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What nursing interventions should be implemented for a client with a hiatal hernia? Select all
that apply.
Have the patient sit up while eating
Have the patient remain sitting up 1 hour after eating
Advise the patient to eat frequent/shorter meals
Keep the head of the bed lowered
Eliminate problematic foods
Have the patient sit up while eating
Have the patient remain sitting up 1 hour after eating
Advise the patient to eat frequent/shorter meals
Eliminate problematic foods
On admission assessment, a client is diagnosed with GERD. Which clinical manifestations would
the nurse expect to find?
weight loss, dysarthria, and diarrhea.
decreased abdominal fat, proteinuria, and constipation.
pyrosis , water brash , and flatulence
Midepigastric pain, positive H pylori test, and melena.
pyrosis , water brash , and flatulence
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,A health care provider suspects that a client has peptic ulcer disease. With which diagnostic
procedure would the nurse most likely prepare to assist?
Gastric secretion study
Barium study of the upper gastrointestinal tract
Stool antigen test
Endoscopy
endoscopy
A client has a tumor of the head of the pancreas. What clinical manifestations will the nurse
assess? Select all that apply.
Weight gain
Dark urine
Clay-colored stools
Jaundice
Persistent hiccups
Dark urine
Clay-colored stools
Jaundice
Clinical manifestations of common bile duct obstruction include all of the following except:
Jaundice
Clay-colored feces
Pruritus
Light-colored urine
Light-colored urine
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,A patient with acute pancreatitis puts the call bell on to tell the nurse about an increase in pain.
The nurse observes the patient guarding; the abdomen is board-like, and no bowel sounds are
detected. What is the major concern for this patient?
The patient requires more pain medication
The patient developed peritonitis
The patient is developing a paralytic ileus
The patient has developed renal failure
The patient developed peritonitis
A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the
following should a nurse administer to the client before surgery?
Vitamin K
Potassium
Oral bile acids
Vitamin B
Vitamin K
When caring for a client with acute pancreatitis, the nurse should use which comfort measure?
Administering frequent oral feedings
Encouraging frequent visits from family and friends
Positioning the client on the side with knees flexed
Administering an analgesic once per shift, as ordered, to prevent drug addiction
Positioning the client on the side with knees flexed
Which of the following associated disorders may a client with ulcerative colitis exhibit?
Gallstones
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, Hydronephrosis
Nephrolithiasis
Toxic megacolon
toxic megacolon
A nurse is preparing to provide care for a patient whose exacerbation of ulcerative colitis has
required hospital admission. During an exacerbation of this health problem, the nurse would
anticipate that the patient's stools will have what characteristics?
Watery with blood and mucus
Hard and black or tarry
Dry and streaked with blood
Loose with visible fatty streaks
Watery with blood and mucus
.The client is one hour post endoscopic retrograde cholangiopancreatogram (ERCP). Which
intervention should the nurse include in the plan of care?
Instruct the client to cough forcefully
Encourage early ambulation
Assess for return of a gag reflex
Administer held medications
Assess for return of a gag reflex
The nurse is teaching a client recovering from a laparoscopic cholecystectomy. Which statement
indicates the discharge teaching is effective?
I will take my lipid-lowering medicine at the same time each night
I may experience some discomfort when I eat a high-fat meal
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