Question 1

The patient is admitted with acute pancreatitis.The nurse should

Accepted Answer

A)  assess pain level because pancreatic pain is unique in character. 
B)  examine laboratory values for low amylase levels. 
C)  expect lipase levels to decrease within 24 hours. 
D)  evaluate C-reactive protein as a gauge of severity. 
A)  assess pain level because pancreatic pain is unique in character. 
B)  examine laboratory values for low amylase levels. 
C)  expect lipase levels to decrease within 24 hours. 
D)  evaluate C-reactive protein as a gauge of severity.

Question 2

The nurse is caring for a patient who has a peptic ulcer.To treat the ulcer and prevent more ulcers from forming,the nurse should be prepared to administer

Accepted Answer

A)  H2-histamine receptor blockers. 
B)  gastrin. 
C)  vagal stimulation. 
D)  vitamin B12. 
A)  H2-histamine receptor blockers. 
B)  gastrin. 
C)  vagal stimulation. 
D)  vitamin B12.

Question 3

The patient is admitted with severe abdominal pain due to pancreatitis.The patient asks the nurse,"What causes this? Why does it hurt so much?" The nurse should solve

Accepted Answer

A)  "Pancreatitis is extremely rare, and no one knows why it causes pain." 
B)  "Pancreatitis is caused by diabetes; you should be checked." 
C)  "Injury to certain cells in the pancreas causes it to digest (eat) itself, causing pain." 
D)  "The pain is localized to the pancreas.Fortunately, it will not affect anything else." 
A)  "Pancreatitis is extremely rare, and no one knows why it causes pain." 
B)  "Pancreatitis is caused by diabetes; you should be checked." 
C)  "Injury to certain cells in the pancreas causes it to digest (eat) itself, causing pain." 
D)  "The pain is localized to the pancreas.Fortunately, it will not affect anything else."

Question 4

The patient is admitted for GI bleeding,but the source is unknown.Before ordering endoscopy,the provider orders octreotide to be given intravenously.The purpose of this medication is to

Accepted Answer

A)  increase portal pressure and improve liver function. 
B)  decrease splanchnic blood flow and portal pressure. 
C)  vasodilate the splanchnic arteriolar bed. 
D)  increase blood flow in the liver's collateral circulation. 
A)  increase portal pressure and improve liver function. 
B)  decrease splanchnic blood flow and portal pressure. 
C)  vasodilate the splanchnic arteriolar bed. 
D)  increase blood flow in the liver's collateral circulation.

Question 5

Nursing priorities for the management of acute pancreatitis include: (Select all that apply.)

Accepted Answer

A)  managing respiratory dysfunction. 
B)  assessing and maintaining electrolyte balance. 
C)  withholding analgesics that could mask abdominal discomfort. 
D)  stimulating gastric content motility into the duodenum. 
E)  utilizing supportive therapies aimed at decreasing gastrin release. 
A)  managing respiratory dysfunction. 
B)  assessing and maintaining electrolyte balance. 
C)  withholding analgesics that could mask abdominal discomfort. 
D)  stimulating gastric content motility into the duodenum. 
E)  utilizing supportive therapies aimed at decreasing gastrin release.

Question 6

When assessing bowel sounds,the nurse

Accepted Answer

A)  uses the "bell" part of the stethoscope. 
B)  listens at least 15 minutes. 
C)  expects bowel sounds to be regular in rhythm. 
D)  listens for 5 minutes before noting "absent bowel sounds." 
A)  uses the "bell" part of the stethoscope. 
B)  listens at least 15 minutes. 
C)  expects bowel sounds to be regular in rhythm. 
D)  listens for 5 minutes before noting "absent bowel sounds."

Question 7

The patient is admitted with end-stage liver disease.The nurse evaluates the patient for which of the following? (Select all that apply.)

Accepted Answer

A)  Hypoglycemia 
B)  Malnutrition 
C)  Ascites 
D)  Hypercoagulation 
E)  Disseminated intravascular coagulation 
A)  Hypoglycemia 
B)  Malnutrition 
C)  Ascites 
D)  Hypercoagulation 
E)  Disseminated intravascular coagulation

Question 8

The nurse is assessing a patient who is admitted with abdominal pain.To detect abdominal masses,the nurse

Accepted Answer

A)  observes for skin pigmentation and discolorations. 
B)  looks for pulsations originating from the vena cava. 
C)  has the patient take a deep breath. 
D)  watches for signs of pain and distension. 
A)  observes for skin pigmentation and discolorations. 
B)  looks for pulsations originating from the vena cava. 
C)  has the patient take a deep breath. 
D)  watches for signs of pain and distension.

