Davis Edge Lower Gi

How many loose stools in 24 hr will a client experience before diarrhea is diagnosed? One Two Three Four

Three

The nurse is caring for a client with cirrhosis. The nurse should anticipate reviewing which lab value? Amylase 180 units/L Ammonia 80 mcg/dL Albumin 4.2 g/dL Lipase 52 units/L

Ammonia 80 mcg/dL

The nurse is reinforcing teaching about nutrition for a client with celiac disease. Which food choice made by the client indicates an understanding of the teaching? Apple, cream of wheat cereal, and orange juice Apple juice and wheat toast Oatmeal with fresh fruits Bacon, hard-boiled egg, and blueberries

Bacon, hard-boiled egg, and blueberries

A client is admitted with abdominal problems. Which assessment findings will the nurse report to the health-care provider immediately? Active bowel sounds in all quadrants Black and tarry stools Reports of constipation Pain of level 2 on a 0-10 scale

Black and tarry stools

The nurse is caring for a client with ulcerative colitis. Which clinical manifestations can the nurse expect to find? Mouth sores Abdominal distention Weight gain Bloody diarrhea

Bloody diarrhea

The nurse is caring for a client with ulcerative colitis. The client is scheduled to undergo a total proctocolectomy. Which statement made by the client indicates an understanding of the procedure? "I am going to have my colon, rectum, and anus removed." "The doctor will remove a part of the colon and lymph nodes." "The doctor will remove the right side of my colon and diseased ileum." "The doctor is going to take out the left side of my colon."

"I am going to have my colon, rectum, and anus removed."

The nurse is providing teaching to a client with constipation. Which statement made by the client indicates an understanding of the teaching? "I need to limit physical activity when constipated." "I will reduce my fluid intake to 8 oz of water daily." "I need to avoid the urge to defecate to strengthen muscles." "I can take psyllium to help with bowel movements."

"I can take psyllium to help with bowel movements."

The nurse is teaching a client about a barium enema. Which statement by the client indicates an understanding of the teaching? "I will eat a high-residue diet for several days before the test." "I will have nothing by mouth for 2 hr before the test." "I need to take a laxative and enema the night before the test." "I can have only clear liquids for 8 hr before the test."

"I need to take a laxative and enema the night before the test."

The nurse is providing teaching for a client with irritable bowel syndrome (IBS). Which statement made by the client indicates a need for further teaching? "I am going to take methylcellulose to relieve constipation." "I will eat three large meals daily." "I will keep a diary of food I eat, stressors, and symptoms." "I will regularly drink a lot of fluid every day."

"I will eat three large meals daily."

A client who has been diagnosed with diverticulosis asks the nurse what this means. Which statement by the nurse is the best response? "You have multiple diverticula with no inflammation." "This means that you have a tear in the diverticulum." "This means that you have an infection in your abdomen." "You have autoimmune inflammatory bowel disease."

"You have multiple diverticula with no inflammation."

The nurse is teaching a client about a high-fiber diet. Which food choice made by the client indicates an understanding of the teaching? 1 cup of chicken noodle soup 1 cup of white cooked spaghetti 1/3 cup of all-bran flakes 1 cup of boxed orange juice

1/3 cup of all-bran flakes

The nurse is preparing to administer azathioprine to a client with Crohn's disease. The client weighs 72 kilograms, and the prescribed dose is 2 mg/kg. How many milligrams will the nurse administer? Enter the numeral only.

144

The nurse is calculating intake for a client with diarrhea. The client has received a 1 L bolus and a 500 mL bolus, and has consumed 2 bottles of a sports drink at 240 mL each and 3 cups of water with a total volume of 480 mL. What is the client's total intake? Enter the numeral only.

2460

The nurse is preparing to infuse 1 L of 0.9% normal saline over 4 hr to a client with diarrhea. At what rate will the nurse set the infusion pump? Enter the numeral only.

250

The nurse is reviewing treatments for a client with ulcerative colitis and notes a prescription of mesalamine 1,600 mg taken three times daily. How many milligrams will the nurse administer per day? Enter the numeral only.

4800

The nurse is teaching a client with lactose intolerance about nutrition. Which food choice made by the client indicates an understanding of the teaching? ½ cup of grated mozzarella cheese 1 scoop of ice cream 1 cup of skim milk 8 ounces of orange juice with vitamin D

8 ounces of orange juice with vitamin D

The nurse is caring for a group of clients. Which client is at highest risk for developing ulcerative colitis? A 20-year-old with thyroid cancer who received radiation A 35-year-old who smokes cigarettes occasionally A 40-year-old who works in a bank and drinks socially A 55-year-old who is a health conscious and regularly eats vegetables

A 20-year-old with thyroid cancer who received radiation

The nurse is caring for a group of clients. Which client is at highest risk for developing colon cancer? A client who has ulcerative colitis A client who underwent an appendectomy A client whose mother had breast cancer A client who has hemorrhoids

A client who has ulcerative colitis

The nurse is caring for a group of clients. Which client should the nurse see first? A client with celiac disease reporting loose stools A client with a bowel obstruction vomiting fecal matter A client with colon cancer who underwent a colostomy yesterday A client with malabsorption receiving electrolyte replacement

A client with a bowel obstruction vomiting fecal matter

The nurse is caring for a client with a bowel obstruction. Which action, if performed by a family member, requires correction by the nurse? A family member raises the bed to semi-Fowler's position. A family member is feeding a client unlimited ice chips. A family member reports the client is having weakness. A family member tries to distract the client by playing games.

A family member is feeding a client unlimited ice chips.

