GI/GU

A nurse is providing preoperative teaching to a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which of the following responses should the nurse make?

" A colostomy is from the large intestine, and an ileostomy is from the small intestine"

A nurse is preparing a community program about hepatitis B. Which of the following statements should the nurse include in the teaching?

" A hepatitis B immunization is given to infants and children"

A nurse is teaching a newly licensed nurse about caring for a client who has a new left arteriovenous fistula. Which of the following statements should the nurse make?

" Avoid taking a blood pressure on the client's left arm"

A nurse is providing postoperative teaching about the management of dumping syndrome to a client who had a partial gastrectomy. Which of the following instructions should the nurse include in the teaching?

" Eat protein with each meal"

A nurse is performing discharge teaching about ostomy care while at home for a client who has a newly places ileostomy. Which of the following instructions should the nurse include in the teaching?

" Empty your ostomy pouch when it becomes half full"

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make?

" Expect to have pink-tinged urine after this procedure"

A nurse is providing teaching to a client who is preoperative prior to a transurethral resection of the prostate (TURP). Which of the following client statements indicates an understanding of the information?

" I will feel the urge to urinate following this procedure"

A nurse is teaching a client who has spinal cord injury to perform intermittent urinary self- catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?

" I will perform intermittent catheterization every 2 to 3 hr"

A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs). Which of the following client statements indicates the need for additional teaching?

" I will use a vaginal douche daily"

A nurse is caring for a client who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks the nurse why he has to stay in bed, which of the following responses should the nurse provide?

" Lying quietly in bed helps slow down the activity in your intestines"

A nurse is caring for client who has colitis and reported increased exacerbations due to stress at work. Which of the following responses should the nurse make?

" Perhaps we should review your coping mechanisms and talk about other alternatives"

A nurse is teaching a client with Barrett's esophagus who is scheduled to undergo an esophagogastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching?

" This procedure can determine how well the lower part of your esophagus works"

A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?

" Wipe from front to back after defecation"

A nurse is teaching a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching?

" You should complete the entire cycle of antibiotic therapy"

a nurse is providing teaching to a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make?

" you will need to be on bed rest following the procedure"

A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include? (Select all that apply)

- Diaphoresis - Palpations - Shakiness

A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse teach the client to perform? (Select all that apply)

- Empty the bag when it is one-third to one-half full - Cut the skin barrier opening a little larger than the ostomy - Wash the peristomal skin with mild soap and water

A nurse is caring for a client who has manifestations of acute tubular necrosis (ATN) following kidney transplantation. Which of the following interventions should the nurse anticipate for this client? (Select all that apply)

- Hemodialysis - Biopsy - Immunosuppression

A nurse is admitting a client who has cirrhosis. Which of the following prescriptions should the nurse anticipate? (Select all that apply)

- Obtain the client's PT and INR measurements - Administer lactulose 30 mL PO 4 times daily - Obtain daily weight and abdominal girth measurements - Administer a daily multivitamin

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take?

- Place the client in Semi- fowler's position

A nurse in a provider's office is assessing a client who has GERD. the nurse should expect the client to report which of the following manifestations? (Select all that apply)

- Regurgitation - Nausea - Belching - Heartburn

A nurse is providing teaching to a client who has gout and urolithiasis. The client ask how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? (Select all that apply)

- Take allopurinol as prescribed - Exercise several times a week - Limit intake of foods high in purine

A nurse is caring for a client who us 2 days postoperative following gastric surgery and has a NG tube inserted. Which of the following findings should the nurse report to the provider?

200 mL of bright red drainage from the NG tube

A nurse is presenting an in-service training session about nutrition. How many of the amino acids must be obtained from dietary intake?

9

A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition?

Alcohol use

A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should return to the expected reference range within 72 hr of treatment beginning?

Amylase

A nurse is assessing a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect?

Anorexia

A nurse is assisting a provider with performing a paracentesis on a client. Which of the following actions should the nurse take?

Ask the client to empty his bladder before the procedure

A nurse is developing a plan of care for a client who has gastroesophageal reflux disease (GERD). The nurse should plan to monitor the client for which of the following complications?

Aspiration

A nurse is teaching a client about urinary tract infections (UTIs). Which of the following manifestations should the nurse include?

Back pain

A nurse in a provider's office is assisting a client who has GERD. When documenting the client's history, the nurse should expect the client to report that symptoms worsen with which of the following actions?

