EAQ GASTROINTESTINAL

A client is admitted to the hospital with jaundiced skin and acute abdominal pain. What is the nurse's most therapeutic response when the client refuses all visitors? Listen to the client's fears Encourage the client to socialize Grant the client's request about visitors Darken the client's room by pulling the drapes

A

A client with achalasia is scheduled to have a bougienage to dilate the lower esophagus and cardiac sphincter. After the procedure the nurse assesses the client for what complications related to esophageal perforation? Tachycardia and abdominal pain Faintness and feelings of fullness Diaphoresis and cardiac palpitations Increased blood pressure and urinary output

A

A nurse is providing dietary teaching for a client with celiac disease. Which foods should the nurse teach the client to avoid when following a gluten-free diet? Select all that apply. Rye Oats Rice Corn Wheat

ABE

A client has a colon resection with an anastomosis. What assessments by the nurse support a suspicion of impending shock? Select all that apply. Oliguria Lethargy Irritability Hypotension Slurred speech

ACD

A client who had a choledochostomy to explore the common bile duct is returned to the surgical unit with a T-tube in place. What is the priority intervention when caring for this client? Irrigate the T-tube as necessary Protect the abdominal skin from bile drainage Have the client wear a binder when out of bed Empty the T-tube drainage bag every two hours

B

A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a flapping tremor. Which diet can the nurse expect will be prescribed for this client based upon the assessment? No protein Moderate protein High protein Strict protein restriction

B

A client is experiencing an exacerbation of ulcerative colitis. A low-residue, high-protein diet and IV fluids with vitamins have been prescribed. When implementing these prescriptions, which goal is the nurse trying to achieve? Reduce gastric acidity Reduce colonic irritation Reduce intestinal absorption Reduce bowel infection rate

B

A slightly overweight client is to be discharged from the hospital after a cholecystectomy. What is most important for the nurse to include in teaching the client about nutrition? Listing low-protein foods that may be included in the diet Explaining that fatty foods may not be tolerated for several weeks Teaching the importance of a low-calorie diet to promote weight reduction Encouraging the intake of high vitamin C, vitamin A, and zinc foods at each meal

B

When assessing a client's abdomen, the nurse palpates the area directly above the umbilicus. By what term is this area known? Iliac area Epigastric area Hypogastric area Suprasternal area

B

A client has surgery for an abdominal cholecystectomy and returns from surgery with a nasogastric tube to low continuous suction, a T-tube, and an indwelling catheter. Which intervention should the nurse perform first? Fasten each tube to the bedsheets Irrigate each tube with normal saline Measure the drainage in the collection devices Ensure that all tubes are attached to collection devices

D

A client is diagnosed with hepatitis A. The nurse provides the client with information about untoward signs and symptoms related to hepatitis. The nurse instructs the client to contact the primary healthcare provider if the client develops what symptom? Fatigue Anorexia Yellow urine Clay-colored stools

D

A client, experiencing an exacerbation of Crohn disease, is admitted to the hospital for intravenous steroid therapy. The nurse should not assign this client to a room with a roommate who has which illness? Pancreatitis Thrombophlebitis Bacterial meningitis Acute cholecystitis

c

A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse should monitor for which common complication associated with the biopsy? Hemorrhage Gastroparesis Pulmonary embolism Tension pneumothorax

A

A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea? Increased fiber intake Bacterial contamination Inappropriate positioning High osmolarity of the feedings

D

A client with ascites is scheduled for a paracentesis. To prepare the client for the abdominal paracentesis, what should the nurse do? Shave the client's abdomen. Medicate the client for pain. Encourage the client to drink fluids. Instruct the client to empty the bladder.

D

A nurse is assessing two clients. One client has ulcerative colitis, and the other client has Crohn disease. Which is more likely to be identified in the client with ulcerative colitis than in the client with Crohn disease? Inclusion of transmural involvement of the small bowel wall Higher occurrence of fistulas and abscesses from changes in the bowel wall Pathology beginning proximally with intermittent plaques found along the colon Involvement starting distally with rectal bleeding that spreads continuously up the colon

D

A client with cancer of the colon is admitted to the hospital for a hemicolectomy. What does the nurse expect the preoperative plan of care to include? Giving oil-retention enemas daily for two days preoperatively Administering cleansing enemas and then neomycin Having a Sengstaken-Blakemore tube at the bedside A high-protein and high-carbohydrate regular diet for two days preoperatively

B

A nurse assesses a client with the diagnosis of an intestinal obstruction in the descending colon. When auscultating the midabdomen, what should the nurse expect to hear? Tympany Borborygmi Abdominal bruit Pleural friction rub

B

A nurse is caring for a client who had major abdominal surgery one day ago. What factor increases the risk of this client developing a wound dehiscence? Placement of a T-tube Client being overweight Presence of excessive flatus Client receiving prophylactic antibiotics

B

The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is the most important assessment the nurse needs to perform before beginning the pump? Checking for the last bowel movement Checking for residual stomach contents Checking to determine time of last medication for nausea Checking to make sure the head of bed is elevated at least 15 degrees

B

A client has a hiatal hernia. The client is 5 feet 3 inches tall (163 cm) and weighs 160 pounds (72.6 kg). Which information should the nurse include when discussing prevention of esophageal reflux? Increase your intake of fat with each meal. Lie down after eating to help your digestion. Reduce your caloric intake to foster weight reduction. Drink several glasses of fluid during each of your meals.

C

A client is admitted to the hospital with jaundice. After numerous diagnostic tests, the healthcare provider makes the diagnosis of cancer of the pancreas. What does the nurse conclude is the most likely cause of the client's jaundice? Necrosis of the parenchyma caused by the neoplasm Excessive serum bilirubin caused by red blood cell destruction Obstruction of the common bile duct by the pancreatic neoplasm Impaired liver function, resulting in incomplete bilirubin metabolism

C

A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by the client indicates successful learning? Ripe bananas Milk products Green vegetables Creamed potatoes

C

The nurse is creating a dietary plan for a client with cholecystitis who has been placed on a modified diet. Which will be most appropriate to include in the client's dietary plan? Offer soft-textured foods to reduce the digestive burden Offer low-cholesterol foods to avoid further formation of gallstones Increase protein intake to promote tissue healing and improve energy reserves Decrease fat intake to avoid stimulation of the cholecystokinin mechanism for bile release

D

When an intestinal obstruction is suspected, a client has a nasogastric tube inserted and attached to suction. What response should the nurse critically assess on this client? Edema Belching Fluid deficit Excessive salivation

C

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the nurse advise the client to do to help prevent future hemorrhoidal episodes? Exercise to improve circulation Eat bland foods and avoid spices Consume a high-fiber diet and drink adequate water Use laxatives to avoid constipation and the Valsalva maneuver

C

A client with esophageal varices has severe hematemesis, and a Sengstaken-Blakemore tube is inserted. What design and purpose does the tube have? Single-lumen; for gastric lavage Double-lumen; for intestinal decompression Triple-lumen; for esophageal compression Multilumen; for gastric and intestinal decompression

C

Which represents appropriate nursing management of the client's nasogastric (NG) tube in the immediate postoperative period following gastroduodenostomy? Advancing the tube to the original insertion depth if the tube becomes dislodged. Obtaining a prescription to vigorously irrigate the nasogastric tube if clogging is noted. Carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working. Reporting the presence of bright red gastric aspirant in the suction canister during the immediate postoperative period.

C