a damage of insulin-producing cells, which are
known as beta-cells, insulin-producing cells may get damaged & result in rise in glucose
levels
nurse instructor teaching group of nursing students about patho of cholecystitis, nursing
instructor asks "what happens during chronic cholecystitis?" what statement indicates
effective learning? - Answer-"the gallbladder becomes thickened & functions poorly"
chronic cholecystitis is the repetitive attacks of inflammation of the gallbladder, during
chronic cholecystitis, gallbladder becomes thickened, rigid, fibrotic & functions poorly
, nurse instructor teaching group of students about laparoscopic cholecystectomy, which
statement indicates effective learning? - Answer-"the client has to stay in the health care
setting for less than 24 hours after surgery"
since incisions are smaller & have low risk of complications, requires shorter stay in HC
setting
nurse caring for client who reports abdominal distention & pain in RUQ, nurse suspects
biliary disorder in client, which med should nurse expect HCP to rx for client to relieve
pain? - Answer-dilaudid
narcotic analgesics preferred to relieve pain in biliary disorder, as they do not cause
contraction of muscles
PCP rx dilaudid to client who has cholecystitis, what should nurse anticipate from this
finding? - Answer-client has epigastric pain
clients who have cholecystitis experience pain in epigastric region, dilaudid helps to
relieve it
nurse is administering cholestyramine (Questran) to client who is dx with biliary disease,
which test should PCP rx to ensure safety? - Answer-A&B: LFT & serum cholesterol
med causes diarrhea, abnormal liver function, increases serum cholesterol as ADRs
client is brought to hospital DT severe abdominal pain, NV, reports increased pain in
abdomen & epigastric region radiating to back when lying supine, upon exam, finds
client has fever & hypotension, what should you infer? - Answer-client has acute
pancreatitis
severe abdominal pain & epigastric pain radiating to back when lying supine, NV,
hypotension, fever, jaundice
nurse caring for client who has cholecystitis & was dx with pruritis, which med should
nurse expect? - Answer-Cholestyramine (Questran)
pruritus occurs when bile salts accumulate in blood, DT biliary obstruction of bile in
common bile duct, med binds with bile salts & helps it to be ecretedin feces
which client will benefit from early endoscopic retrograde cholangiopancreatography
(ERCP)? - Answer-client who has severe gallstone pancreatitis
benefit from ERCP, dx & visualize pancreatic ductal system
which dx procedure would PCP use to confirm advanced chronic pancreatitis with
exocrine insufficiency in client? - Answer-fecal chymotrypsin
