1.

Which nursing intervention should be encouraged for a client with renal

calculi?

A. Limit voiding to every six to eight hours to increase hydrostatic

pressure in the ureters
B. Take a daily calcium supplement to replace calcium losses
C. Increase fluid intake to prevent future stone formation
D. Participate in daily exercise to strengthen smooth muscle in the urinary
tract

2. A nurse is creating a teaching plan for a client recently diagnosed with

chronic pancreatitis. Which statement should be included in the teaching
plan?

A. “Take your antacids before meals to minimize your symptoms of

chronic
pancreatitis”
B. “You will develop diabetes eventually and should check your blood
glucose daily
at home”
C. “You should take your pancrelipase with meals or a snack to maximize
absorption”
D. “You will be given nortriptyline to help decrease symptoms of alcohol
withdrawal”

3. The nurse has taught a client how to manage constipation. Which action
by the client would be most effective?

A. Drink iced cold water with meals

B. Wait until evening to try to move the bowels
C. Increase the intake of high fiber foods
D. Take a daily stimulant laxative

4. The nurse is admitting a client with a kidney stone. Which of the following
interventions should be included in the client’s plan of care?

A. Maintain fluid restriction of 1-2 liters per day `

B. Encourage client to eat a high-protein diet
C. Position the client supine to alleviate pain
 D. Educate client on low-sodium diet

5. A client diagnosed with a cute cholecystitis has been experiencing nausea.

Vomiting, mild fever, and abdominal pain. What interventions can the nurse
implement to increase the client’s comfort? Select all that apply.

A. Provide frequent oral care

B. Adjust room temperature
C. Wash face with cool washcloth
D. Maintain HOB at least 30 degrees
E. Encourage ambulation

6. A client is diagnosed with cholelithiasis and is concerned about treatment.

What is the nurse’s best response?

A. “Dietary changes are effective at treating and preventing further

episodes of
cholelithiasis”
B. “Cholelithiasis is asymptomatic, therefore treatment is usually
unnecessary”
C. “Cholelithiasis is usually treated using minimally invasive procedures”
D. “You should expect to be placed on a long-term drug therapy to
dissolve the stones”

7. The client with a history of renal calculi calls the clinic and reports having
burning on urination, chills, and an elevated temperature. Which instruction
should the nurse give the client?

A. Come to clinic to provide a specimen for urinalysis

B. Take 500mg Tylenol to relieve the pain and temperature
C. Increase water intake for the next 12 hours
D. Strain all the client’s urine with gauze or cloth

8. After being treated for a respiratory tract infection with a 10-day course of
antibiotics, a client tells the nurse about developing frequent, watery
diarrhea. Based on this information, which action would be most beneficial
for this client?

A. Have blood drawn for blood cultures

 B. Be NPO for several days
C. Have a stool specimen sent for culture
D. Take Imodium to stop the diarrhea

9.The health care provider prescribes finasteride (Proscar) for a 67-year-old

client who has benign prostatic hyperplasia (BPH). What information should
the nurse teach the client about this drug?

A. He should change position from lying to standing slowly to avoid

dizziness
B. He will need to monitor his blood pressure frequently to assess for
hypertension
C. His interest in sexual activity may decrease while he is taking the
medication
D. Improvement in the obstructive symptoms should occur within about 2
weeks

10. Which action should the nurse teach the ileostomy client as part of
essential care of the stoma?

A. Remove pouch while showering

B. Take in high-fiber foods such as nuts
C. Cleanse the peristomal skin meticulously
D. Limit fluid intake to prevent diarrhea

11. A nurse is caring for a client that is concerned about her family history of
cancer. What will the nurse include In her teaching? Select all that apply.

A. Cook red meat thoroughly

B. Regular physical activity
C. Limit alcohol use
D. Decrease fiber intake
E. Regular colorectal screening

12. A client with BPH is being discharged. Which statement by the client
indicates they need further education on their condition?

