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14 Cards in this Set
- Front
- Back
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A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The physician begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption? |
intrinsic factor |
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Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed in sufficient quantities into the upper gastrointestinal (GI) tract, it produces which change in the stool appearance? |
tarry black |
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During a colonoscopy with moderate sedation, the patient groans with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring? |
bowel perferation |
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The nurse is a preparing a patient for a barium enema. The nurse should place the patient on which of the following prior to the procedure? |
clear liquids the day before |
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The nurse is assessing a client following laparoscopy. The client states that his stomach looks bloated and asks if this is normal. How will the nurse respond? |
"Yes your abdomen may appear larger as a result of the injection of carbon dioxide for visualization" |
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A nurse assesses the abdomen of a newly admitted client. Which finding would necessitate further investigation? |
asymmetrical upper quadrants |
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Upon review of a client's chart, the nurse notes the client has been receiving antiemetics every 6 to 8 hours. What in this client's history may necessitate such frequency? |
treatment for cancer |
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A client is to have an upper GI procedure with barium ingestion and abdominal ultrasonography. While scheduling these diagnostic tests, the nurse must consider which factor? |
the ultrasonography should be scheduled before the GI procedure |
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The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client? |
serum antibodies for H. pylori |
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A home care nurse is caring for a client with complaints of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test? |
"I'll avoid eating or drinking anything 6 to 8 hours before the test." |
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During the initial assessment of a patient complaining of increased stomach acid related to stress, the nurse knew that the health care provider would want to consider the influence of which following neuroregulator? |
norepinephrine |
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Which of the following is an age-related change of the GI system? |
weakened gag reflex |
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The nurse is assessing a 50-year-old, dark-skinned African American man and has noted that he appears jaundice. Most likely, the nurse made this observation by assessing which part of his body? |
mucous membranes |
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A client is scheduled for several diagnostic tests to evaluate her gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when she identifies which test as not requiring the use of a contrast medium? |
colonoscopy |
