GI Quiz

A patient with a bleeding duodenal ulcer has a NG tube in place, and the health care provider orders 30 ml of aluminum hydroxide/magnesium hydroxide (Maalox) to be instilled through the tube every hour. To evaluate the effectiveness of this treatment, the nurse: A. periodically aspirates and tests gastric pH B. measures the amount of residual stomach contents hourly C. monitors arterial blood gas volume on a daily basis D. checks each stool for the presence of occult blood

A

A patient who is nauseated and vomiting up blood streaked fluid is admitted to the hospital with acute GI distress. When obtaining the admission health history , it will be important for the nurse to ask the patient about: A. frequency of nonsteroidal anti-inflammatory drug (NSAID) use B. family history of gastric problems C. recent weight gain or loss D. the amount of fat in the diet

A

Twelve hours after undergoing a gastroduodenostomy (Billroth I) for treatment of a perforated ulcer, a patient complains of increasing abdominal pains. The nursing asessment reveals an absence of bowel sounds and 200ml of bright red NG drainage in the last hour. The most appropriate action by the nurse at this time is to: A) Notify the health care provider B) irrigate the NG tube C) administer the ordered morphone sulfate D) continue to monitor the NG drainage

A

In a client with a stone lodged in the cystic duct, the nurse would expect to observe (select all that apply): A. beginning jaundice, dark urine, and clay colored stool B. burning and frequency in voiding, cloudy urine C. colicky pain after a fatty meal D. petechiae, melena, and possible hematemesis

A, C

When admitting a patient with a stroke who is unconscious and unresponsive to stimuli, the nurse learns from the patient's family that the patient has a history of GERD. The nurse will plan to do frequent assessments of the patients: A. Bowel sounds B. Breath sounds C. Apical pule D. Abdominal girth

B

The client diagnosed with liver problems asks the nurse, "Why are my stools clay-colored?" On which scientific rationale should the nurse base the response? A. There is an increase in serum ammonia level B. The liver is unable to excrete bilirubin C. The liver is unable to metabolize fatty foods. D. A damaged liver cannot detoxify vitamins.

B

A client has a suspected peptic ulcer in the duodenum. What should the nurse expect the client to report when describing the pain associated with this disease? A. an ache radiating to the left side B. an intermittent colicky flank pain C. a gnawing sensation relieved by food D. a generalized abdominal pain intensified by moving

C

A patient with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole (Flagyl). The nurse explains, "Antifungals and antibiotics are prescribed to: A. augment the immune response B. potentiate the effect of antacids C. treat Helicobacter pylori infection D. reduce hydrochloric acid secretion

C

A patient with recurring heartburn receives a new prescription for exomeprazole (Nexium). In teaching the patient about this medication, the nurse explains that this drug: A) reduces the reflux of gastric acid by increasing the rate of gastric emptying B) coats and protects the lining of the stomach and esophagus from gastric acid C) treats gastroesophageal reflux disease by decreasing stomach acid production D) neutralizes stomach acid and provides relief of symptoms in a few minutes

C

After a cholecystectomy, a client asks why he has to have a nasogastric (NG) tube. The nurse states that the purpose of the NG tube is to: A. Administer high-caloric liquid feedings. B. Facilitate collection of gastric secretions C. Prevent postoperative distention D. simplify administration of medications

C

A client with gastroesophageal reflux disease (GERD) should make diet and lifestyle changes. What instructions should the nurse include in the clients discharge teaching? Select all that apply: A. add milk to coffee B. elevate the foot of the bed C. avoid caffeine-containing products D. eat three evenly spaced meals daily E. chew thoroughly while eating slowly

C, E

A client has an open cholecystectomy and exploration of the common bile duct with a Jackson-Pratt drain in place. Due to the location of the incision an important nursing action is to encourage the client to: A. lie on the unoperative side B. remain in a semi-Fowler position C. splint the incision when moving D. turn, cough, and breathe deepy

D

A client is scheduled for a pyloroplasty and vagotomy because of strictures caused by ulcers unresponsive to medical therapy. What information about the purpose of a vagotomy should the nurse include when reviewing the health care providers discussion with the client? A. Increases the heart rate B. Hastens gastric emptying C. Eliminates pain sensations D. Decreases secretions in the stomach

D

A patient who has recently been experiencing frequent heartburn is seen in the clinic. The nurse will anticipate teaching the patient about: A. Endoscopy procedures B. Barium swallow C. Radionuclide test D. Proton pump inhibitors

D

A patient who is vomiting bright red blood is admitted to the emergency department. Which assessment should the nurse accomplish first? A. Measuring the quantity of any emesis B. Checking the level of consciousness C. Auscultating the chest for breath sounds D. Taking the BP and pulse

D