EAQ 3

A 5 year old child complains of abdominal pain with nausea, anorexia, and a low-grade fever. Palpation of the right lower quadrant of the abdomen elicits pain. Which condition would the nurse suspect?

Acute appendicitis

A client diagnosed with a peptic ulcer. The nurse instructs the client to contact the health care provider immediately if the client's stool has which appearance?

Dark brown or black

The nurse teaches a client about limiting the discomfort associated with a hiatal hernia. Which statement by the client indicates the nurse's teaching is effective?

After meals, I will rest in a sitting position for 1 hour

The nurse caring for a 76-year-old who is obese and has a history of epigastric distress, esophageal burning, binge drinking, and frequent episodes of bronchitis. A diagnosis of hiatal hernia is made. Which health problems most likely contributed to the development of the hiatal hernia? Select all that apply

Aging Obesity

The nurse administers an older adult client's medications via gastrostomy tube in the long-term care setting. Which finding would necessitate holding the feedings and medications and notifying the health care provider immediately? Select all that apply

All of them are correct

Which medications increases the risk for upper gastrointestinal (GI) bleeding? Select all that apply

Aspirin Ibuprofen Methylprednisolone

The registered nurse is caring for a client with peptic ulcers and dysphagia. Which task would not be delegated to an unlicensed assistive personnel (UAP) who is assisting in the care of a client with peptic ulcers and dysphagia?

Assisting the client in administering the medications

The nurse is providing discharge instructions for a client with a diagnosis of gastrointestinal reflux disease (GERD). Which recommendations would the nurse give to the client to limit symptoms of GERD? Select all that apply

Avoid heavy lifting. Avoid drinking alcohol. Eat small, frequent meals

An adolescent with leukemia is to be given a chemotherapeutic agent. Which time is best for the nurse to administer the prescribed antiemetic?

Before each dose of chemo

Which assessment finding would the nurse report to the health care provider when giving immediate postoperative care to a client with a newly placed ostomy?

Blanching, dark red to purple color of stoma

Which statement is important for the nurse to include in the teaching plan of a client with irritable bowel syndrome who has instructions to take psyllium for constipation?

Each dose should be taken with a full glass of water or juice

Which instruction would the nurse include in a teaching plan for a cient who has a new colostomy and is learning how to care of the skin around the stoma?

Empty the pouch before it is one-third full

Which would the nurse instruct the parents of a child with irritable bowl disease (IBD) who is anorexic to ensure sufficient intake of calories?

Frequent snacks of high protein, high calorie foods

Which statement made by an older adult most strongly supports the nurse's conclusion that the client has impacted stool?

I feel like i have to go, but I just seep

A nurse is obtaining a health history from a client with a diagnosis of peptic ulcer disease. The nurse identifies a possible contributory risk factor when the client makes which statement?

I smoke one pack of cigarettes a day.

A client with newly formed colostomy, secondary to cancer of the rectum, received instructions regarding ostomy care and management, Which client statement indicates understanding of colostomy care?

I will call the clinic and report if I have difficulty inserting the irrigating tube into the stoma

The nurse is assessing two clients. One client has ulcerative colitis, and the other client has Crohn disease. Which finding is more likely to be identified in the client with ulcerative colitis than in the client with Crohn disease?

Involvement starting distally with rectal bleeding that spreads continuously up the colon

Which medication is classified as an H2 Receptor antagonist? Select all that apply

Nizatidine Ranitidine Famotidine

The nurse is caring for a client with chronic inflammation of the bowel. For which most serious complication would the nurse monitor in this client?

Perforation

The nurse is caring for a client with a bowel obstruction. Which assessment findings indicate the possible onset of peritonitis? Select all that apply

Rebound tenderness Diminished bowel sounds Rigid, boardlike abdomen

The nurse is caring to a client with gastrointestinal reflux disease (GERD). Which information would the nurse provide the client to prevent worsening of the disorder? Select all that apply

Wear loose-fitting clothing. Begin a weight-loss program. Sleep with head of bed elevated.

The nurse is providing nutrition instructions for a client who has inflammatory bowel disease of the ascending colon. Which suggestion by the nurse is appropriate?

Consume scrambled eggs and applesauce

Once a client admitted with shock secondary to severe gastrointestinal (GI) bleeding is stabilized, which action would the nurse take?

Take a blood sample for laboratory tests.

After a subtotal gastrectomy, a client has a nasogastric (NG) tube in place for continuous low suction. Three hours after the surgery, the client experiences nausea and abdominal pain. The client's abdomen appears distended. Which action would the nurse take?

