Chapter 38 PrepU

When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the health care provider? "I haven't had anything to eat or drink since midnight last night." "I really don't like to be in small, enclosed spaces." "I left all my jewelry and my watch at home." "I brought earphones to shut out the loud noise."

"I really don't like to be in small, enclosed spaces."

A client is scheduled for an ultrasound of the abdomen. Which statement indicates that teaching provided to the client to prepare for the test was effective? "I will take an over-the-counter enema before the test." "I will not eat or drink for 8 to 12 hours before the test." "I will ingest a clear liquid diet for 3 days before the test." "I will take medications to reduce gastric acid before the test."

"I will not eat or drink for 8 to 12 hours before the test."

A client asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). The nurse answers: "It tells the physician what type of cancer is present." "It indicates if a cancer is present." "It determines functionality of the liver." "It detects a protein normally found in the blood."

"It tells the physician what type of cancer is present."

The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment? Drowsiness Abdominal distention Sore throat Thirst

Abdominal distention

The nurse is caring for a client who is scheduled for a urea breath test to detect for Helicobacter pylori as a reason for gastric distress. Which instruction(s) will the nurse provide to the client to prepare for this test? Select all that apply. Take antibiotics prior to the test. Take cimetidine 24 hours before the test. Avoid bismuth subsalicylate before the test. Do not take proton pump inhibitors before the test. Take famotidine for 1 week before the test.

Avoid bismuth subsalicylate before the test.; Do not take proton pump inhibitors before the test.

When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include? Avoid smoking for at least 12 to 24 hours before the procedure. Take vitamin K before the procedure. Take three cleansing enemas before the procedure. Avoid the intake of red meat before the procedure.

Avoid smoking for at least 12 to 24 hours before the procedure.

When assisting with preparing a client scheduled for a barium swallow, what nursing instruction would be appropriate to include? Avoid smoking for at least a day before the procedure. Take vitamin K before the procedure. Take three cleansing enemas before the procedure. Avoid the intake of red meat before the procedure.

Avoid smoking for at least a day before the procedure.

A patient is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently used to diagnose? Bowel disease of unknown origin Cancer Inflammatory bowel disease Occult bleeding

Cancer

A client is scheduled for several diagnostic tests to evaluate gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test as not requiring the use of a contrast medium? Small bowel series Computer tomography Colonoscopy Upper GI series

Colonoscopy

A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. Which nursing intervention is advised for this client? Monitor for any breathing-related disorder or discomforts. Measure fluid output for at least 24 hours after the procedure. Monitor for cramping or abdominal distention. Do not give any food and fluids until the gag reflex returns.

Do not give any food and fluids until the gag reflex returns.

A client with abdominal pain is scheduled for a CT scan of the abdomen with contrast. Which assessment will the nurse complete before transporting the client for the diagnostic test? History of allergies Presence of a cochlear implant Last use of an oral laxative Current list of prescribed medications

History of allergies

A client is scheduled for an upper gastrointestinal barium study. Which teaching will the nurse provide for the client to prepare for this diagnostic test? Ingest nothing by mouth after midnight. Eat a clear liquid breakfast before the test. Withhold oral medications for 24 hours before the test. Avoid products containing aspirin for a week before the test.

Ingest nothing by mouth after midnight.

After 20 seconds of auscultating for bowel sounds on a client recovering from abdominal surgery, the nurse hears nothing. What should the nurse do based on the assessment findings? Listen longer for the sounds. Document that the client is constipated. Call the health care provider to report absent bowel sounds. Return in 1 hour and listen again to confirm findings.

Listen longer for the sounds.

A nurse is giving a client barium swallow test. What is the most important assessment a nurse would make to ensure that a client does not retain any barium after a barium swallow? Placing any stool passed in a specific preservative. Monitoring the stool passage and its color. Observing the color of urine. Monitoring the volume of urine.

Monitoring the stool passage and its color.

The nurse is assisting the health care provider with a gastric acid stimulation test for a client. What medication should the nurse prepare to administer subcutaneously to stimulate gastric secretions? Pentagastrin Atropine Glycopyrronium bromide Acetylcysteine

Pentagastrin

A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered? Instruct the client to have low-residue meals. Allow the client to ingest fat-free meal. Permit the client to drink only clear liquids. Provide saline gargles to the client.

