A nurse in the emergency department (ED) is caring for a male client
*Complete the diagram - (correct Answer) - -Actions to Take 1: Prepare to insert a NG tube for the client
-Actions to Take 2: Prepare to administer insulin to the client
-Potential Condition: Pancreatitis
-Parameters to Monitor 1: Amylase Level
-Parameters to Monitor 2: Jaundice
A nurse is caring for a client on a medical-surgical unit
*Highlight the findings that require immediate follow-up - (correct Answer) - -Coughing and hoarse voice
after swallowing
-Client reports feeling of abdominal fullness and is unable to belch
-Oxygen Saturation 90% on room air
A nurse is assessing the client following the procedure. Which of the following findings should the nurse
report to the provider?
*Select All that Apply - (correct Answer) - -Swallowing ability
-Pain
-Oxygen Saturation
-Temperature
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the following
laboratory findings should the nurse report to the provider? - (correct Answer) - Increased ammonia
level
-Rationale: Increased ammonia in clients with hepatic cirrhosis can indicate portal-systemic
, encephalopathy
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse
take first? - (correct Answer) - Identify the client's current level of pain
A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse
expect? - (correct Answer) - Board-like abdomen
-Rationale: Board-like, distended abdomen, with extreme pain/tenderness is an expected finding in
peritonitis
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac disease. Which of the
following statements by the client indicates an understanding of the teaching? - (correct Answer) - "I will
eat beans to ensure I get enough fiber in my diet"
-Rationale: Maintaining a gluten-free diet eliminates fiber-rich whole wheat products. Beans, nuts, fruits,
and veggies ensure an adequate intake of fiber
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the following
findings should the nurse expect? - (correct Answer) - Increased Amylase
-Rationale: Amylase levels are increased d/t pancreatic cell injury
A nurse is providing discharge teaching for a client who has a new prescription for medications to treat
peptic ulcer disease. The nurse should inform the client that which of the following medications inhibits
gastric acid secretion? - (correct Answer) - Famotidine
A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by
the client indicates an understanding of the teaching? - (correct Answer) - "I will decrease the number of
carbonated beverages I drink"
A nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. Which of the
following prescriptions should the nurse clarify with the provider? - (correct Answer) - Magnesium
Hydroxide
-Rationale: N/V/D are symptoms of C.enteritis. Magnesium Hydroxide AKA Milk of Magnesia increases GI
motility which can increase the client's risk for dehydration and an electrolyte imbalance
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of
the following foods should the nurse encourage the client to include in their diet to reduce the risk for
dumping syndrome? - (correct Answer) - Eggs