Nokea
When a patient returns to the clinical unit after an abdominal-perineal resection (APR), what should the nurse expect?
- A. An abdominal dressing
- B. An abdominal wound and drains
- C. A temporary colostomy and drains
- D. A perineal wound, drains, and a stoma
Correct Answer: D
Rationale: After an APR, the patient will typically have a perineal wound, drains, and a colostomy (stoma).
You may also like to solve these questions
Gastric enzymes are secreted by the _____ cells.
- A. chief
- B. goblet
- C. parietal
- D. oxyntic
Correct Answer: A
Rationale: The correct answer is A: chief cells. Chief cells are responsible for secreting gastric enzymes, such as pepsinogen, in the stomach. These enzymes play a crucial role in breaking down proteins during digestion. Goblet cells (B) secrete mucus, parietal cells (C) secrete hydrochloric acid, and oxyntic cells (D) are another term for parietal cells. Therefore, the correct choice is A as chief cells specifically produce gastric enzymes.
The exocrine pancreas secretes the following enzymes except:
- A. Chymotrypsinogen
- B. Prolestase
- C. Lactase
- D. Alph
Correct Answer: C
Rationale: The correct answer is C: Lactase. Lactase is an enzyme produced in the small intestine, not in the pancreas. The exocrine pancreas secretes digestive enzymes like chymotrypsinogen, proelastase, and lipase to aid in the digestion of proteins, fats, and carbohydrates. Lactase is responsible for breaking down lactose, a sugar found in dairy products, and is produced in the small intestine. Therefore, C is the correct answer. Choices A, B, and D are incorrect because chymotrypsinogen, proelastase, and alph are all enzymes produced by the pancreas to aid in digestion.
You have the following symptoms: sudden abdominal pain, slight fever, loss of appetite, and nausea. You may have
- A. appendicitis.
- B. heartburn.
- C. diarrhea.
- D. hemorrhoids.
Correct Answer: A
Rationale: The correct answer is A: appendicitis. Sudden abdominal pain, fever, loss of appetite, and nausea are classic symptoms of appendicitis. The pain often starts near the belly button and migrates to the lower right abdomen, where the appendix is located. Appendicitis is a medical emergency that requires immediate attention to prevent complications like a burst appendix. Heartburn (B) typically presents with a burning sensation in the chest, and diarrhea (C) presents with loose, watery stools. Hemorrhoids (D) are swollen blood vessels in the rectum that cause discomfort but do not typically present with the symptoms described.
Accumulation of excess fluid in the peritoneal cavity is called
- A. peritonitis.
- B. a hiatal hernia.
- C. an inguinal hernia.
- D. ascites.
Correct Answer: D
Rationale: The correct answer is D: ascites. Ascites is the accumulation of excess fluid in the peritoneal cavity. This condition can be caused by liver disease, heart failure, kidney disease, or certain cancers. Peritonitis (A) is inflammation of the peritoneum, not fluid accumulation. Hiatal hernia (B) is a condition where the stomach bulges through the diaphragm. Inguinal hernia (C) is the protrusion of abdominal contents through the inguinal canal. Hence, choices A, B, and C are incorrect in the context of excess fluid accumulation in the peritoneal cavity.
A young adult patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action should the nurse take?
- A. Assist the patient to cough and deep breath
- C. Palpate the abdomen for rebound tenderness.
- D. Suggest the patient lie on the side, flexing the right leg.
Correct Answer: C
Rationale: The correct answer is C: Palpate the abdomen for rebound tenderness. This action is essential to assess for signs of possible appendicitis, a common cause of right lower quadrant abdominal pain with nausea and vomiting. Rebound tenderness is a classic sign of peritoneal irritation and can indicate an inflamed appendix. The other choices are incorrect because:
A: Assisting the patient to cough and deep breath is not a priority in this situation and does not provide relevant information about the cause of the abdominal pain.
D: Suggesting the patient lie on the side, flexing the right leg, may help alleviate some discomfort but does not provide diagnostic information about the underlying cause of the symptoms.