Permit the client to drink only clear liquids.

Which diagnostic produces images of the body by detecting the radiation emitted from radioactive substances? Positron emission tomography (PET) Computed tomography (CT) Magnetic resonance imaging (MRI) Fibroscopy

Positron emission tomography (PET)

The nurse cares for a client after an endoscopic examination and prepares the client for discharge. The nurse includes which instruction? Avoid driving for 24 hours. Continue a clear liquid diet. Resume regular diet. Increase fluid intake.

Resume regular diet.

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client? A complete blood count including differential Serum antibodies for H. pylori A sigmoidoscopy Gastric analysis

Serum antibodies for H. pylori

The nurse is preparing to examine the abdomen of a client who reports a change in bowel pattern. The nurse would place the client in which position? Supine with knees flexed Knee-chest Lithotomy Left Sim's lateral

Supine with knees flexed

Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed in sufficient quantities into the upper gastrointestinal (GI) tract, it produces which change in the stool appearance? Tarry-black Bright red Blood-streaked Dark brown

Tarry-black

What would the nurse recognize as preventing a client from being able to take a fecal occult blood test (FOBT)? The client has hemorrhoidal bleeding The client had a hamburger for dinner the night before The client took an ibuprofen tablet this morning The client regularly takes aspirin

The client has hemorrhoidal bleeding

The nurse is caring for a geriatric client experiencing diarrhea. When teaching about the site in the body where water and electrolytes are absorbed, the nurse is most correct to instruct on which location? The small intestine The stomach The large intestine The cecum

The large intestine

Which nursing instruction is correct to provide the client following a barium enema? The client will maintain a low residue diet. The stools may be a white or clay colored. Sips of fluid may be increased if tolerated. An enema will be used to clear the bowel.

The stools may be a white or clay colored.

When gastric analysis testing reveals excess secretion of gastric acid, the nurse recognizes which medical diagnoses is supported? chronic atrophic gastritis duodenal ulcer gastric cancer pernicious anemia

duodenal ulcer

The nurse prepares to administer the lavage solution to a client having a colonoscopy completed. The nurse stops and notifies the physician when noting that the client has which condition? inflammatory bowel disease chronic obstructive pulmonary disease congestive heart failure pulmonary hypertension

inflammatory bowel disease

Which procedure is performed to examine and visualize the lumen of the small bowel? small bowel enteroscopy colonoscopy panendoscopy peritoneoscopy

small bowel enteroscopy

A nurse is doing a physical assessment on a client with a GI disorder. Which position will the nurse most likely ask the client to assume when performing an abdominal examination? supine with knees flexed slightly supine with legs flat on the exam table side-lying supine with knees flexed

supine with knees flexed slightly

The nurse recognizes which change of the GI system is an age-related change? increased motility hypertrophy of the small intestine weakened gag reflex increased mucus secretion

weakened gag reflex

The nurse is caring for a client recovering from a colonoscopy. Which assessment finding will the nurse expect in the client after the procedure? Fever Rectal bleeding Abdominal cramps Abdominal distention

Abdominal cramps

A client with a gastrointestinal condition is prescribed a stool guaiac for fecal occult blood. Which instructions will the nurse provide the client about this test? Select all that apply. Drink orange juice for 2 days before the test. Do not take any aspirin for 72 hours before the test. Avoid ingesting red meat for 72 hours before the test. Take additional doses of vitamin C supplements before the test. Reduce the amount of nonsteroidal anti-inflammatory drugs taken.

Do not take any aspirin for 72 hours before the test. Avoid ingesting red meat for 72 hours before the test.

A home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test? "I'll avoid eating or drinking anything 6 to 8 hours before the test." "I'll drink full liquids the day before the test." "There is no need for special preparation before the test." "I'll take a laxative to clear my bowels before the test."

"I'll avoid eating or drinking anything 6 to 8 hours before the test."

The nurse is assisting the health care provider with a colonoscopy for a client with rectal bleeding. The health care provider requests the nurse to administer glucagon during the procedure. Why is the nurse administering this medication during the procedure? The client is probably hypoglycemic and requires the glucagon. To relieve anxiety during the procedure for moderate sedation. To reduce air accumulation in the colon. To relax colonic musculature and reduce spasm.

To relax colonic musculature and reduce spasm.