A. “I will avoid caffeine, citrus and spicy foods

B. “I will try to use the bathroom every 2 to 3 hours”
 C. “I will take my finasteride prior to urination”
D. “I will limit my fluid intake in the evening before bed”

13. The physician orders ranitidine 150mg IV every 8hrs. The client weighs
132 Ibs. The recommended dose is 2-4mg/kg/day, divided in 3 equal doses.
Is the dose safe/therapeutic?

A. No too low
B. No. too high
C. Yes

14. A nurse is caring for a client with ulcerative colitis. What priority
outcome is most appropriate for this client?

A. Client will report decreased pain levels

B. Client will demonstrate improved exercise tolerance
C. Client will demonstrate increased bowel motility
D. Client will report decreased work of breathing

15. A patient with recurring heartburn tells the nurse that he has used over-
the-counter antacids in the past. The physician has now prescribed
esomeprazole. Which of the following statements indicate that the patient
understands the use of the drug?

A. Reduces the reflux of gastric acid into the esophagus by increasing the
rate of
gastric emptying
B. Is used to treat gastroesophageal reflux disease by decreasing
stomach acid production
C. Provides a quick but short-lived relief of symptoms and is an
inexpensive means of
treating gastroesophageal reflux
D. Coats the stomach and protects the stomach from the effects of
increased gastric acid.

16. Which distinguishing laboratory findings should the nurse anticipate in a

client with pernicious anemia?

A. absent intrinsic factor

 B. RBCs 5.0 million
C. Elevated Schilling’s test
D. ESR 16 mm/hour

17. A nurse is teaching a client about the warning signs of cancer. Which
symptoms should be included I the teachings? Select all that apply.

A. Blood in stool
B. Difficulty swallowing
C. Loss of appetite
D. Nagging cough
E. Generalized weakness

18. What teaching should a nurse include for a client being discharged with
GERD?

A. Increase your Pantoprazole dosage on days when your symptoms are

worsened
B. Take your Famotidine one hour before or one hour after taking antacids
C. Take all your GERD medications first thing in the morning on an empty
stomach
D. Take your sucralfate after meals to improve symptoms

19. The nurse will be teaching self-management to clients after gastric

bypass surgery. Which information will the nurse plan to include?

A. Drink fluids between meals but not with meals

B. Developing flabby skin can be prevented by exercise
C. Choose high-fat foods for at least 30% of intake
D. Choose foods high in fiber to promote bowel function

20. Which order would the nurse question on a client admitted to the hospital
for acute diverticulitis?

A. Bisacodyl 5mg PO daily

B. Bedrest with bathroom privileges
C. Normal Saline 100ml/hr
D. NPO
21. A client is administered promethazine 25 mg IV push. The patient
complains of pain with administration. What is the nurse’s priority action?

A. Increase the diluent to 20 ml

B. Increase the rate of the Normal saline
C. Stop the administration of promethazine
D. Slow the administration of promethazine

22. A nurse just received admission orders for a client with acute severe
pancreatitis. Which orders should the nurse call and clarify with the
physician? Select all that apply.

A. Daily labs; Amylase, lipase, chemistry, cbc

B. NG tube to low intermittent wall suction
C. Tylenol 325 mg PO q6 hours for pain
D. Regular diet
E. Normal Saline 125 ml/hr

23. Which intervention would the nurse teach a patient to help avoid a
urinary tract infection (UTI)? Select all that apply

A. Increase fluid intake

B. Empty the bladder frequently throughout the day
C. Use of feminine hygiene products
D. Change from birth control pills to a diaphragm
E. Limit fluid intake

24. A client with ulcerative colitis is having frequent stools. Which laboratory
finding would be of most concern to the nurse?

A. Erythrocyte sedimentation rate is increased

B. White blood cell count slightly increased
C. Hemoglobin and hematocrit slightly decreased
D. Serum sodium and potassium are decreased
25. The nurse is caring for a client postoperatively following a
hemorrhoidectomy. Which of the following interventions would be the highest
priority?

