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15 Cards in this Set
- Front
- Back
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The anthropometric measurement that reflects the status of the body's fat stores is:
A. Weight B. Midarm Circumference C. Midarm muscle circumference D. triceps skinfold |
D. Triceps Skinfold
The triceps skinfold thickness provides an estimate of body fat based on the amount of fat in subcutaneous tissue. |
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Which of the following would be considered a normal finding when elicited during abdominal percussion?
A. Dullness of the left upper outer quadrant during deep inspiration. B. Hyperresonance over the liver C. Typany over the stomach D. Dullness predominating over the lower quadrant |
C. Tympany over the stomach
A tympanic sound is heard over air, as in the gastric bubble or air-filled intestine |
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Which of the following sounds is most likely to be heard over the abdomen in a pt with early intestinal obstruction?
A. Intermittent soft gurgling sounds at the rate of 20 per minute. B. Loud, high-pitched, tinkling bowel sounds C. Hypoactive sounds due to intestinal muscle weakness D. Peritoneal friction rubs |
B. Loud, high-pitched, tinkling bowel sounds
Loud, high-pitched, tinkling bowel sounds are most likely to be heard in a pt with early intestine obstruction. Intestinal obstruction occurs when blockage prevents the normal flow of contents through the intestinal tract. An accumulation fo intestinal contents, fluid, and gas develops above the intestinal obstruction. High-pitched, tinkling sounds indicate that fluid and air are under tension in the intestine, whcih may signal an early intestinal obstruction. |
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Which of the following is an enzyme produced in the liver that is the end product of protein metabolism and an important indicator of liver function?
A. Ammonia B. Gamma-glutamyl transpeptidase (GGT) C. Bilirubin D. Albumin |
A. Ammonia
Ammonia is produced by the liver, intestines, and kidneys as the end product of protein metabolism. When the liver is functioning properly, it converts ammonia into urea, which is then excreted by the kidneys. Ammonia levels rise when the liver is unable to convert ammonia to urea. |
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The invasive study that best visualizes the common bile duct and pancreatic duct as well as permitting diagnostic and therapeutic procedures is:
A. an abdominal plain film B. CT scan C. ERCP (endoscopic retrograde cholangiopancreatography) D. MRCP (magnetic resonance cholangiopancreatography |
C. ERCP
Endoscopic retrograde cholangiopancreatography (ERCP) provides visualization of the commmon bile ducts with a flexible fiberopic endoscope. Therapeutic biliary or pancreatic procedures can be accomplished during ERCP, such as tissue biopsy ro brushings, fluid cytology, placement of biliary or pancreatic stents, or retrieval of retained gallstones. |
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When assessing a critically ill patient for gastrointestinal problems, the nurse will ask about:
A. dysphagia B. aphasia C. diplopia D. nuchal rigidity. |
A. Dysphagia
A review of GI systems include questions about anorexia, indigestion, dysphagia, eructations, nausea, vomiting, and hematemesis. |
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A blue-tinged umbilicus, which may indicate abdominal bleeding, is known as:
A. Cushing's syndrome B. Cardinal's symtom C. Cullen's sign D. Cyanosis syndrome |
C. Cullen's sign
Bluish ecchymosis surrounding the umbilicus is Cullen's sign. |
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Normal bowel sounds are heard gurgling every:
A. 2-3 seconds B. 4-6 seconds C. 5-15 seconds D. 15-20 seconds |
C. 5-15 seconds
Normally, air and fluid moving through the bowe by peristalsis create a soft, bubbling sound with no regular pattern, often with soft clicks and gurgles interspersed, approximately every 5-15 seconds. |
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Light palpation is done on the abdomen in order to:
A. initially assess bowel sounds. B. identify musclular resistance and tenderness C. locate organs (spleen, liver, and kidneys) D. assess for tremors, sensation, and perception |
B. identify muscular resistance and tenderness
Light palpation is performed to identify muscular resistance and areas of tenderness. |
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Which part of the abdominal exam should be done first?
A. Auscultation C. Inspection C. Palpation D. Percussion |
B. Inspection
The examining begnis with the nurse standing at the foot of the bed and inspecting for symmetry of the abdomen, visible masses, and pulsations. |
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Following a paracentesis, the nurse must monitor for which of the following complications postoperatively?
A. Internal bleeding B. colon spasms C. dehydration D. leucopenia |
C. dehydration
Parcentesis is an invasive procedure with the risk of internal bleeding post-op. |
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Before a paracentesis, a preoperative nursing intervention is:
A. assessing that electrolytes are within normal limits B. inserting a urinary Foley catheter C. asking the patient to empty his or her bladder D. shaving the pt's abdomen |
C. asking the pt to empty his or her bladder
There is no bowel preparation needed for paracentesis. Since it is an invasive procedure, the pt should empty his or her bladder to prevent accidental perforation. |
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After a barium study, the nurse will be administering:
A. a laxative to promote barium excretion B. an antacid to decrease gastric acidity C. a sedative to calm the client D. a diuretic to enhance urinary output |
A. a laxative to promote barium excretion.
After a barium study, the nurse will be administering a laxative to promote barium excretion. |
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Which of the following diagnostic tests assists in evaluating for presence of GI tumors?
A. colonoscopy B. US C. CT and MRI D. All of the above |
D. All of the above
GI tumors can be detected by colonoscopy, US, CT, and MRI. |
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A patient is admitted to rule out gallstones. Which study would you expect to be ordered?
A. radionuclide scan B. barrium swallow C. colonoscopy D. US |
D. US
US is a non-invasive diagnostic test to evaluate and diagnosis a mass, dilated bile ducts, gallstones, and ascites. |
