Gi questions

A female client who has just been diagnosed with hepatitis A asks, "How could I have gotten this disease?" What is the nurse's best response? "A. "You may have eaten contaminated restaurant food." b. "You could have gotten it by using I.V. drugs." c. "You must have received an infected blood transfusion." d. "You probably got it by engaging in unprotected sex.""

A. You may have eaten contaminated restaurant food

Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: a. a sedentary lifestyle and smoking. b. a history of hemorrhoids and smoking. c. alcohol abuse and a history of acute renal failure. d. alcohol abuse and smoking.

Alcohol abuse and smoking

A male client has just been diagnosed with hepatitis A. On the assessment the nurse expects to note

Anorexia, nausea, n vomiting

To prevent gastroesophageal reflux in a male client with hiatal hernia, the nurse should provide which discharge instruction

Avoid coffee and alcoholic beverages

The nurse devises a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance? A. Eat animal protein and dark leafy vegetables each day B. Avoid exposure to others with acute infection C. Practice yoga and meditation to decrease stress and anxiety D. Get 8 hours of sleep at night and take naps during the day

Avoid exposure to others with acute infection

The nurse would instruct the client to eat which of the following food to obtain the best supply of vitamin B12

Meats and dairy products

Mandy, an adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the plan of care for this client, the nurse is most likely to include which nursing diagnosis? a. Hopelessness b. Powerlessness c. Chronic low self esteem d. Deficient knowledge

Chronic low self esteem

vegetarian client was referred to a dietitian for nutritional counseling for anemia. Which client outcome indicates that the client does not understand nutritional counseling? The client: A Adds dried fruit to cereal and baked goods B Cooks tomato-based foods in iron pots C Drinks coffee or tea with meals D Adds vitamin C to all meals

Drinks coffee or tea with meals

Which of the following factors can cause Hep A

Eating contaminated shellfish

What laboratory finding is the primary diagnostic indicator for pancreatitis

Elevated serum lipase

A male client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of

Increase fluid intake to prevent dehydration

The nurse understands that the client with pernicious anemia will have which distinguishing laboratory findings

Intrinsic factor, absent

While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which structure? a) Spleen b) Appendix c) Liver d) Sigmoid colon

Liver

"When preparing a male client, age 51, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis? "a. Obstruction of the appendix may increase venous drainage and cause the appendix to rupture. b. Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix. c. The appendix may develop gangrene and rupture, especially in a middle-aged client. d. Infection of the appendix diminishes necrotic arterial blood flow and increases venous drainage."

Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation and rupture of the appendix

A female client with dysphasia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?

The client is free from esophagitis and achalasia

A female client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions the nurse should

Wash the hands after touching the client

A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client the nurse expects to note

Yellow sclera