GI study set 1

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristics should the nurse expect to see documented in the record?

Diarrhea

A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid?

Lying recumbent after meals

A nurse is caring for a group of clients. Which of the following client findings should the nurse identify as an indication to recommend enternal feedings?

Dysphasia secondary to Parkinson's disease

The nurse is reviewing the prescription of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to note? Select all that apply

Admin antacids, as prescribed Encourage coughing and deep breathing Admin anticholinergics, as prescribed

The client has a PRN prescription for loperamide hydrochloride. The nurse understands that this medication is used for which condition?

An episode of diarrhea

A nurse is caring for a client who has a new diagnosis of GERD. The nurse should anticipate prescriptions for which of the following medications? Select all that apply

Antacids Histamine2 receptor antagonist Proton pump inhibitors

A nurse is providing care to a client who is 1 day post op following a paracentesis. The nurse observes clear, pale yellow fluid leaking from the postoperative site. Which of the following is an appropriate nursing intervention?

Apply a dry, sterile dressing.

A nurse is having difficulty arousing a client following an EGD. Which of the following actions is the nurse's priority?

Check the client airway

A nurse is reinforcing teaching with a client about a bowel prep using polyethylene glycol who will undergo a colonoscopy which of the following instructions should the nurse reinforce?

Check with the provider about taking current medications during the bowel prep

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting in caring for the client should take which action to monitor the effectiveness of treatment?

Checking the frequency and consistency of bowel movements

A nurse is collecting data from a client who has a gastric ulcer. Which of the following findings should the nurse expect? Select all that apply

Client reports a sensation of bloating Client states that pain occurs after meals Client experiences pain upon palpating of the epigastic region

An older client recently has begun taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication?

Confusion

A nurse is collecting data from a client who has GERD. Which of the following findings should the nurse expect?

Loss of tooth enamel

A nurse is assisting with the plan care for a client who has acute gastritis. Which of the following nursing actions should the nurse recommend for the plan of care? Select all that apply

Evaluate I&O Monitor electrolytes Observe stool characteristics

A nurse is reinforcing teaching about pernicious anemia with a client who has gastritis. Which of the following information should the nurse include in the teaching?

Expect a monthly injection of a vitamin B12

A nurse is completing preprocedure imstructions for a client who will undergo a sigmoidoscopy. Which of the following information should the nurse include? (Select all that apply)

Expect more flatulence following the procedure Consume no fluid or food before the procedure

A nurse is assisting with teaching about colon cancer to a group of female clients. Which of the following statements should the nurse include in the teaching?

Fecal occult blood tests should be done annually beginning at age 50

A nurse is reviewing the health record of a client who might have a tumor of the jejunum. The nurse should anticipate a prescription for which of the following tests? (Select all that apply)

GI x-ray with contrast Small bowel capsule endoscopy(M2A)

The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is receiving an optimal intended effect of the medication if the client reports the absence of which symptoms?

Heartburn

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

Hepatitis A

A nurse is reinforcing discharge teaching with a client who is postoperative following fundopliclation. Which of the following statements by the client indicates understanding?

I will elevate the head of my bed on blocks

A nurse is reinforcing discharge teaching with a client who has an infection due to H. Pylori. Which of the following statements by the client indicates understanding?

I will take a combination of medications for treatment

A nurse is reinforcing teaching with a client who has a new prescription for famotidine. Which of the following statements by the client indicates understanding?

I will take my pill 1 hr before meals

A nurse is reinforcing teaching w a client who has a ew diagnosis of dumping syndrome folk gastric surgery. Which of the following information should the nurse include?

Increase protein in the diet

The nurse is preparing to perform an abdominal examination. The initial step should be which?

Inspection

The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. On review of the postoperative prescriptions, which should the nurse clarify?

Irrigating the nasogastric (NG) tube

The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure?

Left Sims position

The nurse reinforces postoperative liver biopsy procedures to a client. Which should the nurse tell the client?

Lie on the right side for 2 hours

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure should the nurse include in client teaching to help prevent dumping syndrome?

Limit the fluids taken with meals.

A nurse is assisting with the plan of care for a client who has a prescription for TPN. Which of the following interventions should the nurse include? Select all that apply

Measure capillary blood glucose four times daily Monitor vital signs three times during the 12 hr shift Change The TPN IV tubing every 24 hr

The client has a prn prescription for ondansetron. For which condition should this medication be administered to the postoperative client?

Nausea and vomiting

A histamine (H2) receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2 receptor antagonist?

Nizatidine Ranitidine Famotidine Cimetidine

The client with a gastric ulcer has prescription for sucralfate 1g by mouth four times daily. The nurse should schedule the medication for which times?

One hour before meals and at bedtime

A nurse is reinforcing teaching with a client who has a hiatal hernia. Which of the following client statements indicates understanding?

Peppermint tea will increase my indigestion

The nurse is reviewing the health care providers prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription should the nurse verify if noted in the clients chart?

Position the client supine and flat

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred?

Protruding and swollen

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

The client who frequently uses nonsteroidal anti inflammatory drugs (NSAIDS) has been taking misoprostol. The nurse determines that the medication is having the intended therapeutic effect if which is noted?

Relief of epigastric pain

A nurse is collecting data from a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? Select all that apply

Rigid abdomen Tachycardia Rebound tenderness

A nurse is reinforcing discharge teaching with a client who is 3 days postoperative following a transverse colostomy. Which of the following should the nurse include in the teaching?

Stoma should be moist and pink

The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence?

Sweating and pallor

A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include? (Select all that apply)

Take medications 1 hr before meals Limit NSAIDs when take this medication

A nurse is monitoring a client following a paracentesis. Which of the following findings indicates bowel perforation?

Temperature Elevation

A client with a peptic ulcer is diagnosed with a H. Pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?

The medications will kill the bacteria and stop the acid production

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test?

The test requires the client to lie still for short intervals

A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three specimens. Which of the following client statements indicates understanding of the instructions?

This is an easy way to screen for colon cancer

A client with ascites is scheduled for paracentesis. The nurse is assisting the health care provider in performing the procedure. Which position should the nurse assist the client into for this procedure?

Upright

A nurse is caring for a client newly admitted with bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Vasopressin

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency?

Vitamin B12

A nurse is reinforcing discharge teaching with a client who has a new prescription for aluminum hydroxide. Which of the following information should the nurse include?

Wait 1 hr before taking other oral medications.

A nurse is reinforcing teaching with a client who has chronic gastritis and is scheduled for a selective bagotomy. Which of the following statements should the nurse include about the purpose of the procedure?

You will have a reduction of gastric acid secretions