A. Inspecting the rectal area for bleeding

B. Preventing of nausea and vomiting
C. Promoting the client’s first bowel movement
D. Monitoring the client’s intake and output

26. A client is newly diagnosed with GERD. Which teaching would a nurse
include in their discharge instructions?

A. Avoid alcohol because it increases your lower esophageal sphincter

pressure
B. Avoid caffeinated drinks to reduce reflux symptoms
C. Increase fluid intake with meals to improve gastric emptying
D. Take esomeprazole prior to all your meals to reduce reflux

27. A client is admitted with right upper quadrant abdominal with radiating
pain in upper back. Which of the following lab values would be of concern?

A. INR 1.0
B. Hemoglobin 13.5
C. Serum bilirubin 1.5
D. Albumin 3.5

28. A client who has had a herniorrhaphy performed for an incarcerated

inguinal hernia is experiencing acute pain and swelling at the surgical site.
What is the appropriate intervention?

A. Provide warm sitz baths several times a day

B. Apply moist heat to the abdomen
C. Apply a scrotal support with an ice pack
D. Administer stool softeners as ordered

29. The nurse in the clinic is assessing a new client who has abdominal
obesity and hypertension. What further assessment should the nurse do to
assess for possible metabolic syndrome?
 A. Measure the client’s waist and hips
B. Ask the client about dietary intake
C. Determine the client’s ethnic origin
D. Take the client’s apical pulse

30. A nurse is creating a plan of care for her client with Crohn’s disease.
Which goal would be most appropriate for this client?

A. Client will ambulate three this shift

B. Client will eat at least 50% of meals this shift
C. Client will have at least three stools this shift
D. Client will maintain Hgb levels above 12 this shift

31. A. patient is diagnosed with H. pylori. Which of the following medications

may be ordered for treatment? Select all that apply

A. Ibuprofen
B. Proton pump inhibitor
C. Amoxicillin
D. Acetaminophen
E. Metronidazole

32. A nurse is caring for a client with a duodenal ulcer. What assessment
finding should the nurse expect to note in this client?

A. Client complains of black, tarry stool.

B. Pain occurs a few hours after a meal and at night
C. Pain is worsened by the ingestion of food
D. Client has frequent loose stools

33. A client is admitted to the hospital with a diagnosis of renal calculi after
experiencing severe flank pain, nausea and temperature of 100.6 F. Which of
the following would be a priority outcome for this client?

A. Maintenance of fluid and electrolyte balance.

B. Prevention of urinary tract complications
C. Alleviation of pain
D. Alleviation of nausea
34. A client with renal calculi is experiencing severe pain. Which intervention
would be most beneficial to improve their pain?

A. Strain all urine to identify stone

B. Teach deep breathing techniques
C. Apply ice packs to the flank area
D. Encourage ambulation as tolerated

35. The nurse is providing discharge instructions to a client following

gastrectomy and instructs the client to take which measure to assist in
preventing dumping syndrome?

A. Ambulate following a meal

B. Limit the fluids taken with meals
C. Sit in a low fowler’s position during meals
D. Eat high carbohydrate foods

36. A nurse is administering TPN. What does the nurse understand about TPN
administration? Select all that apply

A. TPN is given under strict aseptic techniques

B. Check glucose daily
C. Administer D10 if bag is empty
D. Add antibiotic to TPN q 4 hrs
E. Label tubing and filter

37. The nurse is obtaining a history from a client with benign prostatic
hyperplasia (BPH). Which finding would the nurse expect the client to report?

