Title WORKBOOK - GIT (KEY) ✅

33. Kyle, a 7 year old child, was rushed to the ER due to abdominal pain. His working diagnosis is appendicitis. You should anticipate which of the following treatments? A. Administration of enemas to clean bowel B. Insertion of a nasogastric tube C. Placement of client on NPO status D. Administration of heat to the abdomen 34. Kyle develops a fever, tachycardia and hypotension. Based on these assessment findings, the nurse suspects which of the following complication? A. Deficient fluid volume B. Intestinal obstruction C. Bowel ischemia D. Peritonitis 35. Kyle had an appendectomy 4 hours ago. You are currently monitoring the patient and would include which of the following interventions? A. Administering sitz baths four times a day B. Noting the first bowel movement after surgery C. Limiting the client’s activity to bathroom privileges D. Measuring abdominal girth every 2 hours 36. Kyla had a drain inserted in the incisional site of his appendectomy. The nurse understands that the purpose of the drain is to accomplish which of the following? A. Provide access for wound irrigation B. Promote drainage of wound exudates C. Minimize development of scar tissue D. Decrease postoperative discomfort 37. Mayang, a patient with suspected Crohn’s disease, is to have an upper gastrointestinal series. The nurse understands that an upper GI series with barium would be contraindicated if the client had: A. Hemorrhoids B. A perforation C. Hyperkalemia D. An inflamed colon 38. Raymund has been newly diagnosed with diverticulosis. Which of the following should be included in your health teaching? A. Refrain from eating 3 large meals a day B. Drink a maximum of a liter and a half of fluid each day C. Maintain a recumbent position for 30 minutes after eating D. Increased your intake of foods high in dietary fiber 39. Manoling is a chronic alcoholic. He came in for severe epigastric pain. Eventually, he was diagnosed with pancreatitis. You explain that pancreatitis is: A. It is due to the auto digestion of the pancreas B. It is due to the defect in the islets of Langerhans in the pancreas C. It is caused by a rupture of the ampulla of vater from the pancreas D. It is caused by a decrease in enzymes produced by the pancreas 40. Reynald, a chronic alcoholic, underwent liver biopsy for a cirrhosis workup. However, the nurse observes that the wound dressing is soaked with moderate, large amount of bile colored drainage. The client also complaints of right upper quadrant pain. The nurse should. A. Medicate the client as ordered B. Ensure that the client remains in the supine position C. Monitor the client’s vital sign every 15 minutes D. Notify the physician of the client’s status immediately 41. Marky was rushed to the ER after a right lower quadrant pain. However, 2 hours after admission, the pain disappeared and the patient has a rigid abdomen. An emergency surgery for a ruptured appendix has to be done. After assessing that the client is manifesting the symptoms of shock, the nurse should: A. Prepare for blood transfusion B. Notify the physician immediately C. Elevate the head of the bed 30 degrees D. Increase the liter flow of the O2 being administered 42. Tony was admitted for a surgical procedure for cancer of the pancreas that included the removal of the stomach, the head of the pancreas, the distal end of the duodenum, and the spleen, the post op manifestation by the client that would require immediate attention by the nurse would be: A. Jaundice B. Indigestion C. Weight loss D. Hyperglycemia 43. Paulita was prescribed with total parenteral nutrition and asks the nurse about the complications associated with it. Which of the following is a complication? A. Infection B. Hepatitis C. Anorexia D. Dysrhythmias 44. Quentin is having surgery for cholecystectomy and common bile duct exploration. Quentin asks how it will affect his digestion. You answer that: A. Need to take oral bile salts B. Be unable to concentrate bile C. Be incapable of producing bile D. Not be able to digest fatty food 45. Ressa undergoes an abdominal cholecystectomy with common duct exploration. 1 hour post-operatively, which of the following interventions would you do first? A. Irrigating the T tube frequently B. Changing the dressing BID C. Encouraging deep breathing and coughing D. Promoting an adequate fluid intake by mouth 46. Ressa soon develops prolonged bile drainage due to obstruction from T tube. You expect that she may develop symptoms related to a lack of fat soluble vitamin such as: A. Easy bruising B. Muscle twitching C. Excessive jaundice D. Tingling of the fingers 47. Carlito’s working diagnosis is acute pancreatitis. Which of the following laboratory findings would you look for to help support this diagnosis? A. Blood glucose levels B. Serum amylase level C. Serum bilirubin level D. White blood cell count 48. Carlito’s acute pancreatitis goes into remission. During the discharge planning, you have to instruct him to: A. Avoid eating hot spicy food B. Avoid ingesting alcoholic beverages C. Eat a bland diet with 6 meals a day D.Eat a high carbohydrate, low fat, low protein diet 49. Mariana’s serum ammonia level is elevateD. The priority nursing intervention should be to: A. Weigh the client daily B. Restrict the client’s intake of fluid C. Measure the client’s urine specific gravity D. Observe the client for increasing confusion 50. A client with cirrhosis may have alterations in which of the following laboratory values? A. Carbon dioxide level B. pH C. Prothrombin time (PT) D. White blood cell count (WBC) TOP RANK REVIEW ACADEMY, INC. Page 3 | 3