ATI – GI Questions With All Correct Answers
A community health nurse is planning an educational program about hepatitis
A. When preparing the materials, the nurse should identify that which of the
following groups is most at risk for developing hepatitis A? correct answer
-children and young adults - the hepatitis A virus can be contracted from the
feces, bile, and blood of infected clients. The usual mode of transmission is the
fecal-oral route. Children and young adults are the two groups most often
affected by the hepatitis A virus. Typically, a child or young adult acquires the
infection at school, through poor hygiene, hand-to-mouth contact, or another
form of close contact
- older adults are not often affected by or at risk fro developing hepatitis A
- women who are pregnant are not often affected by or at risk for developing
hepatitis A
- middle-aged men are not often affected by at or at risk for developing
hepatitis A
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a
suspected malignancy. Which of the following laboratory findings should the
nurse monitor prior to the procedure? correct answer -prothrombin time -
a major complication following a liver biopsy is hemorrhage. Many clients
who have liver disease have clotting defects and are at risk for bleeding. Along
with the prothrombin time (PT), the activated partial thromboplastin time
(aPTT), and the platelet count should be monitored. Liver dysfunction causes
the production of blood clotting factors to be reduced, which leads to an
increased incidence of bruising, nosebleeds, bleeding from wounds, and
gastrointestinal bleeding. This is due to a deficient absorption of Vitamin K
from the GI tract caused by the inability of liver cells to use Vitamin K to make
prothrombin
- serum lipase is monitored to detect pancreatic disease and does not need to
be monitored prior to this procedure
- bilirubin is monitored to detect biliary obstruction and does not need to be
monitored prior to this procedure
, - calcium is monitored to detect kidney failure or pancreatitis and does not
need to be monitored prior to this procedure
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?
MedSurg Ch. 47; p. 320 correct answer -amylase - pancreatitis is the most
common diagnosis for marked elevations in serum amylase. Serum amylase
beings to increase about 3 to 6 hr following the onset of acute pancreatitis.
The amylase levels peak in 20 to 30 hr and returns to the expected reference
range within 2 to 3 days
- elevated aldolase levels are caused by inflammation of the muscles, also
known as myositis. The levels of aldolase are not affected by pancreatic
disorders
- lipase levels in clients who have pancreatitis increase after a rise in serum
amylase and stay elevated for up to 14 days longer than amylase
- 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
- Lactic dehydrogenase (LDH) increase are typically seen in clients who have
anemia, leukemia, or liver damage
A nurse is collecting data from a client who has chronic pancreatitis. Which of
the following findings should the nurse identify as a likely cause of the client's
condition? correct answer -alcohol use - alcohol consumption is one of the
major cause of chronic pancreatitis in the US. Long-term alcohol use disorder
produces hypersecretion of protein in pancreatic secretions. The result is
protein plugs and calculi within the pancreatic ducts. Alcohol also has a direct
toxic effect on the cells is more likely to occur and to be more severe in clients
whose diets are poor in protein content and either very high or very low in fat
A community health nurse is planning an educational program about hepatitis
A. When preparing the materials, the nurse should identify that which of the
following groups is most at risk for developing hepatitis A? correct answer
-children and young adults - the hepatitis A virus can be contracted from the
feces, bile, and blood of infected clients. The usual mode of transmission is the
fecal-oral route. Children and young adults are the two groups most often
affected by the hepatitis A virus. Typically, a child or young adult acquires the
infection at school, through poor hygiene, hand-to-mouth contact, or another
form of close contact
- older adults are not often affected by or at risk fro developing hepatitis A
- women who are pregnant are not often affected by or at risk for developing
hepatitis A
- middle-aged men are not often affected by at or at risk for developing
hepatitis A
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a
suspected malignancy. Which of the following laboratory findings should the
nurse monitor prior to the procedure? correct answer -prothrombin time -
a major complication following a liver biopsy is hemorrhage. Many clients
who have liver disease have clotting defects and are at risk for bleeding. Along
with the prothrombin time (PT), the activated partial thromboplastin time
(aPTT), and the platelet count should be monitored. Liver dysfunction causes
the production of blood clotting factors to be reduced, which leads to an
increased incidence of bruising, nosebleeds, bleeding from wounds, and
gastrointestinal bleeding. This is due to a deficient absorption of Vitamin K
from the GI tract caused by the inability of liver cells to use Vitamin K to make
prothrombin
- serum lipase is monitored to detect pancreatic disease and does not need to
be monitored prior to this procedure
- bilirubin is monitored to detect biliary obstruction and does not need to be
monitored prior to this procedure
, - calcium is monitored to detect kidney failure or pancreatitis and does not
need to be monitored prior to this procedure
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?
MedSurg Ch. 47; p. 320 correct answer -amylase - pancreatitis is the most
common diagnosis for marked elevations in serum amylase. Serum amylase
beings to increase about 3 to 6 hr following the onset of acute pancreatitis.
The amylase levels peak in 20 to 30 hr and returns to the expected reference
range within 2 to 3 days
- elevated aldolase levels are caused by inflammation of the muscles, also
known as myositis. The levels of aldolase are not affected by pancreatic
disorders
- lipase levels in clients who have pancreatitis increase after a rise in serum
amylase and stay elevated for up to 14 days longer than amylase
- 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
- Lactic dehydrogenase (LDH) increase are typically seen in clients who have
anemia, leukemia, or liver damage
A nurse is collecting data from a client who has chronic pancreatitis. Which of
the following findings should the nurse identify as a likely cause of the client's
condition? correct answer -alcohol use - alcohol consumption is one of the
major cause of chronic pancreatitis in the US. Long-term alcohol use disorder
produces hypersecretion of protein in pancreatic secretions. The result is
protein plugs and calculi within the pancreatic ducts. Alcohol also has a direct
toxic effect on the cells is more likely to occur and to be more severe in clients
whose diets are poor in protein content and either very high or very low in fat
