Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has acute pancreatitis.
Complete the following sentence.
When prioritizing client needs, the nurse should first address the
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Proctored Exam 6. Take the full exam now
Full Explanation
-blood glucose level of 250 mg/dL, which indicates hyperglycemia and can worsen the inflammation of the pancreas
- hemoglobin level of 8 g/dL and hematocrit of 24%, which indicate anemia and can impair oxygen delivery to the tissues
Similar Questions
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
A. Increased blood pressure
Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.
B. Hyperactive bowel sounds
Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.
C. Bradycardia
Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.
D. Sudden abdominal pain
This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.
Full Explanation
Choice A reason:
Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.
Choice B reason:
Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.
Choice C reason:
Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.
Choice D reason:
This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.
A patient's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs and symptoms?
A. Severe diarrhea
Severe diarrhea can be a symptom of both Crohn's disease and ulcerative colitis and does not specifically indicate one over the other.
B. Involvement of the rectal mucosa
Involvement of the rectal mucosa is more indicative of ulcerative colitis rather than Crohn's disease, as Crohn's disease can affect any part of the digestive tract.
C. An absence of blood in stool
The presence or absence of blood in stool is not a definitive indicator of either Crohn's disease or ulcerative colitis, as both conditions can involve bleeding.
D. A pattern of distinct exacerbations and remissions
This statement is correct. A pattern of distinct exacerbations and remissions is more characteristic of Crohn's disease, whereas ulcerative colitis often presents with continuous, chronic symptoms.
Full Explanation
Choice A reason:
Severe diarrhea can be a symptom of both Crohn's disease and ulcerative colitis and does not specifically indicate one over the other.
Choice B reason:
Involvement of the rectal mucosa is more indicative of ulcerative colitis rather than Crohn's disease, as Crohn's disease can affect any part of the digestive tract.
Choice C reason:
The presence or absence of blood in stool is not a definitive indicator of either Crohn's disease or ulcerative colitis, as both conditions can involve bleeding.
Choice D reason:
This statement is correct. A pattern of distinct exacerbations and remissions is more characteristic of Crohn's disease, whereas ulcerative colitis often presents with continuous, chronic symptoms.
A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following as the most common sign of possible colon cancer?
A. Abdominal bloating and flank pain
Abdominal bloating and flank pain may be associated with various gastrointestinal conditions, but they are not the most common signs of possible colon cancer.
B. Change in bowel habits
This statement is correct. A change in bowel habits, such as persistent constipation, diarrhea, or a change in stool consistency, is the most common sign of possible colon cancer.
C. Unexplained weight gain
Unexplained weight gain is not typically associated with colon cancer; unexplained weight loss may be more indicative.
D. Development of new hemorrhoids
The development of new hemorrhoids is not a common sign of possible colon cancer.
Full Explanation
Choice A reason:
Abdominal bloating and flank pain may be associated with various gastrointestinal conditions, but they are not the most common signs of possible colon cancer.
Choice B reason:
This statement is correct. A change in bowel habits, such as persistent constipation, diarrhea, or a change in stool consistency, is the most common sign of possible colon cancer.
Choice C reason:
Unexplained weight gain is not typically associated with colon cancer; unexplained weight loss may be more indicative.
Choice D reason:
The development of new hemorrhoids is not a common sign of possible colon cancer.