48, 49, 50, 51, 52

The nurse is caring for a client who just had a minimally invasive inguinal hernia repair. Which nursing actions would the nurse implement?

Ice to site in the first 24 hours, encourage ambulation within first few hours, deep breathing, assess vitals, rest for several days at home, do not lift more then 10lbs

The nurse assesses a client who has possible gastritis. Which assessment finding(s) indicate(s) that the client has chronic gastritis?

Intolerance of fatty foods, pernicious anemia

A client is admitted with a diagnosis of possible strangulated inguinal hernia. For which complication would the nurse monitor?

Sepsis

The nurse is teaching a client who had a descending colostomy 2 days ago about the ostomy stoma. Which changes in the stoma would the nurse teach the client to report to the primary health care provider?

Stoma becomes dark and dull, skin around stoma becomes excoriated, stoma becomes protruded, stoma retracts into abdomen

A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be appropriate?

a. Arrange a dietary consult.

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect for the client to make an accurate diagnosis?

a. Esophagogastroduodenoscopy (EGD)

A client is preparing to have a laparoscopic restorative proctocolectomy with ileo pouch-anal anastomosis (RCA-IPAA). Which preoperative health teaching would the nurse include?

b. "You should be able to have better bowel continence after healing occurs."

A nurse is caring for a client who has been diagnosed with a small bowel obstruction. Which assessment findings would the nurse correlate with this diagnosis?

Potassium 2.8, abdominal pain upper quadrants and sodium 121

The nurse is caring for a client with probable colorectal cancer (CRC). What assessment findings would the nurse expect?

Rectal bleeding, anemia, change in stool shape, abdominal discomfort

The nurse is caring for a client with a large bowel obstruction due to fecal impaction. What position would be appropriate for the client while in bed?

Semi-fowler

2. A client is admitted with a large oral tumor. What assessment by the nurse takes priority?

Airway

The nurse is teaching a client about risk factors for esophageal cancer. Which risk factors would the nurse include?

Alcohol intake, obesity, smoking, lack of fresh fruits and veggies, untreated GERD

The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to which organ functions or dysfunctions?

Ammonia= liver Lipase = pancreas

A nurse assesses a patient who has celiac disease. Which signs and symptoms would the nurse expect?

Anorexia, constipation and abdominal pain

The nurse is caring for a client who has perineal surgical wound. Which actions would the nurse take to promote comfort and wound healing?

Assist the client into the side-lying positon, apply warm compresses 3-4 times a day and place an absorbent dressing over the wound

1. The nurse recalls that the risk factors for acute gastritis include which of the following?

Aocohol, caffeine, corticosteriods, NSAIDs

The nurse is caring for a client with sialadenitis. What comfort measures are appropriate for this client?

Applying warm compresses and offering fluids every hour

A client has dumping syndrome. What menu selections indicate the client understands the correct diet to manage this condition?

Apricots, potato soup

3. Which of the following is (are) (a) risk factor(s) for gastric cancer? (Select all that apply.)

Archlorhydria, chronic atrophic gastritis, H.Pylori infection, pernicious anemia

The nurse is caring for a client who has a nasogastric tube (NGT). Which actions would the nurse take for client care?

Assess placement every 4 hours, disconnect suction when auscultating bowel peristalsis, monitor the clients skin around the tube for irritation

2. A nurse knows that job-related risks for developing oral cancer include which occupations?

Coal miner, metal worker, plumber, textile worker

The nurse is aware of the most recent American Cancer Society Screening Guidelines for colon cancer, which include which accepted testing modalities for people over the age of 50?

Colonoscopy every 10 years, CT every 5 and flexible sigmoidoscopy every 5

The nurse teaches a community group ways to prevent Escherichia coli infection. Which statements would the nurse include in this group's teaching?

Wash your hands after touching animals, use seprate cutting boards

A nurse assesses a client with irritable bowel syndrome (IBS). Which questions would the nurse include in this client's assessment?

Which food types cause an exacerbation of your symptoms? Where is your pain and what does it feel like?

