Exam 17: Gastrointestinal Alterations

The patient has a hemoglobin of 8.5 g/dL and hematocrit of 27%.The nurse administers 2 units of packed red blood cells to the patient and repeats the labwork a few hours later.The new hemoglobin and hematocrit would be expected to be:

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

The patient is being treated for an H.pylori infection with proton pump inhibitor,metronidazole,and tetracycline but is not responding.The nurse expects that:

The patient is admitted with acute pancreatitis.The nurse should:

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 nurse is assessing the patient and notices that his oral cavity is only slightly moist and contains a scant amount of thick saliva even though the patient's fluid intake has been sufficient.The nurses realizes that the condition of the patient's mouth is probably caused by:

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:

The patient is diagnosed with hepatitis.In caring for this patient,the nurse should:

The nurse is caring for a patient who is being treated for peptic ulcer disease.Suddenly,the patient yells that her abdomen is "killing" her.The nurse notes that the patient's abdomen is rigid.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 acute pancreatitis and is later diagnosed as having a pseudocyst.The nurse realizes that:

The nurse is caring for a patient who is receiving several cardiac medications designed to stimulate the sympathetic nervous system,vitamin B₁₂,and an H₂blocker.The nurse should do which of the following?

When assessing bowel sounds,the nurse:

The patient is admitted for GI bleeding,but the source is not known.Before ordering endoscopy,the provider orders Sandostatin (octreotide)to be given intravenously.The purpose of this medication is 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 ordered to have large volume gastric lavage.The nurse will most likely need to:

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:

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?