Nursing Elites

1. The nurse is caring for a client who has had a gastroscopy. Which of the following symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply.

• A. The client complains of a sore throat
• B. The client has a temperature of 100*F
• C. The client appears drowsy following the procedure
• D. The client complains of epigastric pain

Correct answer: B

Rationale: A temperature of 100°F, epigastric pain, and hematemesis are signs that may indicate a complication related to the gastroscopy procedure.

2. A client has just had surgery for colon cancer. Which of the following disorders might the client develop?

• A. Peritonitis
• B. Diverticulosis
• C. Partial bowel obstruction
• D. Complete bowel obstruction

Correct answer: C

Rationale: After surgery for colon cancer, the client may develop a partial bowel obstruction.

3. Which of the following conditions is most likely to directly cause peritonitis?

• A. Cholelithiasis
• B. Gastritis
• C. Perforated ulcer
• D. Incarcerated hernia

Correct answer: C

Rationale: A perforated ulcer is most likely to directly cause peritonitis due to the leakage of gastric contents into the peritoneal cavity.

4. You have a patient with achalasia (incomplete muscle relaxation of the GI tract, especially sphincter muscles). Which medications do you anticipate to administer?

• A. Isosorbide dinitrate (Isordil)
• B. Digoxin (Lanoxin)
• C. Captopril (Capoten)
• D. Propanolol (Inderal)

Correct answer: A

Rationale: Isosorbide dinitrate (Isordil) is a medication used to relax the muscles of the GI tract in patients with achalasia.

5. 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.

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