Exam 29: Gastrointestinal Disorders and Therapeutic Management

Which nursing intervention is a priority for a patient with gastrointestinal hemorrhage?

The nurse is caring for a patient with acute liver failure.The practitioner asks the nurse to assess the patient for asterixis.How should the nurse assess for this symptom?

A patient was admitted with acute liver failure.The patient is lethargic,confused,and has marked asterixis.The nurse suspects the patient is in what stage of hepatic encephalopathy.

A patient with a history of chronic alcoholism was admitted with acute pancreatitis.The nurse is developing a patient education plan.Which topic would the nurse include in the plan?

A patient is admitted with a gastrointestinal hemorrhage due to esophagogastric varices.The nurse knows that varices are caused by which pathophysiologic mechanism?

The nurse is caring for a patient after an esophagectomy.In the immediate postoperative period,which nursing intervention would have the highest priority?

A Salem sump nasogastric tube has two lumens.The first lumen is for suction and drainage.What is the purpose of the second lumen?

A patient is admitted with a severe head injury.The nurse knows that critically ill patients are at risk for gastrointestinal hemorrhage due to stress-related mucosal disease.The nurse would monitor the patient for which signs and symptoms?

A patient has been admitted with severe abdominal pain.When examining the patient,the nurse notes hypoactive bowel sounds,abdominal guarding,distention,and a discoloration around the umbilicus.The nurse suspects the patient may have which condition?

A patient was admitted with severe epigastric pain and has been diagnosed with cancer.The patient is scheduled for an esophagectomy.The patient asks about the procedure.What would be an appropriate response from the nurse?

A patient is admitted with an upper gastrointestinal bleed.Which disorder is the leading cause of upper gastrointestinal (GI)hemorrhage?

A patient with acute pancreatitis is complaining of a pain in the left upper quadrant.Using a 1- to 10-point pain scale,the patient states the current level is at an 8.What intervention would the nurse include in the patient's plan of care to facilitate pain control?

The nurse is caring for a patient after an esophagectomy.The nurse knows the patient is at risk for an anastomotic leak.Which finding would indicate this occurrence?

A patient is admitted with a gastrointestinal hemorrhage due to esophagogastric varices.The patient has been started on a vasopressin drip.The nurse would monitor the patient for which side effect of the medication?

A patient was admitted with acute pancreatitis.The nurse understands that pancreatitis occurs as a result of what pathophysiologic mechanism?

Which disorders or conditions are potential causes of acute liver failure?

A patient has been admitted with acute liver failure.Which interventions would the nurse expect as part of the interprofessional collaborative management plan?

A patient is admitted with the diagnosis of acute pancreatitis.The nurse expects which laboratory values to be elevated?

An older patient reports taking cimetidine for several years.The nurse knows that this medication can cause central nervous system side effects.For what side effect would the nurse monitor the patient?

How would the nurse administer sucralfate through a gastric tube?