Practice GI questions

6. The nurses on a unit are planning for stoma care for clients who have a stoma for fecal diversion. Which stomal diversion poses the highest risk for skin breakdown

Ileostomy

20. Which sign/symptom should the nurse expect to find in a client diagnosed with ulcerative colitis

20 bloody stools a day

11. The maximum safe height at which the container of fluid can be held when administering an enema is

45 cm (18 inches)

4. The nurse is planning the care of a client who has had an abdominal-perineal resection for cancer of the colon. Which intervention should the nurse implement (SATA)

Provide meticulous skin care to stoma, maintain the indwelling catheter, position the client semi-recumbent.

10. Which of the following entries on a client's progress notes is the MOST complete

100 cc of dark green drainage from NG tube.

13. The nurse is explaining the proper use of syrup of ipecac to a group of parents. For which of the following accidental poisonings is the treatment appropriate

Chewable vitamins

1. The nurse is caring for a client with gastroenteritis. Which of the following nursing measures should receive priority in the client's plan of care

Encourage fluids and monitor intake and output.

16. The nurse is caring for a client with cholecystitis. Which clinical manifestation would the nurse expect the client to exhibit

Fever.

9. The nurse is doing an assessment on a client during the first postoperative day after abdominal surgery. Which of the following manifestations does the nurse report immediately

Leg swelling and calf pain.

18. The nurse in the emergency room observes a physician examining a client with possible appendicitis. The physician presses downward on the right lower quadrant of the abdomen and asks the client to instruct him when he feels pain (application of pressure or pressure release). What is the physician assessing for

Rebound tenderness

3. The nurse is assessing a client's GI tract. Which of the following subjective assessments should be included

Rebound tenderness.

5. The HCP performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure

Vital signs

19. In planning the post procedure care for a client who has a barium enema, the nurse should include which of the following? Select all that apply

administer laxatives, increase fluids

7. The nurse is caring for a client who is receiving total PN nutrition. What is the priority nursing action on every eight-hour shift

check urine glucose, acetone and specific gravity.

14. A client with acute viral hepatitis has a serum bilirubin of 3.6 mg/dL on admission. A nurse should expect the client to report

dark orange urine

8. A client is diagnosed with gastroesophageal reflux disease (GERD). The nurse's instruction to the client regarding diet should be to

decrease intake of fatty foods.

21. The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an IMMEDIATE response from the nurse

decreased breath sounds in the right lower lobe.

15. The nurse is caring for a client with peptic ulcer disease. Which of the following observations should the nurse report immediately? Select all that apply

hypotension, restlessness, tachycardia

2. An 82-year-old client complains of chronic constipation. To improve bowel function, the nurse should first suggest

increasing fiber intake to 20-30 grams daily.

17. When preparing a client for insertion of a nasogastric tube, it is essential for the nurse to include which of the following aspects of the procedure

measure the tube from the tip of the nose to the earlobe to the xiphoid process.

12. A client is complaining of epigastric pain after eating. The physician suspects peptic ulcer disease (PUD) and orders a urea breath test for H. pylori. Which would the nurse include in the teaching plan for test preparation

nothing by mouth the night before the test.