GI System
A nurse is caring for a client who is receiving TPN solution. The current bag of solution was hung 24 hrs ago and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to take? A. Remove the current bag and hang a new bag B. Infuse the remaining solution at the current rate and then hang a new bag C. Increase the infusion rate so the remaining solution is administered within the hour and hang a new bag. D. Remove the current bag and hang a bag of Lactated Ringers.
A
A nurse is having difficulty arousing a client following an esophogogastroduodenoscopy (EGD). Which of the following is the priority action by the nurse? A. Assess the clients airway B. Allow the client to sleep C. Prepare to administer an antidote to the sedative. D. Evaluate preprocedure laboratory findings.
A
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching? A. Check with the provider about taking current medications when consuming bowel prep. B. Consume a normal diet until starting the bowel prep. C. Expect the bowel prep to not begin acting until the day after all the prep is consumed. D. Discontinue the bowel prep once feces starts to be expelled.
A
A nurse is completing preprocedure teaching for a client who will undergo a sigmoidoscopy. Which of the following should the nurse include in the teaching? (Select all that apply) A. Increased flatulence can occur following the procedure. B. NPO status should be maintained preprocedure. C. Conscious sedation is used. D. Repositioning will occur throughout the procedure. E. Fluid intake is limited the day after the procedure.
A, B
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Take medication 1 hr before a meal B. Limit NSAIDs when taking this medication C. Expect skin flushing when taking this medication D. Increase fiber intake when taking this medication E. Chew the medication thoroughly before swallowing
A, B
A nurse in the emergency department is completing an assessment of 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) A. Rigid abdomen B. Tachycardia C. Elevated blood pressure D. Circumoral cyanosis E. Rebound tenderness
A, B, E
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions for which of the following medications? (Select all that apply) A. Antacids B. Histamine 2 receptor antagonists C. Opioid analgesics D. Fiber laxatives E. Proton pump inhibitors
A, B, E
A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following interventions should be included in the plan of care? (Select all that apply) A. Obtain a capillary blood glucose four times daily B. Administer prescribed medications through a secondary port on the TPN IV tubing. C. Monitor vital signs three times during a 12 hr shift D. Change the TPN IV tubing every 24 hrs. E. Ensure a daily aPTT is obtained.
A, C, D
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding? A. Absence of saliva B. Loss of tooth enamel C. Sweet taste in mouth D. Absence of eructation
B
A nurse is providing care to a client who is 1 day postoperative following a paracentesis. The nurse observes clear, pale- yellow fluid leaking from the operative site. Which of the following is an appropriate answer? A. Place a clean towel near the drainage site. B. Apply a dry, sterile dressing C. Apply direct pressure to the site D. Place the client in a supine position.
B
A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching? A. "I can take my medications with soda." B. "Peppermint tea will increase my indigestion." C. "Wearing an abdominal binder will limit my symptoms." D. "I will drink hot chocolate at bedtime to help me sleep." E. "I can lift weights as a way to exercise."
B
A nurse is completing discharge teaching for a client who has an infection due to Heliobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching? A. "I will continue my prescription for corticosteroids." B. "I will schedule a CT scan to monitor improvement." C. "I will take a combination of medications for treatment." D. "I will have my throat swabbed to recheck for this bacteria."
C
A nurse is completing discharge teaching for a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching? A. "When sitting in my lounge chair after a meal, I will lower the back of it." B. "I will try to eat three large meals a day." C. "I will elevate the head of my bed on blocks." D. "When sleeping, I will lay on my left side."
C
A nurse is completing 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? A. Mucus will be present in stool for 5 to 7 days after surgery. B. Expect 500 to 1,000 mL of semi liquid stool after 2 weeks C. Stoma should be moist and pink D. Change the ostomy bag when it is 3/4 full
C
A nurse is reviewing the health record of a client who has a suspected tumor the jejunum. The nurse should anticipate a prescription for which of the following tests? (Select all that apply) A. Serum alpha-fetoprotein B. Endoscopic retrograde cholangiopancreatograpgy (ERCP) C. Gastrointestinal X-ray with contrast D. Small bowel capsule endoscopy (M2A) E. Colonoscopy
C, D
A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (Select all that apply) A. Client reports pain relieved by eating B. Client states that pain often occurs at night C. Client reports a sensation of bloating D. Client states that pain occurs 30 min to 1 hr after a meal E. Client experiences pain upon palpation of the epigastric region
C, D, E
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three specimens. Which of the following statements by he client indicates understanding of the teaching? A. "I will continue taking my warfarin while I complete these tests." B. "I'm glad I don't have to follow any special diet this time." C. "This test determines if I have parasites in my bowel." D. "This is an easy way to screen for colon cancer. "
D
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications? A. Propranolol B. Metoclopramide C. Ranitidine D. Vasopressin
D
A nurse is caring for a client following a paracentesis. Which of the following indicate the bowel was perforated during the procedure? A. Client report of upper chest pain B. Decreased urine output C. Pallor D. Temperature elevation
D
A nurse is teaching a client who has a new diagnosis of dumping syndrome following a gastric surgery. Which of the following information should the nurse include in the teaching? A. Eat three moderate sized meals a day B. Drink at least one glass of water with each meal C. Eat a bedtime snack that contains a milk product D. Increase protein in the diet
D