The nurse is caring for a client with a bowel obstruction. Which intervention will the nurse implement? Place the client on a clear liquid diet Administer a nasogastric tube as prescribed Manually disimpact stool Place the client in a supine position in bed

Administer a nasogastric tube as prescribed

The nurse is caring for a client with dehydration caused by diarrhea. Which intervention will the nurse implement? Provide a foot stool to promote hip flexion Administer prescribed intravenous fluids Encourage the client to take a bulk laxative Instruct the client to reduce fluid intake

Administer prescribed intravenous fluids

The nurse is caring for a client with malabsorption. The nurse identifies which contributing factors as probable causes? Select all that apply. Appendicitis Celiac disease Lactose intolerance Pancreatitis Parasitic disease

Celiac disease Lactose intolerance Parasitic disease

The nurse is caring for a client with an umbilical hernia. Which assessment will prompt the nurse to notify the health-care provider? Bulge that disappears when lying down Complaints of nausea and vomiting Bulging at the hernial site Reports of mild discomfort

Complaints of nausea and vomiting

The nurse is caring for a client with Crohn's disease. Which clinical manifestation can the nurse expect to find? Insomnia Crampy abdominal pain Constipation Weight gain

Crampy abdominal pain

Where is bile produced? Liver Pancreas Small intestine Stomach

Liver

The nurse is taking a health history on a client with diarrhea. Which assessment will the nurse suspect as the cause of the client's diarrhea? Using narcotics routinely Eating low-fiber diet Newly diagnosed with diabetes Drinking contaminated water

Drinking contaminated water

The nurse is caring for a client who became dehydrated because of diarrhea. Which clinical manifestations will the nurse expect to find? Select all that apply. Bradycardia Dry mucous membranes Decreased skin turgor Weakness Thready pulse

Dry mucous membranes Decreased skin turgor Weakness Thready pulse

The nurse is caring for a client with appendicitis. Which intervention will the nurse implement? Place the client in a supine position Ensure the client does not take anything by mouth Apply a heating pad to the abdominal area Administer an enema as prescribed

Ensure the client does not take anything by mouth

The nurse is caring for a client with irritable bowel syndrome (IBS) with constipation. Which medication can the nurse expect to administer? Nortriptyline Dicyclomine Fluoxetine Rifaximin

Fluoxetine

Which enzymes convert emulsified fats to fatty acids and glycerol? Amylase Lipase Peptidases Trypsin

Lipase

The nurse is caring for a client with an obstruction. The client begins to experience fecal vomiting. Which action should the nurse take? Administer 0.9% normal saline Insert a nasogastric tube Notify the health-care provider (HCP) Administer an enema

Notify the health-care provider (HCP)

The nurse is caring for a client with appendicitis who begins to exhibit nausea, vomiting, fever, and abdominal rigidity. Which action will the nurse take? Apply heat to the client's abdomen Notify the health-care provider immediately Encourage the client to increase fluids Assess client's potassium level

Notify the health-care provider immediately

The nurse is caring for a client who has a body mass index (BMI) of 27.2. How will the nurse interpret this value? Underweight Normal Overweight Obese

Overweight

The nurse is caring for a client with appendicitis. Which clinical manifestations can the nurse expect to find? Pain in the right lower quadrant Decreased white blood cells (WBCs) Complaints of having watery stools Hypoactive bowel sounds

Pain in the right lower quadrant

The nurse is teaching a client about prevention of diarrhea. Which action will the nurse include in the teaching? Practicing proper hand hygiene Enteral feedings should be half strength Encourage taking a bulk-forming laxative Teach the client to increase dairy intake

Practicing proper hand hygiene

The nurse is caring for a client with constipation. Which interventions will the nurse implement? Remind the client that it is reasonable to skip defecating. Instruct the client to follow a low-fiber, low-residue diet. Provide the client with a footstool to promote hip flexion. Teach the client to decrease all fluid intake.

Provide the client with a footstool to promote hip flexion.

The nurse is caring for a client with a new ostomy. Which color does the nurse expect to see upon assessment of the stoma? Bluish Black Red Green

Red

The nurse is preparing a presentation regarding risk factors for diverticulitis. Which contributing factor for developing diverticulitis will the nurse include in the presentation? Select all that apply. High-fiber diet Sedentary lifestyle Smoking Diet high in animal fat Obesity

Sedentary lifestyle Smoking Diet high in animal fat Obesity

The nurse is reviewing lab results for a client with diarrhea and notes white blood cells (WBCs) in the stool. WBCs in stools is indicative of which condition? Shigellosis Bile-duct obstruction Celiac disease Cholera

Shigellosis

The nurse is caring for a client with celiac disease. Which clinical manifestations can the nurse expect to find? Steatorrhea Constipation Itching Weight gain

Steatorrhea

The nurse is caring for a client with constipation. Which clinical manifestations can the nurse expect to find? Soft, moist stool Increased appetite Straining at stool Vomiting

Straining at stool

The nurse is reviewing orders for a client with ulcerative colitis. Which prescription will the nurse question for a client with an allergy to sulfa? Azathioprine Sulfasalazine Adalimumab Prednisone

Sulfasalazine

The nurse is caring for a client with a lower gastrointestinal (GI) bleed. The nurse will be most attentive to which clinical manifestation? Tachycardia Hypertension Warm skin Melena

Tachycardia

The nurse is providing teaching to a client who underwent a hernia repair. Which intervention will the nurse include in the teaching? Teach the client to apply a support truss while still lying in bed Inform client that bleeding is normal for 2-3 weeks after surgery Instruct the client to avoid lifting for 3 days Encourage client to cough and breathe deeply

Teach the client to apply a support truss while still lying in bed

What are common causes of constipation? Select all that apply. Increased intake of fiber Use of narcotics Increased fluid intake Diabetes mellitus Hemorrhoids

Use of narcotics Diabetes mellitus Hemorrhoids