NCLEX Review about Gastrointestinal Problems 26-30

NCLEX Review about Gastrointestinal Problems

26. The client had gastrectomy 2 days ago. To prevent dumping syndrome, which of the following is not a component of the interventions?

a) eating small frequent meals
b) lying down after meals for 30 minutes
c) drinking fluids during meals
d) avoiding concentrated sugar

27. After liver biopsy, what is the most appropriate next action of the RN?

a) take vital signs
b) place the client in right sided-lying position
c) place the client in semi-fowler's position
d) place the client in left sided-lying position

28. A fluid challenge is begun with a postop gastric surgery client. Which assessment will give the best indication of the client's response to this treatment?

a) CVP (central venous pressure) reading and hourly urine output
b) blood pressure and apical rate
c) lung sounds and arterial blood gases
d) electrolytes, BUN levels

29. Which of the following facts best explains why the duodenum is not removed during a subtotal gastrectomy?

a) the head of the pancreas is adherent to the duodenal wall
b) the common bile duct empties into the duodenal villi
c) the wall of the jejunum contains no intestinal villi
d) the jejunum receives its blood supply through the duodenum

30. Which of the following expected outcomes should the nurse inform the client after laparoscopic cholecystectomy?

a) redness and swelling on the operative site
b) serosanguinous drainage on the dressing
c) shoulder pain for 24 hours
d) nausea and vomiting for 24 hours




NCLEX REVIEW ABOUT GASTROINTESTINAL PROBLEMS:
ANSWERS AND RATIONALE

26) C
- drinking fluids with meals will further cause rapid emptying of gastric content. To prevent dumping syndrome, the client should drink fluids after meals.

27) B
- after liver biopsy, the RN should place the client in right side-lying position. To apply pressure in the area and prevent bleeding.

28) A
- CVP reading and hourly urine output are the most objective indicators of fluid balance and circulating volume.

29) B
- the duodenum is not removed during subtotal gastrectomy to allow the common bile duct to transport bile into the duodenum

30) C
- abdominal insufflation with carbon dioxide is done during the procedure. This causes bloating and abdominal pain that radiates to the shoulder during the first 24 hours postop.




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