Exam 4: Digestion

The nurse is assigned to a 4-month-old infant with vomiting and diarrhea who is brought to the pediatric clinic.The infant's vital signs are temperature: 37° C,apical HR: 130,R: 40/min.The abdominal assessment reveals a soft,concave abdomen,10 gurgles auscultated in 1 minute in all four quadrants,and tympani to percussion.Which collaborative care action does the nurse anticipate?

When planning care for a client with chronic hepatitis,which collaborative discipline will be most helpful in treating continued alcohol use?

A new mother brings a male infant,2-weeks-old,to the pediatric clinic for a check-up.The mother is concerned that her infant may be at risk for pyloric stenosis due to her age and because her husband had surgery for the condition when he was an infant.Which responses by the nurse are the most appropriate based on this data?

The nurse is providing care to a pediatric client diagnosed with celiac disease.Which outcomes can be anticipated when the appropriate steps for managing celiac disease have been implemented? Select all that apply.

Which intervention would best improve diet adherence of an older Hispanic immigrant recently diagnosed with gastroesophageal reflux disorder (GERD)?

The nurse is providing care to an older adult client admitted to the medical unit for acute gastric and left upper abdominal pain radiating to the back.The healthcare provider has diagnosed the client with chronic pancreatitis.Which items are appropriate to include in the discharge teaching for this client? Select all that apply.

The nurse is providing care to an older adult client with a history of alcohol abuse who is admitted to the hospital with acute pancreatitis.Which treatment options should the nurse plan for when caring for this client? Select all that apply.

The nurse has implemented a care plan for an adult client with gastroesophegeal reflux disorder (GERD).On the next clinic visit,which statement by the client indicates adherence to the plan of care?

The nurse is providing care to an infant who underwent surgery for pyloric stenosis.Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply.

During an interview with a client diagnosed with hepatitis B,the nurse obtains the following data: 10 kg weight loss is noted from the client's last visit 4 months ago; review of systems reveals 1)limiting fatigue,2)not well enough for sexual intercourse but doubts if her husband will be willing to use a condom,3)drinks 3-5 mixed drinks weekly socially,4)RUQ pain rated at 6/10,and 5)"constant" pruritus.Prioritize the nursing diagnoses formulated for this client. A) Imbalanced Nutrition B) Impaired Skin Integrity C) Acute Pain D) Deficient Knowledge

The multidisciplinary care team is meeting to discuss care for a client who exhibits symptoms of the prodromal phase of hepatitis.Lab results include a positive anti-HAV IgM.The nurse creates an action plan to present to the team.Which interventions are appropriate? Select all that apply.

The nurse is explaining the alteration in normal function to a client recently diagnosed with gastrointestinal reflux disease (GERD).Which etiology contributing to GERD will the nurse include in the teaching session?

A client is diagnosed with viral hepatitis transmitted by the fecal-oral route.Which conditions may be acquired by this mode of transmission?