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A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

Assess orthostatic blood pressure

The nurse is performing discharge teaching for a client with chronic pancreatitis. Which information should the nurse include?

Avoid caffeine because it may aggravate symptoms.

A nurse is reviewing a medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

B. Hx of NSAID use

What is the main treatment for a patient with acute diverticulitis?

B. Nasogastric tube and intravenous (IV) fluids

A nurse is caring for a client who has PUD. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

B. Sudden abdominal pain

A nurse is caring for a client who has a postop ileus and an NG tube that has drained 2500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

B. decreased potassium level

A client who is receiving total parenteral nutrition (TPN) reports experiencing nausea, thirst, and a headache. Which clinical factor should the nurse monitor initially to further assess the client's status?

Blood glucose

A client just has returned from the postanesthesia care unit after having a laparotomy. Which sign or symptom indicates to the nurse that peristalsis has begun to return?

Borborygmi are auscultated

A nurse is reviewing the providers prescription for a client experiencing a paralytic ileus following an appendectomy. Which of the following actions should the nurse expect to take?

C) insert a nasogastric tube

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point?

C) right lower quadrant

A nurse is caring for a three year old child who has been admitted with acute diarrhea and dehydration which of the following findings indicate that oral rehydration therapy has been effective?

C) urine specific gravity of 1.0 15

A nurse is caring for a client who has cancer and is receiving TPN. Which of the following lab values indicates the tx is effective?

C. Albumin 4.2

A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching?

C. Avoid eating w/in 3 hrs of bedtime

The patient had an ileostomy 4 days earlier and has a daily drainage of 1800 mL. What action should you take?

C. Document the findings.

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include?

C. Eat 4 small meals each day

Which of the following interventions should be included in the medical management of Crohn's disease?

C. Using long-term steroid therapy

The proper order of assessment of the abdomen is:

C. inspection, auscultation, percussion, palpation

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?

C. monitor daily lab values and report as needed

A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?

C: Witch hazel compresses are suggested to reduce anal irritation and discomfort

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

Cheddar cheese

Which of the following nursing interventions should be implemented to manage a client with appendicitis?

D. Assessing for symptoms of peritonitis

If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn's disease or ulcerative colitis?

D. Colonoscopy with biopsy

A nurse is assessing a client who has PUD peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

D. Hematemesis

A nurse is providing discharge teaching to a client who has gastroesophogeal reflux disease. Which of the following statements by the client indicates an understanding of the teaching?

D. I will sleep w/my head of bed elevated

A nurse is teaching a client who has a new prescription for sucralfate to tx a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

D. I will take this med 1 hr before meals and at bedtime

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

D. Reduced dyspepsia

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

Decrease the client's fluid intake

The nurse is caring for a client with acute pancreatitis and is monitoring the client for paralytic ileus. Which piece of assessment data should alert the nurse to this occurrence?

Inability to pass flatus

A nurse is assessing a client's abdomen who reports stomach pain. Which of the following actions should the nurse take first?

Inspect

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

Lie on your right side when sleeping

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

Lower the height of the solution container

An older adult client who is accustomed to taking enemas periodically to avoid constipation is admitted to a long-term care facility. In addition to medications, the health care provider prescribes bed rest and a regular diet. Which action should be implemented to help prevent the client from developing constipation?

Offer a large glass of prune juice with warm water each morning.

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluids?

Oral rehydration solution

A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?

Place the infant in an infant seat

A nurse is providing teaching to a client who has peptic ulcer disease and has a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Take sucralfate 1 hr before meals

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

The client should follow a high-fiber diet to establish bowel regularity

The nurse is caring for a client with ascites who is scheduled for a paracentesis. The client teaching will include:

The need to empty the bladder immediately before the procedure

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse understanding of the procedure?

They are going to examine my gallbladder and ducts

The nurse is teaching a patient with gallbladder disease about diet modification. Which meal does the nurse suggest to the patient?

Turkey sandwich on wheat bread

A client with peptic ulcer disease states that stress frequently causes exacerbation of the disease. The nurse determines that which item mentioned by the client is most likely to be responsible for the exacerbation?

Use of alcohol

fter performing an initial abdominal assessment on a client with nausea and vomiting, the nurse should expect to note which finding?

Waves of loud gurgles auscultated in all 4 quadrants

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan?

Wipe the perianal area with warm water and apply a barrier cream

Which menu choice by the patient with diverticulosis is best for preventing diverticulitis?

a. Navy bean soup and vegetable salad

client has GERD (gastroesophageal reflux disease) what foods should nurse tell him to avoid

chocolate

A nurse is teaching a client who has a hx of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

chronic blood loss

when should a patient with acute pain from subtotal gastric resection ask for pain meds

client should call for pain meds before the previous dose of meds wears off or before the pain becomes severe

A 64-year-old woman who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

d. Large amounts of fluid should be taken to prevent impaction or bowel obstruction.

