Exam 4: GI Questions

The nurse is assessing a patient's abdomen. In which quadrant should the nurse auscultate the abdominal aorta? -Right of midline in the lower quadrant -Left of midline in the lower quadrant -Midline of the upper abdomen -Right of midline in the upper quadrant

-Midline of the upper abdomen

The nurse is preparing educational materials for a patient with a low serum albumin level. Which foods should the nurse instruct as being complete proteins? (Select all that apply.) -Milk -Eggs -Fruits -Butter -Vegetables

-Milk -Eggs

A patient with a history of peptic ulcer disease suddenly begins to complain of severe abdominal pain. Which actions should the nurse take at this time? (Select all that apply.) -Notify the physician. -Withhold oral food and fluids. -Place the patient in Fowler position. -Obtain an order for a narcotic analgesic. -Administer the prescribed proton-pump inhibitor.

-Notify the physician. -Withhold oral food and fluids. -Place the patient in Fowler position.

The nurse is identifying interventions appropriate for a patient with a possible perforation from peptic ulcer disease. Interventions to address which patient problems are a priority for this patient? -Nausea -Acute pain -Risk for acute bleeding -Inability to provide self-care

-Risk for acute bleeding

The nurse is preparing discharge diet teaching for a patient with diverticulosis. The nurse evaluates that teaching has been effective when the patient lists which foods to include in the diet? (Select all that apply.) -Soup -Salad -Raspberries -Whole-wheat bread -Popcorn

-Soup -Salad -Whole-wheat bread

A patient with inflammatory bowel disease is prescribed sulfasalazine (Azulfidine). What should the nurse teach the patient about taking this medication? (Select all that apply.) -Take vitamin C while on the drug. -Take the drug after a meal. -Use a sunscreen while taking the drug. -Limit fluid intake to 1500 mL per day or less. -Use aspirin rather than NSAIDs for minor pain.

-Take the drug after a meal. -Use a sunscreen while taking the drug.

A patient receiving chemotherapy is experiencing stomatitis. Which intervention should be a priority for this patient? -Refer the patient to a smoking-cessation program. -Allow patient to select appealing foods from a menu. -Assist patient to cleanse mouth with mouthwash following meals. -Provide viscous lidocaine to relieve mouth pain before meals.

-Provide viscous lidocaine to relieve mouth pain before meals.

A patient newly diagnosed with peptic ulcer disease (PUD) is concerned about managing the disease because of not being able to tolerate a bland diet. Which response should the nurse make that accurately addresses this concern? -"There will be restrictions, unfortunately, but we can teach you ways to enhance the flavor of your foods safely" -"You will be able to consume whatever you like, because the meds will help to address any issues the foods may cause" -"A bland diet is no longer recommended; it is best to eat balanced meals with increased fiber at regular intervals" -"The only foods you will really need to avoid are those that are exceedingly spicy; otherwise, you can eat normally"

"A bland diet is no longer recommended; it is best to eat balanced meals with increased fiber at regular intervals"

The nurse notes that a patient is prescribed an antacid. Which information should the nurse include when teaching the patient about this medication? -"Antacids hydrogen-potassium-ATP pump to reduce gastric acid secretion." -"Antacids work to help suppress the volume of acidity coming from the lower gastrointestinal (GI) tract." -"Antacids are alkaline substances that are commonly used to relieve simple acid indigestion." -"Antacids promote motility by enhancing esophageal clearance and gastric emptying."

"Antacids are alkaline substances that are commonly used to relieve simple acid indigestion."

A patient seeks medical attention for nausea and vomiting that has been occurring for 3 days. Which question should the nurse ask to help determine the reason for this patient's symptoms? -"Have you experienced any weight loss?" -"Have your bowel movements been normal?" -"Do you have a history of digestive problems?" -"Do you currently take any medications?"

"Do you currently take any medications?"

