Exam 21: Determinants and Assessment of Gastrointestinal Function

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A patient is diagnosed with a gastric ulcer located on the antrum.The nurse is aware that the ulcer may also affect the function of which adjacent structure?

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C

A male patient admitted with a gastrointestinal bleed and a hematocrit level of 40% receives fluid resuscitation.In a few hours,the hematocrit level drops to 32%.How should the nurse evaluate this finding?

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C

The nurse is assessing a patient admitted with acute abdominal pain.Which information would the nurse associate with changes in the gastrointestinal system? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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A,C,E

A patient with liver disease has a decline in his previously elevated urobilinogen levels.The nurse would anticipate further testing for which condition?

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A patient is admitted with acute abdominal pain.Which preexisting conditions would prevent this patient from having a nuclear scan to diagnose the cause of the abdominal pain? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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The nurse has completed the focused history for a patient admitted with acute abdominal pain.How should the nurse continue with the assessment?

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A patient is diagnosed with a splenic artery aneurysm.The nurse would assess for dysfunction in which organs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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A patient is in congestive heart failure due to damage from a myocardial infarction.Which gastrointestinal manifestation would the nurse expect on assessment?

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A patient is demonstrating hepatic encephalopathy due to buildup of ammonia.The nurse anticipates intervention to support which function of the liver?

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A patient was admitted with acute abdominal and back pain.Which test results would the nurse evaluate as indicating additional testing for acute pancreatitis is likely? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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A patient will undergo an elastase test for pancreatic function.The nurse will collect which sample?

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The nurse is planning care for a patient at risk for developing an infection because of an interruption in the intestinal mucosa.Which patient history would the nurse evaluate as most likely to exacerbate this risk?

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A patient is diagnosed with esophageal reflux.The nurse explains to the patient that there is an impairment in which structure?

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A patient is scheduled to have sublingual capnometry.How would the nurse explain the purpose of this test?

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A patient has just received an upper GI series diagnostic test.What nursing intervention is indicated?

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A patient with a history of tonsillectomy and appendectomy is admitted with a possible infection.The nurse explains that the patient is at higher risk for infection due to which process?

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A patient is diagnosed with duodenal ulcers caused by a highly acidic gastrointestinal environment.The nurse explains that this condition may be related to deficiency in which hormone?

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A patient tells the nurse that after eating some food that tasted "off" he experienced a severe stomachache.However,after a few hours the discomfort was gone and he felt fine.Which information should the nurse consider when formulating a response to this report?

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A patient has been diagnosed with deficiency of the hormone cholecystokinin (CCK).The nurse would expect this patient to have difficulty digesting which nutrients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

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The nurse is caring for a patient with an injury to cranial nerve X.Which assessment finding would the nurse attribute to that injury?

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