A. Grossly bloody urine with clots presents

B. Lower back pain that radiates to the hips during urination
C. A palpable mass located on their groin
D. A weak urinary stream and intermittency

38. Female is diagnosed with stress incontinence. Which intervention by the

nurse is appropriate?
 A. Administer antidepressant medication as prescribed
B. Teach the client Kegel exercises
C. Perform the Valsalva maneuver
D. Schedule voiding times

39. A client is admitted to the emergency department for evaluation of right

lower- quadrant abdominal pain with nausea and vomiting. The client has a
white blood cell count (WBC) OF 14,000/ML. which action is appropriate for
the nurse to take?

A. Encouraging the client to take sips of clear liquids

B. Encouraging client to cough and deep breathe
C. Position client in a side-lying position for comfort
D. Checking for rebound tenderness every 30 minutes

40. A nurse is teaching a class on difference between Crohn’s and Ulcerative

Colitis. Which assessment findings should the nurse expect to note for a
client with inflammatory bowel disease (IBD)?

A. Fewer nutritional deficiencies are found with Crohn’s compared to

ulcerative colitis
B. Rectal bleeding and anemia occur more often in Crohn’s than in
Ulcerative Colitis
C. Weight loss, fever and cramping abdominal pain are common in
Crohn’s
D. Excessive nausea and vomiting are more common in Crohn’s

41. The client with a new colostomy is concerned about the odor from the
ostomy drainage bag. Which food does the nurse teach the client to limit in
the diet to reduce odor?

A. Yogurt
B. Cottage cheese
C. Eggs
D. potatoes
42. The client with cystitis is given a prescription for phenazopyridine
hydrocholoride. What should the nurse teach the client as the therapeutic
action of the drug?

A. Preventing the crystallization that can occur with sulfa drugs

B. Providing an analgesic effect on the bladder mucosa
C. Potentiating the action of the antibiotic
D. Releasing formaldehyde and providing bacteriostatic action

43. The client is post-op day one from a transurethral resection of the
prostate. The client has a 3-waycatheter with continuous bladder irrigation.
During the change of shift report, you learn that the client’s total output was
3000ml. What does the nurse do to ensure the accuracy of the intake and
output?

A. Check the oral and parenteral input from the previous shift
B. Assess if the client passed any blood clots through the catheter
C. Ensure that the urinary output is yellow to pink in color
D. Determine if the amount of irrigation fluid was subtracted from the
total output Reported

44. The nurse is planning discharge teaching for a client with reflux from a
hiatal hernia. Which activities are appropriate?

A. Consuming small frequent meals

B. Lifting objects that weigh less than ten pounds
C. Straining during the expulsion of stool
D. Lying down to rest after a meal

45. A client with BPH has a markedly distended bladder and is agitated and
confused. Which order should the nurse act on first?

A. Schedule for an intravenous pyelogram

B. Insert a urinary catheter
C. Administer lorazepam (Ativan) 0.5mg
D. Draw blood for BUN and creatine

46. A patient with gastric ulcers is being discharged. The nurse explains that
he is at risk for bleeding. The patient asks what pain medication he can take
that is not an NSAID. Which of the following would be safe for a patient who
is at risk for bleeding?

A. Ketorolac
B. Acetaminophen
C. Ibuprofen
D. Acetylsalicylic acid

47. A client has been admitted to the hospital with severe nausea and
vomiting. Which assessment finding will require the most rapid intervention
by the nurse?

A. The client has taken only sips of water

B. The client’s chart indicates a recent resection of the small intestine
C. The client is lethargic and difficult to arouse
D. The client has been vomiting several times a day for the last 4 days

48.Ordered methylprednisolone sodium succinate 1mg/kg IV every day for 4

days Patient weight 138 pound, Available 124 mg per 4 ml. How many ml will
you give daily?

A. 0.2 mi
B. 20ml
C. 2ml
D. 0.02ml

48. A nurse is providing discharge education to a client with GERD. Which

statement by the client indicates the teaching was effective?