After several days of antibiotic therapy, an older hospitalized patient develops watery diarrhea. Which action should the nurse take first?

d. Place the patient on contact precautions.

nurse is teaching a client who has a prescription of an NG tube to treat pyloric obstruction. What rational for the use of the NG tube should the nurse include in the teaching

decompress the stomach

nurse is teaching a patient with GERD what should she include

eat 4 small meals each day bcuz large meals put too much pressure on the stomach

patient with chronic constipation should use what herbal supplement

flaxseed

A nurse is caring for a client following an esophagogastrodudenoscopy (EGD). Which of the following assessments is the nurse's priority?

gag reflex

A nurse is caring for a client who has cancer and a new prescription for ondansetron to tx chemo-induced nausea. For which of the following adverse effects should the nurse monitor?

headache

what is a priority finding in a patient with peptic ulcer disease

hematemesis (indicative of massive bleeding)

A patient has been diagnosed with cholecystitis (gall bladder inflammation) that has impaired the normal release of bile. Which of the following gastrointestinal consequences is this patient likely to experience?

impaired digestion of fats

The nurse is caring for a client with acute pancreatitis and is monitoring the client for paralytic ileus. Which assessment data would alert the nurse to this occurrence?

in ability to pass flatus

nurse is teaching a client who reports constipation. what instruction should the nurse include in teaching

increase dietary intake of raw vegetables

examples of food high in fiber for tx of constipation

kidney beans, blackberries, whole wheat bread

the nurse should tell a patient with GERD to sleep on what side to minimize effects of reflux during sleep

lay on right side

A client with acute pancreatitis is experiencing severe pain from the disorder. The nurse determines that education about positioning to reduce pain was effective if the client avoids which action?

lying flat

nurse is caring for patient with chron's disease and is receiving parenteral nutrition, which intervention should nurse include

monito lab values and report as needed

nurse caring for 6 moth old infant who has prescription for clear liquids by mouth after a repeat of an intussusception, what fluids should nurse select for infant

oral electrolyte solution

gastric outlet obstruction caused by edema, scarring spasm and is often the result of gastritis or peptic ulcer disease

pyloric obstruction

patient on long term omeprazole reports what which is indicative of its effectivity

reduced dyspepsia

what should nurse tell client with GERD about omeprazole

report diarrhea to provider bcuz this drug is associated with c.diff infection

client has peptic ulcer disease. the nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation

sudden abdominal pain

nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for what

to identify delayed gastric emptying

nurse is creating plan of care to maintain skin integrity who experiences frequent diarrhea due to ulcerative colitis which intervention should nurse include

wipe perineal area with warm water and apply barrier cream

The nurse is providing dietary instructions to a client hospitalized for pancreatitis. Which food should the nurse instruct the client to avoid?

.Chili

A client presents to the emergency department with upper gastrointestinal bleeding and is in moderate distress. In planning care, what is the priority nursing action for this client?

1.Assessment of vital signs

The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. Which items should the nurse include on this list? Select all that appl

1.Coffee2.Chocolate3.Peppermint5.Fried chicken

The nurse inspects the color of the drainage from a nasogastric tube on a postoperative client approximately 24 hours after gastric surgery. Which finding indicates the need to notify the health care provider (HCP)?

1.Dark red drainage

A client is admitted to the hospital with a diagnosis of acute diverticulitis. What should the nurse expect to be prescribed for this client?

1.NPO (nothing by mouth) status

he nurse teaches the client about an anti-ulcer diet. Which of the following statements by the client indicates to the nurse that dietary teaching was successful?

2. "I can eat most foods, as long as they don't bother my stomach."

A home care nurse visits a client who was recently diagnosed with cirrhosis. The nurse provides home care management instructions to the client. Which client statement indicates a need for further instruction?

2."I will take acetaminophen if I get a headache."

The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, should the nurse report to the health care provider (HCP)?

3.Rebound tenderness

A nurse is monitoring the urinary output of an adult client who had a colon resection. Which of the following 24 hr output totals indicates oliguria?

380

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer?

4.A rigid, boardlike abdomen

A nurse is caring for an older adult client who has had surgery for intestinal obstruction and has a NG tube to wall suction. Which of the following intervention should the nurse include in the clients post operative plan of care? (Select all that apply)

A) discontinue suctioning when assessing for peristalsis B) irrigate the NG tube with 0.9 sodium chloride irrigation solution c play sequential compression devices on bilateral lower extremity's D) reposition the client from side to side every two hours

A nurse is teaching a client who has constipation about a high fiber diet. Which of the following foods should be included as a source of fiber? (Select all that apply)

A) kidney beansB) blackberryD) whole wheat bread

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestation should indicate to the nurse that the child's appendectomy is perforated?

A) sudden decrease in abdominal pain

Gallstones usually result in biliary symptoms by causing inflammation or obstruction following migration into the common bile duct or:

A. Cystic duct.

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply)

A. Poor skin turgor C. Hypotension E. Flat neck veins

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

A. Review the client's electrolyte values

The client is experiencing bleeding related to peptic ulcer disease (PUD). Which nursing intervention is the highest priority?

A. Starting a large-bore intravenous (IV)