16.    Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?*1 pointA. Peristalsis.B. Gastric acidity.C. Gastric motility.D. Gastric pH.17.    Your patient takes NSAIDS for her degenerative joint disease, has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?*1 pointA. Calcium carbonateB. FamotidineC. MisoprostolD. Sucralfate18.    Which of the following complications is thought to be the most common cause of appendicitis?*1 pointA. A fecalithB. Bowel kinkingC. Internal bowel occlusionD. Abdominal bowel swelling19.    An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?*1 pointA. Prepare 750 ml of irrigating solution warmed to 100*FB. Provide privacy and explain the procedure to the clientC. Assist the client to left lateral Sim’s positionD. Question the physician about the order20.    The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart?*1 pointA. NPO statusB. Insert nasogastric tubeC. An anticholinergic medicationD. Demerol for pain21.    The Nurse is providing care for Kristoff who has jaundice. Which statement indicates that the nurse understands the rationale for instituting skin care measures for the client?*1 pointA. “Jaundice is associated with pressure ulcer formation.”B. “Jaundice impairs urea production, which produces pruritus.”C. “Jaundice produces pruritus due to impaired bile acid excretion.”D. “Jaundice leads to decreased tissue perfusion and subsequent breakdown.”22.    Which assessment finding indicates that lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy?*1 pointA. Passage of two or three soft stools dailyB. Evidence of watery diarrheaC. Daily deterioration in the client’s handwritingD. Appearance of frothy, foul-smelling stools23.    A patient with a history of diverticulosis is admitted with abdominal pain. The physician suspects diverticulitis. What other findings would NOT correlate with diverticulitis?*1 pointA. FeverB. Crampy abdominal painC. Abdominal bloatingD. Positive Cullen’s Sign24.    A client is diagnosed with cholecystitis. The nurse reviews the client’s medical record, expecting to note documentation of which manifestations of this disorder?*1 pointA. Dark stoolsB. Light-colored and clear urineC. Positive Murphy’s signD. Upper abdominal pain that radiates to the left shoulder25.    The nurse is doing an admission assessment on a client with gastric ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom of gastric ulcer?*1 pointA. Weight gainB. Pain common at nightC. Pain relieved by food intakeD. Pain relieved by vomiting