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. A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives,
which are followed by a couple of days of diarrhea. She temporarily feels
better after a bowel movement. She states she is embarrassed by
flatulence and has abdominal distension. She has had no weight loss or
blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
Obtain a complete history
A 28-year-old patient is seen in the clinic with colicky abdominal pain
particular with meals. She has frequent constipation, flatulence, and
abdominal distension. Which of the data make a diagnosis of diverticulitis
unlikely?
Her age
Which of the following dietary instructions should be given to a patient with
GERD?
Eliminate coffee
The patient with GERD should be instructed to eliminate which of these
activities?
Weight lifting
,. A 22-year-old is seen complaining of vague belly pain. This type of pain is
seen at what point in appendicitis?
Very early
. A patient is seen in the clinic with right upper quadrant pain that is
radiating to the middle of the back. The NP suspects acute cholelithiasis.
The NP should expect which of the following laboratory findings?
Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with
irritable bowel syndrome?
High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux
disease. Which of the following should be included in this assessment?
Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following
symptoms most frequently?
Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to
reduce the symptoms. Which of the following should be included in these
instructions
Avoid lying down after meals
, .A client is experiencing water brash. The nurse realizes this symptom is
associated with
Barretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The
nurse realizes this medication is classified as a
histamine H2-receptor antagonist
A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of
the following would be indicated for this client?
Treatment similar to a client with peptic ulcer disease
A child care worker complains of flu-like symptoms. On further assessment,
hepatitis is suspected. The nurse realizes that this individual is at risk for
which type of hepatitis
Hep A
When the liver is seriously damaged, ammonia levels can rise in the body. One
of the treatments for this is
giving lactulose
A client is scheduled for a liver biopsy. The nurse realizes that the most
important sign to assess for is:
bleeding