Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

Carcinoembryonic Antigen (CEA)

B12 Level

Electrolyte imbalance

Hemoglobin level

Answer and Explanation

The Correct Answer is C

Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.

Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.

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Correct Answer is A

Explanation

Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.

A. I will call for pain medication before the previous dose wears off. B. I will wait for you to evaluate my pain before asking for more. C. I will call for pain medication as my pain becomes intolerable. D. I will ask for less medication to avoid addiction.

Correct Answer is A

Explanation

Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.

Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore

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Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about pain control with a client who has acute pain following gastric surgery. Which of the following client statements indicates an understanding of pain control?

Correct Answer is A

Explanation

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?

A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia. Which of the following patient statements would indicate to the nurse that the instructions have been understood?

The nurse is educating a patient about dumping syndrome and food choices. Which of these foods should the patient avoid?

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

A nurse is collecting data on a patient that has GERD. Which of the following is an expected finding?

A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

The nurse is explaining to a patient the purpose of certain lab tests that have been ordered. A carcinoembryonic antigen (CEA) test was ordered and the patient is asking what this value will indicate. Which of the following is correct?