The nurse is caring for a client who had an open traditional esophagectomy. Which assessment findings would the nurse report immediately to the primary health care provider?

Wound dehiscence, fever and moderate pain

An older adult has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best?

a. "Changes in your liver cause drugs to be metabolized differently."

The nurse teaches a client who has viral gastroenteritis. Which dietary instruction would the nurse include in the health teaching?

a. "Drink plenty of fluids to prevent dehydration."

A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing regimen. What statement by the client indicates a need for further teaching?

a. "It's a good thing I love orange and cherry gelatin."

A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How would the nurse respond?

a. "The stool will always be liquid with this type of colostomy."

The nurse notes that the primary health care provider documented the presence of mucosal erythroplasia in a client. What does the nurse understand that this most likely means for this client?

a. Early sign of oral cancer

The nurse assesses a patient who is recovering from an ileostomy placement. Which assessment finding would alert the nurse to immediately contact the primary health care provider?

a. Pale and bluish stoma

A nurse reviews the electronic health record of a client who has Crohn disease and a draining fistula. Which documentation would alert the nurse to urgently contact the primary health care provider for additional prescriptions?

a. Serum potassium of 2.6 mEq/L (2.6 mmol/L)

1. The nurse assesses a client who has appendicitis. Which assessment finding would the nurse expect?

a. Severe, steady right lower quadrant pain

The nurse is caring for a client who is planning to have a laparoscopic colon resection for colorectal cancer tomorrow. Which statement by the client indicates a need for further teaching?

b. "I will probably be in the hospital for 3 to 4 days after surgery."

A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to drink. What action by the nurse is appropriate?

b. Assess the client's gag reflex.

After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding. Which menu selection indicates that the client correctly understands the dietary teaching?

b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice

A nurse participates in a community screening event for oral cancer. What client is the highest priority for referral to a primary health care provider?

b. Client who smokes and drinks daily.

The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ?

b. Liver

A client has a nasogastric (NG) tube as a result of an upper gastrointestinal (GI) hemorrhage. What comfort measure would the nurse remind assistive personnel (AP) to provide?

b. Performing frequent oral care

The nurse is caring for a client diagnosed with oral cancer. What is the nurse's priority for client care?

b. Place the client on Aspiration Precautions.

The nurse plans care for a client with Crohn disease who has a heavily draining fistula. Which intervention would be the nurse's priority action?

b. Skin protection

A nurse teaches a client who is at risk for colorectal cancer. Which dietary recommendation would the nurse teach the client?

c. "Add vegetables such as broccoli and cauliflower to your diet."

A nurse cares for a client with colorectal cancer who has a new colostomy. The client states, "I think it would be helpful to talk with someone who has had a similar experience." How would the nurse respond?

c. "I will make a referral to the United Ostomy Associations of America."

After teaching a client who has diverticulitis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching?

c. "I will take a laxative nightly at bedtime to avoid becoming constipated."

A nurse assesses a client who has ulcerative colitis and severe diarrhea. Which assessment would the nurse complete first?

c. Heart rate and rhythm

The nurse is caring for a client who is diagnosed with a complete small bowel obstruction. For what priority problem is this client most likely at risk?

c. Electrolyte imbalance

The nurse reviews the laboratory results for a client who has possible appendicitis. Which laboratory test finding would the nurse expect?

c. Elevated leukocyte count

The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease. Which assessment finding would the nurse expect?

c. High-pitched, rushing bowel sounds in the right lower quadrant

A client has an open traditional hiatal hernia repair this morning. What is the nurse's priority for client care at this time?

c. Preventing respiratory complications

A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam hydrochloride. The client's respiratory rate is 8 breaths/min. What action by the nurse is appropriate?

c. Provide physical stimulation.

A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse teaches the client and family about the signs of potential complications which include what problems?

cholangitis, pancreatitis, perforation, sepsis, and bleeding.

The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?

d. "I can continue smoking cigarettes which is better than chewing tobacco."