A. “I need to maintain a low-carbohydrate diet to improve symptoms”

B. “I will need yearly H. Pylori testing to prevent complications of GERD”
C. “I will need to modify my mealtimes to decrease reflux”
D. “I will require a fundoplication in the next few years to treat my
condition”

49. A nurse is caring for a client with intestinal obstruction. Which order
should the nurse question?
A. Cefazolin 2 gram IVPB preoperatively
B. Out of bed as tolerated
C. Tap water enemas until clear the right before surgery
D. TPN 65 ml/hr continuous IV

50. A client has had transurethral prostatectomy (TURP) for benign prostatic
hypertrophy. He is being treated with a continuous bladder irrigation and is
complaining of severe bladder spasms. Which intervention should be done
first?

A. Administer a suppository for spasms as ordered by the physician

B. Encourage the client to use the patient-controlled analgesia (PCA)
device.
C. Stop the irrigation and call the physician
D. Check for the presence of clots, and make sure the catheter is draining
properly

51. Which of these nursing actions should the RN delegate to a nursing

assistant who is helping with the care of a patient who has been admitted
with nausea and vomiting?

A. Auscultate the bowel sounds

B. Assess for signs of dehydration
C. Ask the patient what precipitated the nausea
D. Assist the patient with oral care after vomiting

52. A client has a nasogastric teaching tube. The nurse is a ware of the need
to monitor for potential complications. Which of the following symptoms
would potentially indicate the greatest risk related to tube feedings?

A. Dyspnea
B. Abdominal distention
C. Diarrhea
D. Throat irritation

53. A client is complaining of gaseous pain in their epigastric area that gets
worse when eating. Which diagnostic test would be most beneficial for
diagnosis of this client’s condition?
A. Erythrocyte Sedimentation rate (ESR)
B. White blood cell count
C. Rebound tenderness exam
D. Urea breath test

54. A patient sustained a severe head injury and is unconscious. The

patient’s mother asks you why her daughter is receiving famotidine since
she has no history of ulcers. Which answer is best?

A. Famotidine prevents gastric irritation caused by nasogastric tube

B. Famotidine decreases the incidence of gastric stress ulcers
C. Famotidine will lower the chance that she will aspirate
D. Famotidine will reduce the risk for gastroesophageal reflux

55. A client with a history of GERD is experiencing chest pain one hour after
eating. What medication would be most effective in relieving the client’s
symptoms?

A. Nitroglycerin
B. Calcium Carbonate
C. Pantoprazole
D. Metoclopramide

56. Which assessment finding is most concerning for a client with acute
pancreatitis?

A. Respiratory rate 24 or respiratory of 28

B. Negative Chvostek’s sign
C. Temperature 100.2 F
D. Pain level 7 out of 10

57. The nurse is monitoring a client admitted to the hospital with a diagnosis
of appendicitis who is scheduled for surgery in 2 hours. The client begins to
complain of increased abdominal pain and begins to vomit. On assessment,
the nurse notes that the abdomen is distended, and bowel sounds are
diminished. Which is the appropriate nursing intervention?

A. Notify the client’s surgeon

B. Apply a heating pad to the client’s abdomen
C. Administer the PRN pain medication
D. Assess the client’s lung sounds

58. The nurse is performing nutritional assessment on a newly admitted

patient. Which findings could indicate malnutrition? Select all that apply

A. Unintentional weight loss

B. HgB 10.5 mg/dl
C. Elevated total cholesterol
D. Muscle wasting and weakness
E. Serum albumin 3.8 mg/dl

59. Which instructions should the nurse stress when teaching a client about
management of diverticulosis?

A. Use laxatives to prevent constipation

B. Use prophylactic antibiotics to prevent infection
C. Maintain a high-fiber diet and a high fluid intake
D. Avoid dairy products such as milk and cheese

60. Phenazopyridine hydrochloride is prescribed for symptomatic relief of

pain resulting from a urinary tract infection. Which instruction should be
given?

A. Take the medication with a protein snack at bedtime

B. The medication may cause loss of appetite
C. Take the medications on an empty stomach
D. A reddish orange discoloration of the urine may occur.