Instill 30 mL of air into the NG tube

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be correct to include in the teaching plan? Select all that apply

Whole grains Cooked fruits and veggies Nuts and seeds Milk and eggs

After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary health care provider. Which is most likely the significant factor that affected the client's decision?

Surgical treatment cures ulcerative colitis.

The nurse is caring for a client admitted with peritonitis. Which finding in the medical record is most likely the cause?

Bowel obstruction

When teaching a client with a new colostomy about appliance care and maintenance, which information would the nurse include? Select all that apply

Change the ostomy pouch on a routine basis. Replace the ostomy wafer weekly or sooner as needed. Empty the ostomy pouch before exercise and at bedtime.

A self-help group of clients with irritable bowel syndrome has invited the nurse to present a program on nutrition. Which substance would the nurse teach the clients to minimize in the diet to decrease gastrointestinal (GI) irritability?

Cola drinks

Which autoantigens are responsible for the development of Crohn disease?

Crypt epithelial cells

The nurse is caring for a client after surgical creation of an ostomy. The nurse observes that the stool is formed. The stool is this consistency in which part of the colon?

Descending

The nurse is evaluating a client who has been receiving medical intervention for a diagnosis of Crohn disease. Which expected outcome is most important for this client?

Gains a half pound (0.2 kilograms) per week

A client is admitted to the hospital with a diagnosis of peptic ulcer. Which most common complication should the nurse assess for in this client?

Hemorrhage

The nurse is caring to a client with gastrointestinal reflux disease (GERD). Which statement made by the client indicated correct understanding of GERD management?

I will place a 6-inch (15 cm) block under the head of my bed to help with digestion.

The nurse is reviewing a list of current medications with a client who has developed gastrointestinal (GI) bleeding. Which prescription would the nurse discuss with the primary health care provider?

Ibuprofen

Which medication would the nurse question when reviewing the home medication list for a client admitted with peptic ulcer disease (PUD)?

Ibuprofen

A client is admitted to the hospital with a diagnosis of Crohn disease. Which is important for the nurse to include in the teaching plan for the client?

Meeting nutritional needs

The nurse is caring for a client with a hiatal hernia. Which risk factor would the nurse assess for in this client?

Obesity

The nurse is caring for a client with suspected appendicitis. Which assessment finding would the nurse determine would further support the diagnosis?

Pain in the right lower quadrant

A client is experiencing persistent vomiting, and serum electrolytes have been prescribed. The nurse would monitor which laboratory results?

Sodium and chloride levels

A client develops an intestinal obstruction. A nasogastric tube is inserted and connected to low, continuous suction. The nurse monitors the client for fluid volume deficit. Which clinical finding would the nurse expect if the client becomes dehydrated?

Inelastic skin turgor

When auscultating the mid-abdomen of a client with an intestinal obstruction in the descending colon, which type of sound would the nurse expect to hear?

Borborygmi

After abdominal surgery, a client's postoperative prescriptions include a nasogastric (NG) tube to lower intermittent wall suction and an antiemetic every 6 hours as needed for nausea. When the client reports feeling nauseated, which action would the nurse take first?

Check for correct placement of the NG tube

The nurse is assessing a client with Crohn disease who is scheduled for an upper gastrointestinal series. Which condition would necessitate the cancellation of the procedure?

Colon perforation

The client is admitted via the emergency department with a tentative diagnosis of diverticulitis. The nurse anticipates that which test will be prescribed?

Computed tomography (CT) scan

Which pathophysiological rationale explains why a client who is 4 days post abdominal surgery has not passed flatus and has hypoactive bowel sounds and why a paralytic ileus is not suspected of developing?

Impaired neural functioning

After an acute episode of gastrointestinal (GI) bleeding, a client vomits undigested medications and reports severe epigastric and abdominal pain. The client has absent bowel sounds, rigid abdomen, and pulse rate of 134, and shallow respirations of 32 per minute. The primary health care provider has been contacted. Which action would the nurse take next?

Keep the client nothing by mouth (NPO)

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the nurse expect the client to report?

Projectile vomiting

Which clinical manifestation is an early indicator of intestinal strangulation from bilateral inguinal hernias?

Sharp abdominal pain

Assessment findings of a client who is admitted to the emergency department include cramping pain in the lower left quadrant, weakness, bloating, malaise, and a low-grade fever. The nurse suspects which condition?

Diverticulitis