The nurse teaches a client about how to prevent transmission of gastroenteritis. Which statement by the nurse indicates a need for further teaching?

d. "I'll cook all the meals for my family."

A nurse assesses clients at a community health center. Which client is at highest risk for developing colorectal cancer?

d. A 72-year-old who eats fast food frequently.

After teaching a patient with diverticular disease, a nurse assesses the client's understanding. Which menu selection indicates the client correctly understood the teaching?

d. Baked fish with steamed carrots and a glass of apple juice

The nurse assesses a client with gastroenteritis. What risk factor would the nurse consider as the most likely cause of this disorder?

d. Consuming raw seafood

A nurse is assessing a client reporting right upper quadrant (RUQ) abdominal pain. What technique would the nurse use to assess this client's abdomen?

d. Lightly palpate the RUQ last.

The nurse is teaching a client about the risk of uncontrolled or untreated the client's gastroesophageal reflux disease (GERD). What complication(s) may occur if the GERD is not successfully managed?

Asthma, laryngitis, dental caries, cardiac disease, cancer

The nursing is teaching a client diagnosed with gastroesophageal reflux disease (GERD) who is planning to have an endoscopic radiofrequency (Stretta) procedure. What preprocedure health teaching would the nurse include?

Avoid NSAIDs 10 days before procedure and contact your doctor after the proceure if you have increased pain

After teaching a patient who has a permanent ileostomy, a nurse assesses the client's understanding. Which dietary items chosen for dinner indicate that the client needs further teaching?

Corn, string beans, wheat rice

The nurse is caring for a client with a long history of peptic ulcer disease. What assessment findings would the nurse anticipate if the client experiences upper gastrointestinal (GI) bleeding?

Decreased BP, dizziness, hematemesis, decreased urinary output

A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect

Dumping syndrome

The nurse is caring for a client diagnosed with probable gastroesophageal reflux disease (GERD). What assessment finding(s) would the nurse expect?

Dyspepsia, regurgitation, belching, coughing, chest discomfort, dysphagia

To promote comfort and the passage of flatus after a colonoscopy, in what position does the nurse place the client?

Left lateral

A nurse cares for a patient who has a chronic inflammatory bowel disease. Which actions would the nurse take to prevent skin excoriation?

Medicated wipes instead of toilet paper, apply thin coat of aloe cream, gently pat the perineum dry after cleansing

6. During an interview, the client tells the nurse that the client has a duodenal ulcer. Which assessment finding would the nurse expect?

Melena

The nurse is caring for a client with peritonitis. What assessment findings would the nurse expect?

N/V, abdominal pain, bradycardia, decreased urine output and fever

The assistive personnel note that a client had a dark stool. What stool test would the nurse obtain for this client?

Occult blood test

A nurse cares for an older adult who is admitted to the hospital with complications of diverticulitis. Which actions would the nurse include in the client's plan of care?

Pain meds as prescribed, palpate abdomen for distention, assess for sudden changes in mental status, evaluate stools for occult blood

The nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes?

a. Lower gastrointestinal bleeding—erosion of the bowel wall B. Abscess formation—localized pockets of infection develop in the ulcerated bowel lining C. Nonmechanical bowel obstruction—paralysis of colon resulting from colorectal cancer

A client is preparing to have a fecal occult blood test (FOBT). What health teaching would the nurse include prior to the test?

b. "You need to avoid red meat and NSAIDs for 48 hours before the test."

A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves. Which action would the nurse take?

c. Recommend that the client have computed tomography.

A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to report a spot of bright red blood on the toilet paper today. What response by the nurse is appropriate?

c. Remind the client that a small amount of bleeding is possible.

A client with peptic ulcer disease is in the emergency department and reports gastric pain that has gotten much worse over the last 24 hours. The client's blood pressure when lying down is 112/68 mm Hg and when standing is 98/52 mm Hg. What action by the nurse is most appropriate?

c. Start a large-bore IV with normal saline.

The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor?

c. Upper gastrointestinal (GI) bleeding

8. Which of these client assessment findings is typically associated with oral cancer?

d. Painless red or raised lesion