The nurse teaches a patient with nausea and vomiting caused by chemotherapy about ways to improve oral intake. Which patient statement should indicate to the nurse that additional teaching is required? -"I will sit up straight to avoid feeling nauseated after I eat." -"I will drink clear fluids and eat dry foods at separate times." -"As soon as I feel better, I will start eating bland foods." -"I will try clear liquids and dry foods and see how I feel afterward."

"I will drink clear fluids and eat dry foods at separate times."

A patient with gastroesophageal reflux disease (GERD) reports drinking 3 cups of coffee in the morning and 1-2 sodas later in the day. Which question should the nurse ask the patient based on this finding? -"Do you experience heartburn throughout the day?" -"Have you been taking your proton-pump inhibitors?" -"Do you drink any water at all throughout the day?" -"In which position do you sleep at night?"

"Do you experience heartburn throughout the day?"

A patient who lost 5 lbs. over the last 6 weeks reports getting dentures a month ago. Which should the nurse ask the patient? -"Do you have a good appetite?" -"Are you experiencing a dry mouth?" -"Do you have difficulty chewing food?" -"Have you had changes to your diet?"

"Do you have difficulty chewing food?"

A patient reports difficulty chewing food. Which question should the nurse ask the patient? -"Do your gums bleed easily?" -"Have you changed your dietary intake?" -"Do you wear dentures?" -"Have you noticed any hoarseness in your voice?"

"Do you wear dentures?"

A participant in a community education program asks what causes colon cancer. Which modifiable risk factor should the nurse include when responding to this person? -"Eating a diet high in fat and low in fiber." -"Being of Jewish ancestry." -"Having chronic GI infections." -"Having chronic constipation."

"Eating a diet high in fat and low in fiber."

A patient asks what can be done for heartburn that occurs during the night. Which recommendation should the nurse make to this patient? -"Elevate your head with a few pillows." -"Take antacids before going to bed." -"Avoid eating an hour before going to bed." -"Take an acid reducer before going to bed."

"Elevate your head with a few pillows."

The nurse notes a patient has black hair on the tongue. Which question should the nurse ask the patient? -"Have you been exposed to any infections?" -"Have you experienced any trauma of the tongue?" -"Have you been taking an antibiotic?" -"Have you ever been diagnosed with gingivitis?"

"Have you been taking an antibiotic?"

The nurse suspects that an older adult patient has diverticular disease. Which question should the nurse ask to determine if the patient is experiencing this health problem? -"How much fluid have you had to drink in the last 24 hrs?" -"Have you eaten any new foods?" -"Have you experienced any pain in the lower abdomen?" -"When was the last time you have anything to eat?"

"Have you experienced any pain in the lower abdomen?"

A patient with gastroesophageal reflux disease (GERD) reports that the symptoms get worse during the day. Which question should the nurse ask to find out more information? -"How is it working with elevating the head of your bed at bedtime?" -"How many times per day do you consume coffee, tea, or chocolate?" -"How old were you when the symptoms of GERD began?" -"How close to bedtime do you eat your last snack or meal?"

"How many times per day do you consume coffee, tea, or chocolate?"

A patient with gastroesophageal reflux disease is prescribed pantoprazole, a proton-pump inhibitor. Which patient statement indicates to the nurse that the patient needs additional teaching about this medication? -"I should avoid taking ibuprofen and other NSAIDs with this med" -"I should take this med 30 min before eating breakfast" -"I can break the tablet in half to make it easier to swallow" -"I need to increase the amount of calcium in my daily diet"

"I can break the tablet in half to make it easier to swallow"

The nurse taught a 65-year-old patient about interventions to prevent constipation. Which patient statement demonstrates that the teaching was effective? -"I should continue to take a laxative for the next month." -"I should avoid fruits high in sugar." -"I should not eat after 7 p.m." -"I should drink more fluids throughout the day."

"I should drink more fluids throughout the day."

The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction? 1. "I should increase the fiber in my diet." 2. "I will need to avoid caffeinated beverages." 3. "I'm going to learn some stress reduction techniques." 4. "I can have exacerbations and remissions with Crohn's disease."

"I should increase the fiber in my diet."

