Ted is 28 year old store manager, during the weekend, he likes to hang out with his mates and have a few drinks . Last Sunday night he presented to ED due to severe abdominal pain. Ted told the nurse he usually drinks about 1-2 dozens of Tui if he goes out over the weekend. Recall your pain assessment skills, as a nurse, what questions would you ask to assess Ted's abdominal pain and what response are you likely to receive?

35yr old Rati presented to ED with sharp epigastric pain, radiating to her shoulder and back, associated with nausea and vomitting. Her pain score was 10/10, on examiniation, she has abdominal rigity and dimished bowel sounds. What are differential diagnoses based on Rati's presentation and assesement so far?

15-year-old male was taken to the Emergency Department complaining of tenderness and pain in the lower right quadrant of his abdomen. Upon palpation of the patient's abdomen, the patient vocalizes pain and elicits a "guarding reflex." The physician then correctly identifies that the patient is complaining from an inflamed appendix. Which of the following locations did the Physician palpate to elicit the pain in this patient?

The nurse is assessing a client with pancreatitis. Which of the following type of pain would be expected?A. Burning, aching pain in the left lower quadrant radiating to the hip.B. Severe pain in the mid-epigastric area radiating to the back.C. Burning, aching pain in the epigastric area radiating to the umbilicus.D. Severe pain in the left lower quadrant radiating to the groin.

A passenger develops a large bowel obstruction. The doctor anticipates which of the following findings?Nausea, vomiting, abdominal distention.Explosive, irritating diarrhea.Abdominal tenderness with rectal bleeding.Mid-epigastric discomfort, tarry stool.

1. A client with gastroesophageal reflux disease is complaining of chest pain after a meal. The nurse tells the client to avoid which of the following?*1 pointA. High Fiber diet.B. High carbohydrate diet.C. Lying down after eating.D. Turing on the left side, with HOB elevated 302.    The nurse assesses a client with hepatic encephalopathy for the presence of asterixis. What should the nurse do to appropriately test for asterixis?*1 pointA. Examine the client’s handwriting movementsB. Check the stool for clay-colored pigmentationC. Ask the client to extend the wrist and the fingersD. Check the serum bilirubin and liver enzyme levels3.    Medical management of the client with acute episodes of diverticulitis should include which of the following treatments?*1 pointA. Reduced fluid intakeB. Increased fiber in dietC. Administration of antispasmodicsD. Exercises to increase intra-abdominal pressure4.    The nurse is providing instructions to a client with peptic ulcer disease about symptom management. Which statement by the client indicates they are learning about the disease?*1 pointA. “I should eat a snack at bedtime.”B. “I should drink more milk each meal.”C. “I can take aspirin to relieve gastric pain.”D. “It is important that I eat slowly and chew my food thoroughly.”5.    A client is resuming a diet after a Billroth II procedure. To minimize complications from eating, which actions should the nurse teach the client to do?*1 pointA. Lay down after eatingB. Drink liquids with mealsC. Eat a diet high in carbohydratesD. Eat concentrated sweets between meals only6.    A client who undergoes a gastric resection is at risk for developing dumping syndrome. Which manifestation should the nurse monitor the client for?*1 pointA. PallorB. ConstipationC. BradycardiaD. Hypertension7.    A client was admitted to the ER. The client feels pain from light touch in the right lower scapular region. The client also reported pain at the right upper quadrant after a fatty meal. Which of the following disorders is the client most likely experiencing?*1 pointA. PancreatitisB. AppendicitisC. DiverticulitisD. Cholecystitis8.    The nurse is doing an admission assessment on a client with duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom of duodenal ulcer?*1 pointA. Weight lossB. Nausea and vomitingC. Pain relieved by food intakeD. Pain radiating down the right arm9.    A patient with a history of diverticulosis is admitted with abdominal pain. The physician suspects diverticulitis. What other findings would correlate with diverticulitis?*1 pointA. Cramping type painB. Positive Cullen’s SignC. Pain found at McBurney’s PointD. Abdominal pain that is mainly present in the upper right quadrant10.    You’re caring for a client with liver cirrhosis. Which of the followingassessment findings would suggest hepatic encephalopathy?*1 pointA. Fetor HepaticusB. McBurney's pointC. Cullen’s signD. Murphy’s sign11.    You are developing a plan of care on a 67 y.o. patient with hepatic encephalopathy. Which of the following interventions will you include in the plan of care?*1 pointA. Administering sedatives, as necessary.B. Administering a lactulose as ordered.C. Encouraging a protein-rich diet.D. Encouraging a fat diet.12.    A 20 y.o. client is admitted with acute pancreatitis. Which laboratory findings would you expect to be abnormal for this patient?*1 pointA. Blood AmmoniaB. Serum creatinine and BUNC. Serum amylase and lipaseD. Alanine aminotransferase and aspartate aminotransferase13.    A patient with diverticulosis is your patient. Which interventions would you expect to include in his/her care?*1 pointA. Low-fiber diet and fluid restrictions.B. Total parenteral nutrition and bed rest.C. Administration of analgesics and antacids.D. High-fiber diet and administration of laxatives.14.    A client is receiving pancrelipase for chronic pancreatitis. Which observation best indicates that the treatment is effective?*1 pointA. There is no skin breakdown.B. The client’s appetite improves.C. A decrease in body weight.D. Stools are less fatty.15.    The student nurse is teaching the family of a patient with liver cirrhosis. Which of the following food items should be limited in the patient’s diet?*1 pointA. Meats and beans.B. Banana and orange.C. Potatoes and pastas.D. Baked fish and vegetables.