Question 1

Vasopressin 0.1 unit/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI)bleeding. The vasopressin label states vasopressin 100 units/250 mL normal saline. How many mL/hr will the nurse infuse?

Accepted Answer

The answer of Vasopressin 0.1 unit/min infusion is prescribed for...

Question 2

The nurse is caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec)therapy. In which order will the nurse take actions? (Put a comma and a space between each answer choice [A,B,C,D].)

Accepted Answer

Proton pump inhibitors including omeprazole (Prilosec)may increase the risk of Clostridium difficile-associated colitis. Because the patient's history and symptoms are consistent with C. difficile infection,the initial action should be initiation of infection control measures to protect other patients. Assessment of blood pressure and pulse is needed to determine whether the patient has symptoms of hypovolemia or shock. The health care provider should be notified so that actions such as obtaining stool specimens and antibiotic therapy can be started. Tylenol may be administered but is the lowest priority of the actions.

Question 3

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI)bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?

Accepted Answer

The patient's lung sounds indicate that pulmonary edema may be developing as a result of the rapid infusion of IV fluid and that the fluid infusion rate should be slowed. The return of coffee-ground material in an NG tube is expected for a patient with upper GI bleeding. The BP is slightly elevated but would not be an indication to contact the health care provider immediately. Hyperactive bowel sounds are common when a patient has GI bleeding.

Question 4

An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?

Accepted Answer

Metoclopramide can cause central nervous system side effects ranging from anxiety to hallucinations. Hallucinations are not a side effect of proton pump inhibitors,mucosal protectants,or antacids.

Question 5

After change-of-shift report,which patient should the nurse assess first?

Accepted Answer

This patient is at high risk for problems such as aspiration,dehydration,and fluid and electrolyte disturbances. The other patients will also need to be assessed,but the information about them indicates symptoms that are typical for their diagnoses and are not life threatening.

Question 6

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease,which patient action indicates that the teaching has been effective?

Accepted Answer

Eosinophilic esophagitis is frequently associated with environmental allergens,so allergy testing is used to determine possible triggers. Corticosteroid therapy may be prescribed,but the medication will be swallowed,not inhaled. Milk is a frequent trigger for attacks. NSAIDs are not used for eosinophilic esophagitis.

Question 7

The nurse and a licensed practical/vocational nurse (LPN/LVN)are working together to care for a patient who had an esophagectomy 2 days ago. Which action by the LPN/LVN requires that the nurse intervene?

Accepted Answer

The patient's bed should be in Fowler's position to prevent reflux and aspiration of gastric contents. The other actions by the LPN/LVN are appropriate.

Quiz 41: Upper Gastrointestinal Problems

Vasopressin 0.1 unit/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI)bleeding. The vasopressin label states vasopressin 100 units/250 mL normal saline. How many mL/hr will the nurse infuse?

The nurse is caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec) therapy. In which order will the nurse take actions? (Put a comma and a space between each answer choice [A,B,C,D].)

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?

An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?

After change-of-shift report,which patient should the nurse assess first?

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease,which patient action indicates that the teaching has been effective?

The nurse and a licensed practical/vocational nurse (LPN/LVN) are working together to care for a patient who had an esophagectomy 2 days ago. Which action by the LPN/LVN requires that the nurse intervene?