a client is admitted to the hospital with acute viral hepatitis which of the following signs or symptoms would the nurse expect to note based on this

ATI RN

ATI Gastrointestinal System

1. A client is admitted to the hospital with acute viral hepatitis. Which of the following signs or symptoms would the nurse expect to note based on this diagnosis?

A. Spider angiomas
B. Fatigue
C. Pale urine
D. Weight gain

Correct answer: B

Rationale: Common signs of acute viral hepatitis include weight loss, dark urine, and fatigue. The client is anorexic, possibly from a toxin produced by the diseased liver, and finds food distasteful. The urine darkens because of excess bilirubin being excreted by the kidneys. Fatigue occurs during all phases of hepatitis.

2. Dark, tarry stools indicate bleeding in which location of the GI tract?

A. Upper colon.
B. Lower colon.
C. Upper GI tract.
D. Small intestine.

Correct answer: C

Rationale: Dark, tarry stools indicate bleeding in the upper GI tract.

3. Which of the following factors is believed to be linked to Crohn’s disease?

A. Constipation
B. Diet
C. Hereditary
D. Lack of exercise

Correct answer: C

Rationale: Crohn's disease is believed to have a hereditary link, with genetic factors playing a significant role in its development.

4. A nurse is preparing to remove a nasogastric tube from a client. The nurse would instruct the client to do which of the following just before the nurse removes the tube?

A. To perform Valsalva’s maneuver
B. To take hold and hold a deep breath
C. To exhale
D. To inhale and exhale quickly

Correct answer: B

Rationale: When the nurse removes a nasogastric tube, the client is instructed to take and hold a deep breath. This will be obstructed temporarily during the tube removal. This allows for easy withdrawal through the esophagus into the nose. The nurse removes the tube with one smooth, continuous pull.

5. Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection?

A. Monitoring gastric pH to detect complications
B. Assessing for bowel sounds
C. Providing nutritional support
D. Monitoring for symptoms of hemorrhage

Correct answer: D

Rationale: Monitoring for symptoms of hemorrhage is a crucial part of the immediate postoperative management of a client who has undergone gastric resection.