Bending over

A nurse is obtaining a guaiac test from a client. This test is performed to detect which of the following?

Blood in stool

A nurse is assessing a client who is 4 hr postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse expect?

Blood-tinged urine in the drainage bag

A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse expect?

Blumberg's sign

A nurse is caring for a client who has recovered from acute diverticulitis. The nurse should instruct the client to increase his intake of which of the following foods when the inflammation subsides?

Cabbage and peaches

A nurse is providing dietary teaching a client who has late-stage chronic kidney disease (CKD). Which of the following nutrients should the nurse instruct the client to increase in her diet?

Calcium

A nurse is caring for a client who is in the oliguric- anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpations, and muscle tingling and weakness. Which of the following actions should the nurse take first?

Check the client's electrolyte values

A nurse is caring for a client who had a nephrostomy tube inserted 8 hours ago. Which of the following actions should the nurse include in the client's plan of care?

Check the skin at the nephrostomy site for irritation from urine leakage

A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding?

Clear liquids

A nurse is assessing a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report to the provider immediately?

Cloudy effluent

A nurse is caring for a client who has diverticulitis and a new prescription for a low-fiber diet. Which of the following food items should the nurse remove from the client's meal tray?

Coleslaw

a nurse is caring for a client who has gastrointestinal bleeding. The provider suspects bleeding lesion in the colon. The initial approach to treatment likely will involve which of the following procedures?

Colonoscopy

A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority?

Coughing and deep breathing exercises

A nurse is caring for a client who is 3 days postoperative following abdominal surgery. The client states, "something just popped when I coughed". Which of the following actions should the nurse take first?

Cover the client's wound with a sterile, moist dressing

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

Decrease the client fat intake

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP). After the nurse discontinues the client urinary catheter, which of the following findings should the nurse report to the provider?

Decreased urine output

A nurse is teaching a client who has cirrhosis of the liver and a history of alcohol consumption. The nurse should explain that alcohol can cause liver cirrhosis through which of the following actions?

Destroying liver cells that are later replaced with scar tissue

A nurse is caring for a child who has her spleen removed following a bicycle accident. The child's parent asks the nurse about the role of the spleen in the body. The nurse should explain that the spleen performs which of the following functions?

Destroys old blood cells

A nurse is caring for a client from the middle east who as celiac disease. Which of the following actions should the nurse perform regarding the client's diet?

Determine the client's dietary preferences

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?

Diaphoresis

A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile?

Digesting fats

A nurse is conduction dietary teaching with a client who has a history of renal calculi. Which of the following instructions should the nurse include in the teaching?

Drink 3.8 L (4 qt) of water throughout the day

A nurse is updating the plan of care for a client who has dumping syndrome. Which of the following instructions should the nurse include?

Eat a source of protein with each meal

A nurse is teaching a client who has a colonoscopy about ways to reduce flatus and odor. Which of the following strategies should the nurse include?

Eat crackers and yogurt regularly

A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect?

Emesis with a coffee- ground appearance

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take.?

Empty the drainage bag when half- full of urine

A nurse is caring for a client who has an acute exacerbation of Crohn's disease. Which of the following actions should the nurse take?

Ensure bowel rest

A nurse is providing dietary teaching to a client who has diverticulitis about preventing acute attacks. Which of the following foods should the nurse recommend?

Foods high in fiber

A nurse is caring for a client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use?

Gamma-glutamyl transferase (GGT)

A nurse is teaching dietary-modification strategies to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend?

Grilled chicken

A nurse is providing dietary teaching to a client who has chronic renal failure. Which of the following food choices by the client indicates an understanding of the teaching?

Grilled fish

A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the following indicates that the client is developing dialysis disequilibrium syndrome (DDS)?

Headache

A nurse is assessing a client who has been brought to the emergency department following a motor-vehicle crash. Which of the following findings is a manifestation of bladder trauma?

Hematuria

A nurse is assessing a client who has a complete intestinal obstruction. Which of the following findings should the nurse expect?

Hyperactive bowel sounds above the obstruction

A nurse is caring for a client who has chronic glomerulonephritis with oliguria. For which of the following electrolyte imbalances should the nurse monitor?

Hyperkalemia

A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following client statements should the nurse provide further teaching?

I prefer taking tub baths to showering"

A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. Which of the following topics should the nurse include?

