Online Nursing Practice Test about Gastrointestinal Diseases (31-35)

CHEAP BUY ! ! ! 
NCLEX E-Book with FREE Saunders and KAPLAN ($4)

31. Which of the following interventions does the nurse expect to give to a client after gastrointestinal series?

a) analgesic
b) laxative
c) antiemetic
d) sedative

32. The client has been diagnosed to have acute pancreatitis. Which of the following is not a component of nursing care for the client?

a) administer morphine sulfate for pain
b) administer calcium supplement as ordered
c) administer digestive enzymes with each meal and snack
d) administer IV therapy as ordered

33. The client has been diagnosed to have VRE (Vancomycin-resistant enterocolitis). Which of the following is appropriate nursing action when caring for the client?

a) wear mask when entering the client's room
b) wear gloves when caring for the client
c) wear mask and gloves when performing procedures to the client
d) wear gown and mask when caring for the client

34. A patient was diagnosed to have Laennec's cirrhosis. Which of the following symptoms should be assessed first?

a) inability to write
b) jaundice
c) increased BUN
d) ascites

35. A nurse assists a physician in performing a liver biopsy. After the procedure, which of the following positions should the nurse place the patient?

a) prone position
b) supine position
c) right side-lying position with a pillow under the puncture site
d) left side-lying position with a pillow under the puncture site



ANSWERS AND RATIONALE

31) B
- BaSO4 which is used as the contrast medium in gastrointestinal series, causes constipation. Therefore, laxative will be administered after the procedure as ordered.

32) A
- morphine SO4 is contraindicated in a client with acute pancreatitis because it causes spasm of the sphincter of Oddi and the pancreas. Demerol is the drug of choice to relieve pain in acute pancreatitis.

33) B
- VRE is characterized by diarrhea. Contact precaution should be implemented, which includes use of gloves and gown when caring for the patient.

34) A
- inability to write indicates presence of asterixis (flapping tremors) this may signal impending hepatic encephalopathy. This is an assessment priority in a client with liver cirrhosis.

35) C
- right side-lying position is intended to apply pressure at the puncture site, and thereby preventing bleeding after liver biopsy.


Click here to Visit our Study Guide to Master the Fundamentals of Nursing 
Related Topics:

• Online Nursing Practice Test about Gastrointestinal Diseases (36-40)
• Go back to Online Nursing Practice Test about Gastrointestinal Diseases (1-5) to start the test from the beginning.