Nursing Sample Exam about Gastrointestinal Disorders (Questions 16-20)

16. Nursing assessment of a client with peritonitis (acute or chronic inflammation of the peritoneum) reveals hypotension, tachycardia, and signs and symptoms of dehydration. The nurse also expects to find:

a. tenderness and pain in the right upper abdominal quadrant.
b. jaundice and vomiting.
c. severe abdominal pain with direct palpation or rebound tenderness.
d. rectal bleeding and a change in bowel habits.

17. When caring for a client with hepatitis B, the nurse should monitor closely for the development of which finding associated with a decrease in hepatic function?

a. Jaundice
b. Pruritus of the arms and legs
c. Fatigue during ambulation
d. Irritability and drowsiness

18. A client has a newly created colostomy. After participating in counseling with the nurse and receiving support from the spouse, the client decides to change the colostomy pouch unaided. Which behavior suggests that the client is beginning to accept the change in body image?

a. The client closes the eyes when the abdomen is exposed.
b. The client avoids talking about the recent surgery.
c. The client asks the spouse to leave the room.
d. The client touches the altered body part.

19. A client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should:

a. place the client in a private room.
b. wear a mask when handling the client's bedpan.
c. wash the hands after touching the client.
d. wear a gown when providing personal care for the client

20. While preparing a client for cholecystectomy, the nurse explains that incentive spirometry will be used after surgery primarily to:

a. increase respiratory effectiveness.
b. eliminate the need for nasogastric intubation.
c. improve nutritional status during recovery.
d. decrease the amount of postoperative analgesia needed.

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