and Answers (2026) | 100% Verified
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• A nurse is assessing a client who was admitted with a bowel obstruction. The client
reports severe abd pain. Which of the following findings should indicate to the nurse that
a possible bowel perforation has occurred. -✓✓Abdominal tenderness and rigidity occur
with a bowel perforation. As fluid escapes into the peritoneal cavity, there is a reduction
in circulating blood volume and a lowered blood pressure, or hypotension, results.
• A nurse is caring for a client who is scheduled to undergo an
esophagogastrodeuodenoscopy (EGD). The nurse should identify that this procedure is
used to do which of the following? -✓✓An EGD is used to visualize the esophagus,
stomach, and duodenum with a lighted tube to detect a tumor, ulceration, or obstruction.
• A nurse is caring for a client who is receiving TPN therapy and has just returned to the
room following PT. The nurse notes that the infusion pump for the clients TPN is turned
off. After restarting the infusion pump, the nurse should monitor the client for which of
the following findings? -✓✓The nurse should recognize that the client has the potential
for the development of hypoglycemia due to the sudden withdrawal of the TPN solution.
In addition to diaphoresis, other potential manifestations of hypoglycemia can include
weakness, anxiety, confusion, and hunger.
• A nurse is assessing a client who is in the early states of HepA. which of the following
manifestations should the nurse expect? -✓✓Anorexia is an early manifestation of
hepatitis A and is often severe. It is thought to result from the release of a toxin by the
damaged liver or by the failure of the damaged liver cells to detoxify an abnormal
product.
• A nurse is assessing a client who is experiencing perforation of a peptic ulcer. Which
of the following manifestations should the nurse expect? -✓✓The nurse should expect
the client who is experiencing perforation of a peptic ulcer to exhibit manifestations of a
boardlike abdomen and severe pain in the abdomen or back that radiates to the right
shoulder. Vomiting of blood and shock can occur if the perforation causes
hemorrhaging.
• A nurse is caring for a client who has acute pancreatitis. Which of the following serum
lab values should the nurse anticipate returning to the expected reference range within
72 hrs after tx begins? -✓✓Pancreatitis is the most common diagnosis for marked
elevations in serum amylase. Serum amylase begins to increase about 3 to 6 hr
following the onset of acute pancreatitis. The amylase level peaks in 20 to 30 hr and
returns to the expected reference range within 2 to 3 days.