61. Following administration of a dose of metoclopramide to the client the

nurse determines the medication has been effective when what is noted?

A. Decreased blood pressure

B. Relief of constipation
C. No further episodes of diarrhea
D. Relief of nausea and vomiting
63. A patient who has ulcerative colitis is scheduled for an ileostomy. Which
explanation about bowel function after surgery is correct?

A. “The stoma will require that you wear a collection bag all the time.”
B. You will be able to have some control over your bowel movements”
C. “After the stoma heals, you can irrigate your bowel so you will not have
to wear a bag”
D. “Your stool will gradually become more formed but not quite solid”

64. NEXT GEN: Match the following items related to urinary incontinence

1.Functional Incontinence: Loss of urine resulting from cognitive, functional,

or

environmental factors

2.Reflex incontinence: No warning or stress precedes periodic involuntary

urination

3.Stress incontinence: Can occur during coughing, laughing, sneezing, or

physical

activities, such as heavy lifting or exercising.

4.Urge incontinence: Often referred to as overactive bladder.

64. The nurse is monitoring a client with a peptic ulcer. Which assessment
finding would cause the most concern?

A. Bradycardia
B. Numbness the legs
C. Nausea and vomiting
D. A painful board-like abdomen

65. The nurse is caring for a male client postop following creation of a
colostomy. Which nursing diagnosis should the nurse include in the plan of
care?

A. Sexual disfunction
B. Disturbed body image
C. Fear related to poor prognosis
D. Nutrition

66. The nurse is caring for the immediate postop client who had a
laparoscopic cholecystectomy. Which task could the nurse delegate to the
unlicensed assistive personnel?

A. Ambulate the client to the bathroom

B. Check the abdominal dressings for bleeding
C. Increase the iv fluid if the blood pressure is low
D. Auscultate the breath sounds in all lobes

67. A client is scheduled for appendectomy at noon. While performing your

morning assessment, you note that the client has a fever of 103.8 F and
rates abdominal pain 9 out of 10. The abdomen is distended, rigid and the
client states, "I was feeling better last night but it seems the pain has
become worse." the client is having tachycardia and tachypnea. Based on
the scenario, what does the nurse suspect the client is experiencing?

A. Peritonitis
B. Pulmonary embolism
C. Colon fistula
D. Hemorrhage

68. A pt. with Crohn's disease is taking prednisone. The pt. is complaining of
extreme thirst, polyuria, and blurred vision. What is the nurse's priority
action?

A. Give the patient orange juice

B. Administer oxygen via cannula
C. Check the patients blood glucose
D. Assess bowel sounds

69. Pt. teaching for the prevention of constipation should include eating a
diet high in fiber, setting a time for defecation, and implementing the regular
use of laxatives and enemas.

TRUE/FALSE
70. The inguinal hernia is the most common type of hernia and occurs when
the umbilical opening does not close after birth

TRUE/FALSE

71. The hospitalized patient patients asks the nurse for sodium bicarbonate
to relieve heartburn following a meal. The nurse teaches the patient that
taking sodium bicarbonate can contribute to the development of?

A. Metabolic alkalosis
B. Metabolic acidosis
C. Slow respirations and irregular pulse
D. Signs of cyanosis

72. 12 hours after undergoing a gastroduodenostomy for treatment of a

perforated ulcer, a pt. complains of increasing abdominal pain. The nursing
assessment reveals an absence of bowel sounds and 200 mL of bright red
NG drainage in the last hour. The most appropriate action by the nurse at
this time is to

A. Irrigate the nasogastric tube

B. Notify the health care provider
C. Increase suction to continuous
D. Assess the patients use of the PCA

73. A pt. is receiving tx for Crohn's disease. which food found on the patient's
tray should the pt. avoid?

A. Fresh salad
B. White rice
C. Baked chicken
D. Cooked skinless apples

rational : Pt. w/ Crohn's should avoid high fiber foods, foods hard to digest,
spicy

food, dairy.
74. A nurse is preparing to insert a nasogastric (NG) tube into a 68-year-old
female client with nausea, vomiting and suspected having a small bowel
obstruction the client askes the nurse why this procedure is necessary what
response by the nurse is most appropriate?

