(^330) Medical-Surgical Nursing Demystified
- On assessment of the abdomen in a patient with peritonitis, you would expect
to find:
(a) a soft abdomen with bowel sounds every 2 to 3 seconds.
(b) rebound tenderness and guarding.
(c) hyperactive, high-pitched bowel sounds and a firm abdomen.
(d) ascites and increased vascular pattern on the skin. - Treatment of the patient with appendicitis includes:
(a) transfusion to replace blood loss.
(b) bowel prep for cleansing.
(c) surgical removal of appendix.
(d) medications to lower pH within the stomach. - Patients with gastrointestinal bleeding may experience an acute or chronic
blood loss. Your patient is experiencing hematochezia. You recognize this as:
(a) vomiting of bright red or maroon blood.
(b) black, tarry stool.
(c) coffee ground emesis.
(d) red- or maroon-colored stool rectally. - Build-up of bile salts may cause the systemic symptom of:
(a) hypotension.
(b) pruritis (itching).
(c) ecchymosis (bruising).
(d) urticaria (hives). - Patients with gastric ulcer typically exhibit the following symptoms:
(a) epigastric pain worse after eating and weight loss.
(b) epigastric pain worse before meals, pain awakening patient from sleep,
and melena.
(c) decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
(d) boring epigastric pain radiating to back and left shoulder, bluish-gray
discoloration of periumbilical area, and ascites. - Patients with a paralytic ileus typically have:
(a) intravenous fluid replacement and a nasogastric tube connected to suction.
(b) surgical correction of the problem.
(c) endoscopic injection of botulinum toxin or esophageal dilation.
(d) endoscopy to allow biopsy followed with broad-spectrum antibiotics.