GI

Which of the following statements is correct?

b. The cystic duct and hepatic duct join to form the common bile duct

A client complains of stomach pain 30 minutes to 1 hour after eating. The pain is not relieved by further intake of food, although it is relieved by vomiting. A gastric ulcer is suspected. Which of the following data would further support this diagnosis? a. History of alcohol use, smoking and weight loss b. Frequent heartburn with a sour taste in the mouth c. Complaints of stress with a history of chronic renal failure d. History of chronic obstructive pulmonary disease with weight gain

A

A nurse has been reinforcing dietary teaching for a client with peptic ulcer disease who has a routine follow-up visit. Which behavior is the best indicator of a successful outcome for this client? a. A decrease in sour eructation b. Taking in increased dairy products c. Use of only decaffeinated coffee and tea d. Decreased use of as-needed (prn) medications

A

A nurse is performing colostomy irrigation on a client. During the irrigation, the client begins to complain of abdominal cramps. Which of the following is the appropriate nursing action? a. Stop the irrigation temporarily b. Increase the height of the irrigation c. Medicate for pain and resume irrigation d. Notify the registered nurse immediately

A

A client has just undergone gastroscopy. Which of the following is the essential post-procedure nursing intervention?

Check the gag reflex before giving oral foods or fluids

The sequence of sections of small intestine through which food passes would be:

Duodenum, jejunum, ileum

the tube that drains bile from the gallbladder

cystic duct

A nurse is teaching a client with a newly diagnosed hiatal hernia about measures to prevent recurrence of symptoms. Which statement would be included in the teaching? a. "Be sure to sleep with you head elevated in bed" b. "This problem is best resolved with a surgical procedure" c. "Eat foods that are higher in fat in order to slow down digestion" d. "Lie in a supine position for at least an hour after eating meals or snacks

A

nurse is reviewing the health care record of a client with a diagnosis of chronic pancreatitis. Which data noted in the record indicates poor absorption of dietary fats? a. Steatorrhea b. Bloody diarrhea c. Electrolyte disturbances d. Gastrointestinal reflux disease

A

A client with acute pancreatitis is experiencing severe pain from the disorder. The nurse tells the client to avoid which position that could aggravate the pain? a. Sitting up b. Lying flat c. Leaning forward d. Flexing the left leg

B

nurse is caring for a client with a Sengstaken-Blakemore tube. To prevent ulceration and necrosis of oral and nasal mucosa, the nurse should plan to: a. Provide tracheal suction as needed b. Keep scissors at the bedside for emergency deflation c. Provide frequent oral and nasal care on a regular basis d. Have a family member remain with the client as much as possible

C

nurse notes that the medical record of a client with cirrhosis states that the client has asterixis. To verify this information, the nurse would do which of the following? a. Instruct the client to lean forward b. Measure the abdominal girth c. Ask the client to extend the arms d. Ask the client to dorsiflex the calf

C

A client with peptic ulcer disease has been prescribed misoprostol (Cytotec) and sucralfate (Carafate). The nurse teaches the client that these two medications will work primarily to: a. Inhibit histamine action b. Kill intestinal bacteria c. Decrease stomach acid d. Protect the gastric mucosa

D

client with hepatic encephalopathy is receiving lactulose (Cephulac). The nurse determines that the medication is effective if which of the following is observed? a. Absence of blood in emesis and stool b. Urine output increases from 250 to 400 mL per 8 hour shift c. Episodes of frequent liquid bowel movements diminish to one time/day d. Client previously oriented to person only; can now state name, year and present location

D

A client is scheduled for an endoscopic retrograde chalangiopancreatography (ERCP). The nurse includes which intervention in the plan of care for the client?

after the procedure, keep client NPO until gag reflex returns

bile: causes, is, works

causes the emulsification of fat is made in the liver works in the small intestine

A client has undergone esophagogastroduodenoscopy (EGD). The nurse places highest priority on which of the following items as part of the client's care plan?

check for return of gag reflex

The ducts that carry secretion from the pancreas empty into which part of the digestive tract?

duodenum

the function of bile is to

emulsify fat & remove cholesterol from the body

the tube that drains bile from the liver is

hepatic duct

A nurse is collecting data on a client with a diagnosis of peptic ulcer disease. Which of the following is least likely associated with this disease?

history of the use of acetaminophen(Tylenol) for pain and discmfort

trypsin is

important in protein digestion

lipase is made

in the pancreas

A nurse has given postprocedure instructions to a client who has undergone a colonoscopy. The nurse determines that the client did not fully understand the directions if the client states that:

its all right to drive one hour after procedure.

the vermiform appendix gets its name from

looking like a worm

A client has just undergone a gastroscopy. Which action should be taken by the nurse as the essential post-procedure nursing intervention?

monitoring for the gag reflex

A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse would observe which of the following appearances in the stoma if prolapse occurred?

protruding and swollen

A nurse is performing an abdominal assessment on a client. The nurse interprets that which finding is abnormal and should be reported to the registered nurse (RN) or health care provider?

pulsation between umbilicus and pubis

After a liver biopsy, the nurse places the client in which of the following positions?

right side lying position with a small pillow or folded towel under puncture site

A client with hiatal hernia, chronically experiences heartburn after meals. The nurse would teach the client to avoid which of the following, which is contraindicated with hiatal hernia?

supine position after meals

A nurse provides medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy?