Importance of colonoscopy screening stating at age 50 years old

A nurse is monitoring the laboratory results of a client who has end-stage liver failure. Which of the following results should the nurse expect?

Increased prothrombin time

A nurse is planning an in-service training regarding nutrition. Which of the following minerals should the nurse identify as involved in oxygen transportation?

Iron

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. The nurse notes no drainage in the client's urinary drainage bag over 1 hr. Which of the following actions should the nurse take?

Irrigate the indwelling urinary catheter with a syringe

A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports nausea, which of the following actions should the nurse take first?

Irrigate the tube with normal saline solution

A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include?

Limit fluid intake?

A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate for this client?

Liver transplant

A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching?

Maintain supine position after meals

A nurse is assessing a client who has acute kidney injury (AKI). According to the RIFLE classification system, which of the following indicates that the client has end-stage kidney disease?

No urine output without renal placement therapy for more than 3 months

A nurse is planning care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following actions should the nurse include in the client's plan of care?

Offer the client a bedpan every 2 hr

A nurse is recommending dietary modifications for a client who has GERD. The nurse should suggest eliminating which of the following foods from the client's diet?

Oranges and tomatoes

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Peritonitis

A nurse is teaching a newly licensed nurse about collecting a 24-hr urine specimen for creatine clearance. Which of the following instructions should the nurse include?

Place signs in the bathroom as a reminder about the test in progress

A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider?

Potassium 3.0 mEq/L

A nurse is caring for a client who had a gastric resection to treat adenocarcinoma of the stomach. The client tells the nurse in the PACU that he does not remember why the surgeon said he had to have a tube in his nose. The nurse should explain that the NG tube serves which of the following purposes?

Prevents excessive pressure on suture lines

A nurse is teaching a client with chronic kidney disease about pre-dialysis dietary recommendations. The nurse should recommending restricting the intake of which of the following nutrients?

Protein

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure?

Prothrombine time

A nurse is caring for a client who is postoperative following a laparotomy. The client has an indwelling urinary catheter and a Jackson- Pratt drain in place. Which of the following findings indicated that the client is developing a postoperative complication?

Pulse oximetry of 85%

A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain. Which of the following is the priority nursing action.

Relieve the client's pain

A nurse is caring for a client who is 4 hr postoperative following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect?

Right shoulder pain

A nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings indicates that a possible bowel perforation has occurred?

Rigid abdomen

A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of the following food selections by the client indicated an understanding of the teaching?

Roast chicken and rice

A nurse is caring for a client who has cholelithiasis and will undergo a cholecystectomy. The client states she does not understand how she will be alright without her gallbladder. The nurse should explain to the client that which of the following is the main function of the gallbladder?

Storing bile

A nurse is performing a gastrointestinal assessment of a client who has liver cirrhosis with abdominal distention. Which of the following actions should the nurse take to assess for changes in the client's abdominal distention?

Take serial measurements of the abdomen with a tape measure

A nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an esophagogastric balloon tamponade tube to treat bleeding esophageal varices. Which of the following pieces of information should the nurse include in the teaching?

The client will be placed on mechanical ventilation prior to this procedure

A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the following findings requires intervention?

The head of the bed is elevated to 20 degree

A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy (EGD). The nurse should identify that this procedure is for which of the following reasons?

To detect an ulceration in the stomach

A nurse enters a client's room and notes smoke coming from a wastebasket in the adjacent bathroom. Which of the following actions should the nurse take first?

Transport the client to an area away from the smoke

A nurse is caring for a client who has just returned from the surgical site following a right nephrectomy. Which of the following indicates that the client is meeting a successful short-term goal following this procedure?

Urinary output is 35 to 50 mL/hr consistency

A nurse is preparing a client who is scheduled for an intravenous pyelogram (IVP). Which of the following findings should the nurse report to the provider?

Vomiting and diarrhea for the last 6hr

A nurse is providing teaching to the guardian of a child who has celiac disease. Which of the following foods should the nurse instruct the guardian to omit from the child's diet?

Wheat bread

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray?

Wheat toast

A nurse is caring for a client who has acute diverticulitis. While the client has active inflammation, the nurse should instruct the client to include which of the following foods in her diet?

White bread and plain yogurt

A nurse is providing teaching to a client who has constipation. Which of the following instructions should the nurse include?

eat yogurt with live cultures