the nurse is caring for a client following a billroth ii procedure on review of the post operative orders which of the following if prescribed would t

ATI RN

ATI Gastrointestinal System

1. The nurse is caring for a client following a Billroth II procedure. On review of the post-operative orders, which of the following, if prescribed, would the nurse question and verify?

A. Irrigating the nasogastric tube
B. Coughing a deep breathing exercises
C. Leg exercises
D. Early ambulation

Correct answer: A

Rationale: Irrigating the nasogastric tube is typically not recommended after a Billroth II procedure unless specifically ordered by a physician due to the risk of disrupting the surgical site.

2. When assessing the client with celiac disease, the nurse can expect to find which of the following?

A. Steatorrhea
B. Jaundiced sclerae
C. Clay-colored stools
D. Widened pulse pressure

Correct answer: A

Rationale: Because celiac disease destroys the absorbing surface of the intestine, fat isn't absorbed but is passed in the stool. Steatorrhea is bulky, fatty stools that have a foul odor. Jaundiced sclerae result from elevated bilirubin levels. Clay-colored stools are seen with biliary disease when bile flow is blocked. Celiac disease doesn't cause a widened pulse pressure.

3. Type A chronic gastritis can be distinguished from type B by its ability to:

A. Cause atrophy of the parietal cells.
B. Affect only the antrum of the stomach.
C. Thin the lining of the stomach walls.
D. Decrease gastric secretions.

Correct answer: A

Rationale: Type A chronic gastritis can cause atrophy of the parietal cells, which is a distinguishing feature from type B.

4. A client is suspected of having hepatitis. Which diagnostic test results will assist in confirming this diagnosis?

A. Decreased erythrocyte sedimentation rate
B. Elevated serum bilirubin
C. Elevated hemoglobin
D. Elevated blood urea nitrogen

Correct answer: B

Rationale: Laboratory indicators of hepatitis include elevated liver enzyme levels, elevated serum bilirubin levels, elevated erythrocyte sedimentation rates, and leucopenia. An elevated blood urea nitrogen may indicate renal dysfunction. A hemoglobin level is unrelated to this diagnosis.