Exam 18: Gastrointestinal Alterations

When caring for the patient with upper GI bleeding,the nurse assesses for which of the following? (Select all that apply.)

Trends in nutritional management of the patient with pancreatitis are changing.As a result,the nurse understands that

The patient is being admitted to the hospital.At home,the patient takes an over-the-counter supplement of vitamin D and is concerned because the doctor did not order that vitamin D to be given in the hospital.The nurse explains that

The nurse is caring for a patient with active GI bleeding.Estimated blood loss is 1,000 mL.Which of the following assessments would the nurse expect to find with this amount of blood loss?

When assessing the patient's bowel sounds,the nurse

The patient is admitted with pancreatitis and has severe ascites.In caring for this patient,the nurse should

The patient is admitted with the diagnosis of GI bleeding.The patient's heart rate is 140 beats per minute,and the blood pressure is 84/44 mm Hg.These values may indicate:

The nurse is caring for a patient with severe ascites due to chronic liver failure.The patient is lying supine in bed and complaining of difficulty breathing.The nurse's first action should be to

The nurse is caring for a patient with the diagnosis of sepsis.The patient is on a ventilator in the critical care unit,and is receiving a proton pump inhibitor (PPI)to reduce the risk for a stress ulcer.In this scenario,a stress ulcer is likely to be secondary to

The patient is being admitted with GI bleeding.Blood work includes serial hemoglobin and hematocrit levels.The nurse understands that

Metronidazole is being given to treat hepatic encephalopathy.When administering this medication,the nurse

The patient is admitted with constipation.In anticipation of treatment,the nurse prepares to:

The patient is admitted with upper GI bleeding following an episode of forceful retching following excessive alcohol intake.The nurse suspects a Mallory-Weiss tear and is aware that

The liver detoxifies the blood by

The nurse is caring for a patient with a Minnesota tube in place when the patient suddenly shows signs of severe pain and respiratory distress.The nurse should

The patient is ordered to have large-volume gastric lavage.The nurse will most likely need to

Vascular sounds such as bruits,heard in the abdomen during physical assessment,may indicate which of the following? (Select all that apply.)

The patient is getting neomycin for treatment of hepatic encephalopathy.While the patient is receiving this medication,it is especially important that the nurse

Lactulose is considered the first-line treatment for hepatic encephalopathy and works by

The patient is admitted with acute pancreatitis and is demonstrating severe abdominal pain,vomiting,and ascites.Using the Ranson classification criteria,the nurse determines that this patient