NURSING 316 - NCLEX RN : Gastrointestinal. Questions and Answers. All 100% Correct.

NURSING 316 - NCLEX RN : Gastrointestinal. Questions and Answers. All 100% Correct. 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 most appropriate nursing intervention? 1. Notify the health care provider (HCP). 2. Administer the prescribed pain medication. 3. Call and ask the operating room team to perform the surgery as soon as possible. 4. Reposition the client and apply a heating pad on the warm setting to the client's abdomen. 1. Notify the health care provider (HCP) 2. A client has been admitted to the hospital with a diagnosis of acute pancreatitis and the nurse is assessing the client's pain. What type of pain is consistent with this diagnosis? 1. Burning and aching, located in the left lower quadrant and radiating to the hip 2. Severe and unrelenting, located in the epigastric area and radiating to the back 3. Burning and aching, located in the epigastric area and radiating to the umbilicus 4. Severe and unrelenting, located in the left lower quadrant and radiating to the groin 2. Severe and unrelenting, located in the epigastric area and radiating to the back 3. The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Where should the nurse anticipate the location of the pain? 1. Right lower quadrant, radiating to the back 2. Right lower quadrant, radiating to the umbilicus 3. Right upper quadrant, radiating to the left scapula and shoulder 4. Right upper quadrant, radiating to the right scapula and shoulder 4. Right upper quadrant, radiating to the right scapula and shoulder 4. A client is admitted to the hospital with viral hepatitis, complaining of "no appetite" and "losing my taste for food." What instruction should the nurse give the client to provide adequate nutrition? 1. Select foods high in fat. 2. Increase intake of fluids, including juices. 3. Eat a good supper when anorexia is not as severe. 4. Eat less often, preferably only three large meals daily. 2. Increase intake of fluids, including juices. 5. A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected assessment finding? 1. Malaise 2. Dark stools 3. Weight gain 4. Left upper quadrant discomfort 1. Malaise Author: nursedaisy98 ID: Card Set: Adult Health - Gastrointestinal Updated: 4/20/2014 Tags: NCLEX RN Description: Gastrointestinal Show Answers: 6. A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate for this client? Select all that apply. 1. Administer stool softeners as prescribed. 2. Instruct the client to limit fluid intake to avoid urinary retention. 3. Instruct the client to avoid activities that will initiate vasovagal responses. 4. Encourage a high-fiber diet to promote bowel movements without straining. 5. Apply cold packs to the anal-rectal area over the dressing until the packing is removed. 6. Help the client to a Fowler's position to place pressure on the rectal area and decrease bleeding. o 1. Administer stool softeners as prescribed. o 4. Encourage a high-fiber diet to promote bowel movements without straining. o 5. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.