The stomach

After teaching a client who has had a roux-en Y gastric bypass, which client statement indicates the need for additional teaching?

"I need to drink 8 ounces of water before eating." After a Roux-en-Y gastric bypass, the client should not drink fluids with meals, withholding fluids for 15 minutes before eating to 90 minutes after eating. Chewing foods slowly and thoroughly, keeping total serving sizes to less than 1 cup, and choosing foods such as breads, cereals, and grains that provide less than 2 g of fiber per serving.

The nurse is instructing a client prior to a colonoscopy. The client states, "Why do I have to drink this disgusting liquid?" The nurse is most correct to verbalize the goal of the oral preparation as which of the following?

"To cleanse the bowel to promote clear visualizations of structures

A nurse is employed as a gastroenterologist's office nurse. When assessing the client, which objective data would provide useful information for diagnosis?

22 IBS loss in 2 months

The nurse fills a tube feeding bag with two 8-oz cans of commercially prepared formula. The client is to receive the formula at 80 mL/hour via continuous gastrostomy feeding tube and pump. How many hours will this bag of formula run before becoming empty?

6 hours Response Feedback: Step 1:2 × 8 oz = 16 oz Step 2:1 oz : 30 mL :: 16 oz : X mL X = 480 mL Step 3: 480 mL / 80 mL = 6 hours

A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which for the following would the nurse include as the primary characteristic associated with this disorder?

A change in bowel habits

The nurse is evaluating the medication list of a client with acute gastritis Which of the medication would create the most concern?

Anti-arthritis medication (Advil) Advil is an NSAID and is contraindicated with peptic ulcer disease or gastric irritation. Digoxin and Lasix have little effects on gastric secretions. Benadryl decreases presence of histamine aggravating hypersecretion in the stomach.

A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?

Assist client to increase dietary fiber.

When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?

Avoid smoking for at least 12 to 24 hours before the procedure.

A client is being evaluated for an esophageal tumor. Which nursing assessment finding presents the greatest concern as a late symptom?

Back pain

Which of the following is an Anti-Ulcer

Carafate

When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract =m which of the following would be the most important?

Checking if the muscous membranes are dry

A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can give me to dissolve them?" What medication does the nurse know may help dissolve the gallstones?

Chenodiol (Chenix)

Which of the following instructions should the nurse include in the teaching plan of a client who has undergone colostomy?

Chew food well

A client clinic and informs the nurse that he is there to see the physician for right upper abdominal discomfort, nausea, and frequent bleeding especially after eating a meal high in fat. What disorder do these symptoms correlate with?

Cholelithiasis

A client is scheduled for an esophagealgastrodudenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for which of the following while would be appropriate the client during the procedure?

Client's tolerance for pain and discomfort

A client is scheduled to have a total colectomy due to a colon mass and is also taking prednisone for asthma. The physician has instructed the client to taper down on the prednisone and discontinue. What negative outcome does the nurse know may occur if the client does not adhere to the instructions?

Delayed or altered tissue healing

The nurse is caring for a patient who has had diarrhea for 3 days . What major problems associated with severe or prolonged diarrhea should the nurse monitor for when caring for this patient? Select all that apply.

Electrolyte imbalances Vitamin deficiencies Dehydration Three major problems associated with severe or prolonged diarrhea include dehydration, electrolyte imbalances, and vitamin deficiencies.

A client who has occasional gastric symptoms, is recieving teaching on how to prevent gastroesophageal reflux disease (GERD). Which statement indicates the client understands the teaching ?

Eliminating bothersome foods will help

A client has a long term care facility informs the nurse that the he is having cramping when tying to have bowel movement, and all that is coming out is liquid. When the nurse reviews the clients last bowel movement history, it is determined that the client has not had a bowel movement in 7 days. What does the nurse understand is most likely occurring with this client?

Encopresis

An elderly client seeks medical attention for a vague complaint of difficulty swallowing. Which of the following assessment findings is most significant as related to this symptoms?

Esophageal tumor

A client has a gastrointestinal tube that enters the stomach through a surgically created opening in the abdominal wall. The nurse documents this as which of the following? a) Jejunostomy tube b) Nasogastric tube c) Orogastric tube d) Gastrostomy tube

Gastronomy tube

A client with esophageal cancer has difficulty in swallowing. Which of the following would be appropriate to help the client achieve improved nutrition?

