Exam 1: Adult

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A thirty seven year old male is being treated for shock related to acute Pancreatitis. The patient states that he has Paresthesia around his fingers and mouth. The nurse observes that the patient's wrists and foot are tremoring. When she applies the blood pressure cuff to the patient's arm, the entire hand and arm has spasms. What abnormality is the patient exhibiting signs and symptoms of?

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A

What is the main intervention that needs to occur if a patient develops a perforation of the gastro intestinal tract?

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Which of the following clinical manifestations are the most likely indicators of perforation of the gastrointestinal tract?

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C

A nurse is assessing the patient for gastrointestinal related complications associated with being on a ventilator. Which of the following medications would assist in preventing peptic ulcer formation?

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What nursing interventions would be the optimal choice to bring relief to the patient who has developed severe Ascites related to Hepatic failure?

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Which of the following statements would reflect that the patient does not understand the long term effects of liver failure?

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What symptom of liver failure would be marked by progressive Azotemia, elevated serum Creatinine levels and Oliguria?

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The nurse has just inserted a Nasogastric tube on a patient who is experiencing a severe gastrointestinal bleed and has been continuously vomiting for 24 hours. She has Hemoglobin of 6.4. What nursing intervention would be most likely to prevent aspiration?

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A 33 year old female has been admitted with severe abdominal pain that has lasted greater than 3 days. She has had severe diarrhea and rectal bleeding for 48 hours. She is scheduled for an Endoscopy in one hour. What disease does this patient most likely have?

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A 37 year old woman is admitted to the intensive care unit after experiencing an anterior spinal cord injury status post trauma. What kind of gastrointestinal problems would this patient be at risk for?

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What is the drug of choice for treating pain in the patient with acute Pancreatitis?

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