the niztidine (axid) will cause me to produce less stomach acid

client arrives at the emergency department and complains of severe abdominal pain. The initial diagnosis is acute abdomen, and an x-ray and an abdominal ultrasonogram are prescribed to be obtained immediately. The nurse prepares the client for these diagnostic tests and reviews the health care providers prescriptions (orders). Which of the following would the nurse question if written on the health care provider's prescription form? a. Administration of an analgesic b. Insertion of a nasogastric (NG) tube c. Insertion of an intravenous (IV) line d. Maintaining a nothing-by-mouth (NPO) status

A

A licensed practical nurse (LPN) is assisting in insertion of a nasogastric (NG) tube for an adult client. The LPN helps determine the correct length to insert the tube by measuring: a. A 30 inch length on the tube b. An 18 inch length on the tube c. From the tip of the client's nose to the earlobe and then down to the xiphoid process d. From the tip of the client's nose to the earlobe and then down to the top of the sternum

C

A nurse gathers data from a client admitted to the hospital with gastroesophageal reflux disease (GERD) who is scheduled for a Nissen fundoplication. Based on an understanding of this disease, the nurse determines that the client may be at risk for which complication? a. Diarrhea b. Belching c. Aspiration d. Abdominal pain

C

A nurse is reviewing the health care providers prescriptions (orders) written for a client admitted with acute pancreatitis. Which health care provider prescription would the nurse verify if noted on the client's chart? a. NPO status b. An anticholinergic medication c. Position the client supine and flat d. Prepare to insert a nasogastric tube

C

A nurse would include which of the following when reinforcing home care instructions for a client who has peptic ulcer disease? a. Limit intake of trigger foods b. Smoke only when not eating c. Learn to use stress reduction techniques d. Take nonsteroidal anti-inflammatory drugs for pain relief

C

client is admitted to the hospital with severe jaundice and is having diagnostic testing. Because the client has no complaints of fatigue, the client is encouraged to ambulate in the hall to maintain muscle strength. The client paces around the room but will not enter the hall. Which of the following problems most likely is the reason for the client's reluctance to walk in the hall? a. Unfamiliarity with the hospital b. Fear of catching another disease c. Feeling self-conscious about appearance d. Not wanting to overexert and get overtired

C

nurse has assisted in the insertion of a Levin tube for gastrointestinal (GI) decompression. The nurse plans to set the suction to which of the following pressures? a. Low and continuous b. High and intermittent c. Low and intermittent d. High and continuous

C

A client with peptic ulcer disease is scheduled for a pyloroplasty and the client asks the nurse about the procedure. The nurse bases the response on which of the following? a. A pyloroplasty involves cutting the vagus nerve b. A pyloroplasty involves removing the distal portion of the stomach c. A pyloroplasty involves removal of the ulcer and a large portion of the cells that produce hydrochloric acid d. A pyloroplasty involves an incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum

D

A nurse has a prescription to give 30 mL of an antacid to a client through a nasogastric (NG) tube that is connected to wall suction. The nurse would do which of the following to perform this procedure correctly? a. Adjust the suction to low-intermittent setting for an hour after medication administration b. Aspirate the NG tube following medication administration to maintain patency c. Position the client supine to assist in medication absorption d. Clamp the NG tube for 30 minutes following administration of the medication

D

A nurse is performing colostomy irrigation on a client. During the irrigation, the client begins to complain of abdominal cramps. Which of the following is the appropriate nursing action? a. Stop the irrigation temporarily b. Increase the height of the irrigation c. Medicate for pain and resume irrigation d. Notify the registered nurse immediately

A

nurse is reviewing the record of a client with Crohn's disease. Which of the following stool characteristics would the nurse expect to see documented in the record? a. Diarrhea b. Constipation c. Bloody stools d. Stool constantly oozing from the rectum

A

nurse is reviewing the medication record of a client with acute gastritis. Which of the following medications, if noted on the client's record, would the nurse question? a. Digoxin (Lanoxin) b. Ibuprofen (Motrin) c. Furosemide (Lasix) d. Propanolol hydrochloride (Inderal LA)

B

A client who has undergone a colostomy several days ago is reluctant to leave the hospital and has not yet looked at the ostomy site. Which measures are most likely to promote coping? Select all that apply. a. Remind the client frequently that he will be responsible for caring for the colostomy at home b. Ask a member of the local ostomy club to visit with the client before discharge c. Ask the enterostomal nurse specialist to consult with the client before discharge d. Remind the client frequently that infection is a major complication of a colostomy e. Ask the client to begin doing one part of the ostomy care and increase tasks daily

B,C,E

A client with a peptic ulcer is scheduled for a vagotomy and the client asks the nurse about the purpose of this procedure. The nurse tells the client that a vagotomy: a. Halts stress reactions b. Heals the gastric mucosa c. Reduces the stimulation of acid secretions d. Decreases food absorption in the stomach

C

A client with a possible hiatal hernia complains of frequent heartburn and regurgitation. Which sign or symptom would support this diagnosis? a. Severe dizziness after meals b. Left lower quadrant pain 2 hours after eating c. Difficulty swallowing both liquids and solids d. Moderate right upper quadrant pain unrelated to eating

C

A nurse is assisting with the insertion of a nasogastric tube into the client. The nurse places the client in which position for insertion? a. Right side b. Low fowler's position c. High fowler's position d. Supine with the head flat

C