Tiêu đề WORKBOOK - GIT (KEY) ✅

COMPREHENSIVE PHASE WORKBOOK GIT NOVEMBER 2024 Philippine Nurse Licensure Examination Review 1. DC was diagnosed with ulcerative colitis and has been placed on steroids. He verbalized his concerns regarding the dangers of steroid use. Which of the following statements by the nurse provides the client with accurate information? A. “Ulcerative colitis can be cured by the use of steroids” B. “Steroids are used in severe flare – ups because they can decrease the incidence of bleeding” C. “Long-term use of steroids will prolong periods of remission” D. “The side-effects of steroids cut weigh their benefit to clients with ulcerative colitis 2. Neri S came to the ER due to persistent diarrhoea. She lost 15 pounds and looks emaciated. The nurse should anticipate that the physician would order which of the following treatment approaches to help the client meet his nutritional needs? A. Initiate continuous enteral feeding B. Encourage a high-calorie, high- protein diet C. Implement TPN D. Provide six small meals a day 3. Fely was prescribed with sulfasalazine (Azulfidine) to continue taking at home. What instructions should the nurse give the client about taking this medication? A. Avoid taking it with food B. Take the total doses at bedtime C. Take it with a full glass of water D. Stop taking it if urine turns orange-yellow 4. During the discharge planning, Fely was advised in terms of diet. Which of the following diets would be most appropriate for her ulcerative colitis? A. High calorie, low protein B. High protein, low residue C. Low fat, high fiber D. Low sodium, high carbohydrate 5. Clara F has a history of Crohn’s disease is admitted to the hospital with fever, diarrhea, cramping abdominal pain, and weight loss. Which of the following laboratory findings would be anticipated for the client? a. Hyperalbuminemia b. Thrombocytopenia c. Hypokalemia d. Hypercalcemia 6. Janina SM is a patient with Crohn’s disease and reports rectal bleeding along with 12 to 20 watery stools per day. Which of the following signs would be indicative of dehydration? A. Sunken eyeballs B. Decreased pulse rate C. Moist skin D. Pitting edema 7. You advise Janina which of the following interventions to prevent exacerbation of his Crohn’s disease? A. Encourage regular ambulation B. Promoting bowel rest C. Maintaining current weight D. Decreasing episodes of rectal bleeding 8. Kelly S was admitted to the hospital due to nausea, vomiting, and abdominal pain. The physician is suspecting bowel obstruction. During your assessment, high-pitched tinkling bowel sounds on auscultation and flat sounds on percussion were heard. The flat sounds are caused by A. Hyperactive peristalsis B. Excessive gas trapped in the intestine C. The presence of a mass or tumor in the bowel D. Fluid trapped in the intestines 9. Cara D’s condition warrants intestinal decompression with a Cantor tube. The primary purpose of a nasoenteric tube such as a Cantor tube is to accomplish which of the following? A. Remove fluid and gas from the intestine B. Prevent fluid accumulation in the stomach C. Break up the obstruction D. Provide an alternative route for drug administration 10. After insertion of a nasoenteric tube, the nurse should place the client in which position? A. Supine B. Right side- lying C. Semi- fowler’s D. Upright in a bedside chair 11. Philip came to the ER due to sudden abdominal pain and vomiting. He was diagnosed with intestinal obstruction. Which of the following nursing diagnoses would be most appropriate? A. Impaired swallowing related to NPO status B. Urinary retention related to deficient fluid volume C. Deficient fluid volume related to nausea and vomiting D. Chronic pain related to abdominal distention 12. Despite insertion of the nasoenteric tube The client with an intestinal obstruction continues to have acute pain even though the nasoenteric tube is patent and draining. Which action by the nurse would be most appropriate? A. Reassure the client that the nasoenteric tube is functioning B. Assess the client for a rigid abdomen C. Administer narcotic as ordered D. Reposition the client on the left side 13. Reese is scheduled for an ileostomy. She verbalized her fears and anxieties about the procedure. Which of the following interventions would be most helpful in preparing the client psychologically for the surgery? A. Include family members in preoperative teaching sessions B. Encourage the client to ask questions about managing an ileostomy C. Provides a brief, thorough explanation of all preoperative and postoperative procedures D. Invite a member of the Ostomy association to visit the client 14. Reese asked why an oral antibiotic neomycin needs to be administered before surgery even if she does not have any infection. You reply that: A. Prevent postoperative bladder infection B. Reduce the number of intestinal bacteria TOP RANK REVIEW ACADEMY, INC. Page 1 | 3