The nurse is assessing a client with severe cirrhosis and discovers fetor
hepaticus. What did the nurse assess? correct answer -Breath
A nurse is assessing two clients. One client has ulcerative colitis, and the other
client has Crohn disease. Which is more likely to be identified in the client
with ulcerative colitis than in the client with Crohn disease? correct answer
-Involvement starting distally with rectal bleeding that spreads continuously
up the colon
A client is diagnosed with hepatitis A. The nurse takes the client's history.
Which employment history is most likely linked to the development of
hepatitis A? correct answer -Works at a plumbing business
A nurse is caring for a client on the second day after an abdominoperineal
resection. Which finding does the nurse document as normal in the stoma?
correct answer -Moist, red, and raised above the skin surface
A client is admitted with a diagnosis of gastric ulcer. Which location is most
commonly indicated by the client as being painful when the nurse assesses for
the presence of pain? correct answer -LUQ
A client with ulcerative colitis has experienced frequent severe exacerbations
over the past several years. The client is admitted to the hospital with intense
pain, severe diarrhea, and cachexia. Which therapeutic course should the
nurse expect the primary healthcare provider to explore with this client?
correct answer -Surgical therapy (colectomy)
A client is admitted with a diagnosis of acute pancreatitis. The medical and
nursing measures for this client are aimed toward maintaining nutrition,
promoting rest, maintaining fluid and electrolytes, and decreasing anxiety.
Which interventions should the nurse implement? Select all that apply.
correct answer -Administer analgesics
Teach relaxation exercises
Monitor cardiac rate and rhythm
, The nurse assesses a client for the development of pernicious anemia after
reviewing the client's history. Which condition did the nurse most likely find
in the history? correct answer -Partial gastrectomy
A nurse is assessing a client for possible malabsorption syndrome. Which
stool assessment finding will support this diagnosis? correct answer -Fat
globules
A nurse assesses a client with the diagnosis of an intestinal obstruction in the
descending colon. When auscultating the midabdomen, what should the nurse
expect to hear? correct answer -Borborygmi
A nurse is caring for a client with a hiatal hernia. Which risk factor should the
nurse assess for in this client? correct answer -Obesity
A client with a diagnosis of gastric cancer has a gastric resection with a
vagotomy. Which clinical response should alert the nurse that the client is
experiencing dumping syndrome? correct answer -Reactive hypoglycemia
A nurse is providing discharge instructions to a client diagnosed with
cirrhosis and varices. Which information should the nurse include in the
teaching session? Select all that apply. correct answer -Avoiding aspirin
and aspirin-containing products
Avoiding acetaminophen and products containing acetaminophen
Avoiding coughing, sneezing, and straining to have a bowel movement
A client is admitted with a diagnosis of a gastric peptic ulcer. Place an X over
the area that the client would indicate is the site of pain associated with this
disorder. correct answer -Pain associated with a gastric peptic ulcer
usually is located slightly left of the midline of the abdomen between the
umbilicus and the xiphoid process. It often is described as sharp, burning, or
gnawing in nature. Pain associated with a duodenal peptic ulcer usually is
located slightly right of the midline of the abdomen between the umbilicus
and the xiphoid process.
Three days after surgery for cancer of the colon, a nurse introduces the client
to colostomy care. Which should the nurse teach the client about skin care
around the stoma? correct answer -Wash the area with soap and water
and then apply a protective ointment