Give high-protein, semiliquid foods

The nurse would instruct a client who has an appendectomy to avoid which of the following?

Heavy lifting

A client who is recovering from bariatric surgery, is returning from the post anesthesia care unit. Which nursing assessment is of the greatest concern in the immediate postoperative period for this client?

Impaired Gas exchange

A client is complaining of problems with constipation. What dietary suggestions can the nurse inform the client may help facilitate the passage of stool?

Increase dirty fiber

Which of the following interventions would be most appropriate for a client with a hiatal hernia and nursing diagnosis of acute pain related to reflux of gastric secretions?

Inform the client to remain upright for at least 2 hours after meals. Because the client is showing signs of pain related to the pressure and the reflux of gastric secretions, it is essential to inform him or her to remain upright for at least 2 hours after meals because an upright position helps prevent reflux. Encouraging the client to eat frequent, small, well-balanced meals; to avoid alcohol and tobacco products; and to eat slowly and chew foods thoroughly would be appropriate for a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements.

When examining the abdomen of a client with complaints of nausea and vomiting, which of the folllowing would the nurse do first?

Inspection

The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment?

Inspection, auscultation, palpation, percussion

A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease the client's discomfort?

Keeping the head of the bed elevated

Which nursing action providers the most reliable means to assess placement of a clients nasogastric tube, prior to each medication administration?

Measure pH of aspirate

When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which of the following interventions should the nurse consider?

Measure the abdominal girth according to a set routine

A client is scheduled to have a laparoscopic cholecystectomy as an outpatient. The client asks the nurse when he will be able to resume normal activities. What information should the nurse provide?

Normal activities may be resumed in 1 week.

A nurse is preparing to administer the prescribed vitamin b12 to a client who has had most of the ileum removed. The nurse understands that this is necessary for which reason?

Prevent deficiencies

A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which of the following would the nurse expect the physician to order most likely?

Prochlorperazine (Compazine) Prochlorperazine is a phenothiazine that inhibits the chemoreceptor trigger zone (CTZ) and the vomiting center in the brain. Odansetron blocks receptors for 5 HT3, affecting the neural pathways involved in nausea and vomiting. Hydroxyzine and promethazine are antihistamines which block H1 receptors resulting in a decrease in stimulation of the CTZ and vomiting.

When interviewing a client with internal hemorrhoids, which of the following would the nurse expect to report?

Rectal bleeding

Which of the following is a medication that directly promotes GI motility?

Reglan

The nurse is assessing a client for fecal impaction, and when inserting a lubricated, gloved finger , the stool feels like small rocks. What does the nurse document this finding as

Scybala

The nurse is providing care to a client who has had a percutaneous liver biopsy. The nurse would monitor the client for which of the following?

Signs and symptoms of bleeding

After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected? a) Large intestine b) Ileum c) Stomach d) Liver

Stomach

The nurse is reviewing the laboratory test results of a client with chrohns disease. Which of the following would the nurse most likely find?

Stool cultures negative for microorganism or parasites

The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized?

The client will change positions frequently throughout the procedure.

A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason?

The client's natural bowel function may become sluggish.

The nurse is assessing a client for the color of jaundice. In which location would the nurse assess for discoloration Select all that apply.

The hard palate The sclera The conjunctiva The gums

In a client receiving radiation therapy to the head, prevention of infection of the teeth and gum is important. Which is the primary nursing care measure that should be taken?

Use of topical antiseptic mouthwash

Which of the following assessment findings would be most important for indicating dumping syndrome in a postgastrectomy client?

Weakness, diaphoresis, diarrhea 90 minutes after eating

A male patient, age 32 was recently married and he and his wife would like to have chilldren. The client is scheduled to have a total colectomy and is concerned with being able to have children. What is the best answer given by the nurse related to the clients concern?

You may want to consider the collection and storing of sperm for later use if you are planning to have children

The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensations is most common?

a warm sensations

The nurse is providing community education at the mall. The nurse is instructing on the muscular tube that connects the mouth to the stomach. The nurse outlines this structure on a drawing and labels it with which of the following?

esophagus

The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?

semiliquid

The nurse is answering questions regarding fecal matter for a client who is scheduled for a colon resection. The client is asking questions regarding the composition of the fecal matter and when it becomes a formed mass. The nurse is most correct to state at which location?

sigmoid colon