PN Learning System Medical-Surgical: Gastrointestinal
Practice Quiz, Answered
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy
(PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding,
which of the following actions should the nurse take first?
- Place the client in semi Fowler's position.
A client who is receiving a PEG tube feedings should be positioned with the head
of the bed elevated at least 30° during and after feedings to decrease the risk of
aspiration.
A nurse is collecting data from a client who is experiencing perforation of a peptic
ulcer. Which of the following manifestations should the nurse expect?
- Board like abdomen
The nurse should expect the client who is experiencing perforation of a peptic ulcer
to exhibit manifestations of a board like abdomen and severe pain in the abdomen
or back that radiates to the right shoulder. Vomiting of blood and shark can occur
if the perforation also causes hemorrhaging.
A nurse is caring for a client who has acute pancreatitis. Which of the following
serum laboratory values should the nurse anticipate returning to the expected
reference range within 72 hr after treatment begins?
- Amylase
(pancreatitis is the most common diagnosis for marked elevations in serum
amylase. Serum amylase begins to increase about 3-6 hr following the onset of
acute pancreatitis. The amylase level peaks in 20-30hr and returns to the expected
reference range within 2-3 days.)
A nurse is caring for a client who has celiac disease. Which of the following, foods
should the nurse remove from the client's meal tray?
- A. wheat toast
Practice Quiz, Answered
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy
(PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding,
which of the following actions should the nurse take first?
- Place the client in semi Fowler's position.
A client who is receiving a PEG tube feedings should be positioned with the head
of the bed elevated at least 30° during and after feedings to decrease the risk of
aspiration.
A nurse is collecting data from a client who is experiencing perforation of a peptic
ulcer. Which of the following manifestations should the nurse expect?
- Board like abdomen
The nurse should expect the client who is experiencing perforation of a peptic ulcer
to exhibit manifestations of a board like abdomen and severe pain in the abdomen
or back that radiates to the right shoulder. Vomiting of blood and shark can occur
if the perforation also causes hemorrhaging.
A nurse is caring for a client who has acute pancreatitis. Which of the following
serum laboratory values should the nurse anticipate returning to the expected
reference range within 72 hr after treatment begins?
- Amylase
(pancreatitis is the most common diagnosis for marked elevations in serum
amylase. Serum amylase begins to increase about 3-6 hr following the onset of
acute pancreatitis. The amylase level peaks in 20-30hr and returns to the expected
reference range within 2-3 days.)
A nurse is caring for a client who has celiac disease. Which of the following, foods
should the nurse remove from the client's meal tray?
- A. wheat toast