Question 9

In assessing the patient complaining of abdominal pain,it is important for the nurse to understand that

Accepted Answer

A)  pain receptors in the abdomen are more likely to be localized. 
B)  pain of a peptic ulcer is easily distinguished from that of heart attack. 
C)  visceral pain often leads to tachycardia and hypertension. 
D)  increasing intensity of pain is always significant. 
A)  pain receptors in the abdomen are more likely to be localized. 
B)  pain of a peptic ulcer is easily distinguished from that of heart attack. 
C)  visceral pain often leads to tachycardia and hypertension. 
D)  increasing intensity of pain is always significant.

Question 10

Pain control is a nursing priority in patients with acute pancreatitis because pain

Accepted Answer

A)  increases pancreatic secretions. 
B)  is caused by decreased distension of the pancreatic capsule. 
C)  decreases the patient's metabolism. 
D)  is caused by dilation of the biliary system. 
A)  increases pancreatic secretions. 
B)  is caused by decreased distension of the pancreatic capsule. 
C)  decreases the patient's metabolism. 
D)  is caused by dilation of the biliary system.

Question 11

The nurse is caring for a patient with a heart rate of 140 beats/min.The provider orders parasympathetic medications to slow down the heart rate.With this type of medication,the nurse should

Accepted Answer

A)  evaluate the patient for symptoms of constipation. 
B)  observe for diarrhea. 
C)  assess mucous membranes for signs of dryness. 
D)  expect decreased bowel sounds. 
A)  evaluate the patient for symptoms of constipation. 
B)  observe for diarrhea. 
C)  assess mucous membranes for signs of dryness. 
D)  expect decreased bowel sounds.

Question 12

The nurse is caring for a patient with severe pancreatitis who is orally intubated and on mechanical ventilation.The patient's calcium level this morning was 5.5 mg/dL.The nurse notifies the provider and

Accepted Answer

A)  places the patient on seizure precautions. 
B)  expects that the provider will come and remove the endotracheal tube. 
C)  withholds any further calcium treatments. 
D)  places an oral airway at the bedside. 
A)  places the patient on seizure precautions. 
B)  expects that the provider will come and remove the endotracheal tube. 
C)  withholds any further calcium treatments. 
D)  places an oral airway at the bedside.

The patient is admitted with acute pancreatitis.The nurse should

The nurse is caring for a patient who has a peptic ulcer.To treat the ulcer and prevent more ulcers from forming,the nurse should be prepared to administer

The patient is admitted with severe abdominal pain due to pancreatitis.The patient asks the nurse,"What causes this? Why does it hurt so much?" The nurse should solve

The patient is admitted for GI bleeding,but the source is unknown.Before ordering endoscopy,the provider orders octreotide to be given intravenously.The purpose of this medication is to

Nursing priorities for the management of acute pancreatitis include: (Select all that apply.)

When assessing bowel sounds,the nurse

The patient is admitted with end-stage liver disease.The nurse evaluates the patient for which of the following? (Select all that apply.)

The nurse is assessing a patient who is admitted with abdominal pain.To detect abdominal masses,the nurse

In assessing the patient complaining of abdominal pain,it is important for the nurse to understand that

Pain control is a nursing priority in patients with acute pancreatitis because pain

The nurse is caring for a patient with a heart rate of 140 beats/min.The provider orders parasympathetic medications to slow down the heart rate.With this type of medication,the nurse should

The nurse is caring for a patient with severe pancreatitis who is orally intubated and on mechanical ventilation.The patient's calcium level this morning was 5.5 mg/dL.The nurse notifies the provider and

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters

Exam 18: Gastrointestinal Alterations

The patient is admitted with acute pancreatitis.The nurse should

The nurse is caring for a patient who has a peptic ulcer.To treat the ulcer and prevent more ulcers from forming,the nurse should be prepared to administer

The patient is admitted with severe abdominal pain due to pancreatitis.The patient asks the nurse,"What causes this? Why does it hurt so much?" The nurse should solve

The patient is admitted for GI bleeding,but the source is unknown.Before ordering endoscopy,the provider orders octreotide to be given intravenously.The purpose of this medication is to

Nursing priorities for the management of acute pancreatitis include: (Select all that apply.)

When assessing bowel sounds,the nurse

The patient is admitted with end-stage liver disease.The nurse evaluates the patient for which of the following? (Select all that apply.)

The nurse is assessing a patient who is admitted with abdominal pain.To detect abdominal masses,the nurse

In assessing the patient complaining of abdominal pain,it is important for the nurse to understand that

Pain control is a nursing priority in patients with acute pancreatitis because pain

The nurse is caring for a patient with a heart rate of 140 beats/min.The provider orders parasympathetic medications to slow down the heart rate.With this type of medication,the nurse should

The nurse is caring for a patient with severe pancreatitis who is orally intubated and on mechanical ventilation.The patient's calcium level this morning was 5.5 mg/dL.The nurse notifies the provider and

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Endocrine Alterations

Trauma and Surgical Management

Burns

Filters