NCLEX Review about Gastrointestinal Disorders 21-25

NCLEX Review about Gastrointestinal Disorders

21. Which of the following findings indicates effectiveness of Viokase?

a) abdominal pain relieved
b) steatorrhea has decreased
c) vomiting has stopped
d) jaundice has diminished

22. The client had undergone ileostomy. He has nasogastric tube connected to intermittent suction, with IV fluid and foley catheter. Which of the following physician's instructions requires intervention by thew nurse?

a) remove the NGT on the third day postop
b) remove foley catheter after 24 hours
c) irrigate ileostomy at bed time
d) clear liquid diet once peristalsis returns

23. Which of the following manifestations characterize pancreatitis?

a) right upper quadrant pain
b) bile-stained vomitus
c) epigastric pain that is not relieved by vomiting
d) elevated serum calcium

24. The client is diagnosed with acute pancreatitis. Which of the following signs and symptoms will the client manifest?

a) right upper quadrant (RUQ) pain
b) bluish discoloration at the periumbilical area
c) left lower quadrant (LLQ) pain
d) pain at the epigastric region

25. The client is diagnosed to have acute pancreatitis. Which laboratory findings signify the diagnosis?

a) elevated SGOT, SGPT
b) elevated BUN, serum creatinine
c) elevated FBS, ESR
d) elevated serum amylase, lipase




NCLEX REVIEW ABOUT GASTROINTESTINAL DISORDERS:
ANSWERS AND RATIONALE

21) B
- viokase is a digestive enzyme. If fats are adequately digested. There will be decreased steatorrhea.

22) C
- ileostomy does not require irrigation because it continuously drains watery fecal drainage.

23) B
- pancreatitis is characterized by bile-stained vomitus, LLQ pain, epigastric pain relieved by vomiting, and hypocalcemia.

24) B
- bluish discoloration at the periumbilical region (Cullen's sign) indicates post-hemorrhagic necrosis in acute pancreatitis.

25) D
- elevated serum amylase and lipase signify pancreatitis.




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