NCLEX Review about Digestive Tract Diseases 51-55

NCLEX Review about Digestive Tract Diseases

51.A nurse is working in the emergency room and receives a client with suspected botulism. Which action is a priority for the nurse to initiate?

a) administer vaccine for botulism
b) initiate isolation
c) induce vomiting
d) administer antibiotics

52. The nurse is assigned to a 40-year old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of:

a) 45 units/L
b) 100 units/L
c) 300 units/L
d0 500 units/L

53. An adult client was diagnosed with acute pancreatitis 9 days ago. The nurse interprets that the client is recovering from this episode if the serum lipase level decreases to which of the following values, which is just below the upper limit of normal?

a) 20 unit/L
b) 80 unit/L
c) 135 unit/L
d) 350 unit/L

54. A client who is recently has been started on enteral feedings begins to complain of abdominal cramping, followed by the passage of two liquid stools. A nurse notes that the client has abdominal distention as well. The nurse reviews the nutritional content on the label of the can of feeding to see if it has which of the following ingredients?

a) lactose
b) sucrose
c) fructose
d) maltose

55. A nurse is caring for a client with cirrhosis of the liver. To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of:

a) pork
b) milk
c) chicken
d) broccoli




NCLEX REVIEW ABOUT DIGESTIVE TRACT DISEASES:
ANSWERS AND RATIONALE

51) C

- botulism is food poisoning. Vomiting rids the body toxins.

52)  C

- the normal serum amylase level is 25 to 151 unit/L. With chronic cases of pancreatitis, the rise in serum amylase levels usually does not exceed three times the normal value. In acute pancreatitis, the value may exceed five times the normal value. Option A and B are within normal limits. Option D is an extremely elevated level seen in acute pancreatitis.

 53) C

- the normal serum lipase level is 10 to 140 units/L. The client who is recovering from acute pancreatitis usually has elevated lipase levels for about 10 days after the onset of symptoms. This makes lipase a valuable test in monitoring the client's pancreatic function because serum amylase levels usually return to normal 3 days after the onset of symptoms. Option C is the only option that contains a value just below the upper limit of normal.

54) A

- several tube feeding formulas contain lactose. A client with an unreported history of lactose intolerance would develop symptoms such as abdominal cramping, distention, and the passage of liquid stool in response to nutritional therapy with these formulas. If the client is diagnosed as lactose intolerant, a lactose-free formula should be prescribed by the physician. This will resolve the client's symptoms and promote adequate nutrition for the client.

55) A

- the client with cirrhosis needs to consume foods high in thiamine. Thiamine is present in a variety of foods of plants and animal origin. Pork products are especially rich in this vitamin. Other good food sources include nuts, whole grain cereals, and legumes. Milk contains vitamin A, D, and B2. Poultry contains niacin. Broccoli contains vitamin C, E and K and folic acid.


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