A. The tube will help to drain the stomach contents and prevent further
vomiting
B. The tube will push past the area that is blocked and thus help to stop
the vomiting
C. The tube is just a standard procedure before many types of surgery to
the abdomen

75. Drag and Drop: Client is admitted with heartburn that has occurred twice
week for the last month. The pain awakes him during his sleep. He describes
the pain as chest/ upper abdominal pain that is burring and squeezing. The
pain is accompanied by dyspnea. What could be contributing factors for this
discomfort? Select all that apply

A. Smoking
B. alcohol consumption
C. anticholinergics
D. exercise
E. caffeine consumption
F. low fat foods.

76. The client diagnosed with diverticular disease is complaining of severe

pain in the left lower quadrant and has an oral temperature of 100.6. Which
intervention should the nurse implement first?

A. Perform assessment of the abdomen

B. Notify the provider
C. Administer an oral antipyretic
D. Document the findings in the chart.

77. Drag & drop Which intervention should the nurse suggest to help clients
relieve urinary retention? Drag the possible interventions on the left to the
appropriate intervention box to the right.

A. Avoid pelvic floor exercise

 B. Encourage double voiding
C. Soak in warm bath
D. Drink caffeinated beverage
E. Drink fluid just before voiding
F. If unrelieved, seek medical attention

78. Which instruction for an older adult with urinary incontinence would be
most effective in strengthening pelvic muscles?

A. Tighten return to prevent passing gas

B. Bear down to empty bowels
C. Measure urine with each voiding
D. Tilt hips upward while supine

79. The nurse is planning care for a client diagnosed with appendicitis. Which
nursing actions will be included in the plan of care? Select all that apply.

A. Keep client NPO

B. Apply heat to abdomen
C. Provide a clear liquid diet
D. Monitor vital signs
E. Administer IV fluids

80.A client is being discharged with stress incontinence. What should the
nurse include in discharge teaching? Select all that apply.

A. Only wear pads at night to decrease skin irritation

B. Avoid caffeine and citrus juices
C. Avoid coughing with mouth open
D. Perform Kegels to strengthen muscle
E. Fluids and fiber to promote regular bowel movements

81.Upon assessment of a client with Crohns disease, which findings indicate

the client may be experiencing a serious complication?

A. Abdominal cramping
B. Guarding and abdominal rigidity
C. Belching and flatulence
D. Persistent diarrhea

Know: Questions/ Answers

82. Which statement best describes dumping syndrome?

ANSWER: Rapid gastric emptying into the small intestine

83. A 49-year-old has been admitted to hypotension and dehydration after 3

days of nausea and vomiting which prescribed action will the nurse
implement first?

ANSWER: infuse normal saline at 250 ml/hr

84. A 45 y/o client is admitted with suspected acute pancreatitis. The client
reports

having extreme mid-epigastric pain that radiates to the back and states the

pain started last night after eating fast food. Which of the following lab
results

should the nurse expect to see with a suspected diagnosis of acute

pancreatitis.

ANSWER: Increased serum lipase and decrease calcium levels

85. An 83 y/o client is taking a bulk-forming laxative for constipation. If she

doesn't

take sufficient water with the bulk-forming laxative, she may experience
which of

the following adverse reactions?

ANSWER: Intestinal obstruction

.GERD symptoms -hoarseness and taste in their mouth

strangulation hernia-can cause abdominal distention

what causes pernicious anemia deficiencies -gastritis and bariatric surgery

a lab called cobalamin measures -(vit-b 12 pernicious anemia)