Question 1

Which techniques would the nurse use to elicit rebound tenderness in a patient's abdomen?. Select all that apply.

Accepted Answer

The answer of Which techniques would the nurse use to...

Question 2

A patient is hospitalized with possible pancreatitis. The nurse would evaluate which laboratory test results as supporting that diagnosis?. Select all that apply.

Accepted Answer

Increased serum amylase and serum lipase are both indicative of pancreatitis. Decreased serum indirect bilirubin, increased blood urea nitrogen, and increased partial thromboplastin time (PTT) are not specific to pancreatitis and may indicate other health issues.

Question 3

The preceptor would intervene if the newly licensed nurse planned to test for the iliopsoas sign in which patients?. Select all that apply.

Accepted Answer

The answer of The preceptor would intervene if the newly...

Question 4

The nurse includes which data when documenting a patient's biographic and demographic information?. Select all that apply.

Accepted Answer

The answer of The nurse includes which data when documenting...

Question 5

A patient reports epigastric pain that occurs after meals and often awakens the patient at night. The nurse would ask additional assessment questions about which disorder?

Accepted Answer

Epigastric pain that occurs after meals and awakens the patient at night is a classic symptom of a duodenal ulcer. The other options do not typically present with these symptoms.

Question 6

A patient is having diagnostic testing done after experiencing new-onset abdominal pain. Laboratory results reveal that the serum creatinine is elevated. The nurse would look for additional assessment findings of which disorder?

Accepted Answer

Elevated serum creatinine levels indicate impaired renal function, which can lead to renal failure. Abdominal pain may be a symptom of renal failure and should be investigated further. Appendicitis, GERD, and constipation would not typically cause elevated creatinine levels.

Question 7

The nurse recognizes that a patient diagnosed with poorly controlled type 2 diabetes is at risk for developing which gastrointestinal complication?

Accepted Answer

Poorly controlled type 2 diabetes can lead to damage to the nerves that control the gastrointestinal tract, resulting in gastroparesis, which causes delayed emptying of the stomach and can lead to symptoms such as nausea, vomiting, and bloating. Paralytic ileus (A) is a complication that can occur after surgery or due to opioid use. Peptic ulcers (B) are a result of damage to the lining of the stomach or small intestine and can be caused by factors such as NSAID use or infection with H. pylori. Gastroesophageal reflux disease (GERD) (D) is a condition in which stomach acid flows back into the esophagus and can cause heartburn and esophageal damage, but it is not directly related to poorly controlled type 2 diabetes.

Question 8

Which data would the nurse document regarding a patient's complaint of abdominal pain?. Select all that apply.

Accepted Answer

The nurse should document all the information related to the patient's complaint of abdominal pain. This includes the description of the pain (sharp and stabbing), exacerbating factors (walking), alleviating factors (belching), and duration of symptoms (24 hours). The patient's fear of losing her job is important to acknowledge and address, but it is not directly related to the documentation of the abdominal pain.

Question 9

The nurse would recommend avoiding ginger as complimentary therapy for gastrointestinal distress in which individuals?. Select all that apply.

Accepted Answer

Ginger may increase stomach acid secretion and worsen symptoms in individuals with peptic ulcer disease. Ginger also has a blood-thinning effect and may increase the risk of bleeding in individuals taking anticoagulants. Therefore, the nurse would recommend avoiding ginger as complimentary therapy for gastrointestinal distress in patients with peptic ulcer disease and those taking anticoagulants for atrial fibrillation. The other options (B, D, and E) are not relevant factors in determining the use of ginger as a complementary therapy for gastrointestinal distress.

Question 10

The nurse assesses for a positive Murphy's sign in a patient suspected of having which disorder?

Accepted Answer

Murphy's sign is used to assess for cholecystitis, an inflammation of the gallbladder. It is performed by palpating the area below the right costal margin as the patient takes a deep breath. If there is pain and the patient stops breathing, it is considered a positive Murphy's sign.

Quiz 36: Nursing Assessment of the Patient With Gastrointestinal, Renal, or Urinary Disorders