The nurse is caring for a patient who has just undergone an appendectomy. Which patient statement indicates an understanding of the immediate dietary restrictions post appendectomy? -"My mother is bringing me a hamburger." -"I can't wait for my friend to get here with a vanilla milkshake." -"I will be drinking water and other clear fluids until I feel better." -"I called a delivery service to bring me a burrito."

"I will be drinking water and other clear fluids until I feel better."

The nurse is caring for a patient newly diagnosed with Crohn disease. Which lifestyle change should the nurse suggest to this patient? -"Increase dietary fiber to add bulk to stools." -"Avoid anti-inflammatory medications to minimize irritation of the stomach lining." -"Increase intake of dairy products to increase calcium levels." -"Limit protein to prevent irritation of the bowel."

"Increase dietary fiber to add bulk to stools."

The nurse prepares to administer the first dose of a proton-pump inhibitor (PPI) to a patient with gastroesophageal reflux disease (GERD). Which information should the nurse include when teaching about the mechanism of action of this medication? -"It reduces gastric acid secretion." -"It temporarily reduces gastric pain." -"It stimulates gastric emptying." -"It neutralizes gastric acid secretion."

"It reduces gastric acid secretion."

A patient's spouse tells the nurse that the healthcare provider stated that his wife has most likely had colorectal cancer for a period of time. He asks, "Why is that?" Which response by the nurse is accurate? -"The tumor typically grows undetected and does not produce any symptoms early in the disease." -"That can happen, but it is not a problem because it will not affect other tissue early in the disease." -"Most of the tumors grow high up in the colon, so it is difficult to detect early." -"The cancer grows so fast that is almost impossible to detect early."

"The tumor typically grows undetected and does not produce any symptoms early in the disease."

The nurse is teaching a patient the use of antacids to treat gastroesophageal reflux disease (GERD). Which instruction should the nurse include? -"Do not crush tablets prior to taking antacids." -"Notify the healthcare provider of extrapyramidal effects." -"Take antacids 1 to 2 hours before or after medications." -"Avoid long-term use as it can cause gynecomastia."

"Take antacids 1 to 2 hours before or after medications."

The nurse is caring for a patient with diverticular disease. Which statement should the nurse include when teaching the patient about this health problem? -"This problem causes an electrolyte imbalance" -"This problem is caused by eating new foods" -"This problem causes sudden pain in lower abdomen" -"This problem causes a fluid imbalance"

"This problem causes sudden pain in lower abdomen"

A patient is scheduled for a barium swallow. Which teaching should the nurse provide about this procedure? -"do not eat any food or drink fluid for 8-12 hrs before the test" -"avoid alcohol intake for 24 hrs before test" -"you will have a nasogastric tube inserted for the test" -"food and fluid after the test will be delayed until your gag reflux returns"

"do not eat any food or drink fluid for 8-12 hrs before the test"

The nurse teaches a patient about the breakdown of fat in the body. Which patient statement should indicate to the nurse a need for further instruction? -"The gallbladder functions to help digest fats" -"The digestive function of the liver helps break down fats" -"the stomach's digestive juices break down the fats" -"The pancreatic juice assist with digestion of fats"

"the stomach's digestive juices break down the fats"

The nurse is concerned that a patient recovering from a partial gastrectomy for stomach cancer is at risk for nutritional deficiencies. For which nutritional deficiencies should the nurse focus care? (Select all that apply.) -Red blood cells -Calcium -Folic acid -Vitamin C -Vitamin B12

-Red blood cells -Calcium -Folic acid -Vitamin B12

The nurse is completing an assessment for a patient with an ostomy. Which questions should the nurse include when conducting this assessment? (Select all that apply.) -"Has your appetite changed lately?" -"Do any particular foods cause flatus?" -"What is the consistency of your stools?" -"What does the skin around the stoma look like?" -"Have you had any bleeding from your hemorrhoids?"

-"Do any particular foods cause flatus?" -"What is the consistency of your stools?" -"What does the skin around the stoma look like?"

While conducting a health history, the nurse asks a patient if any family members had or have colon cancer. Which other questions help to assess increased risk for colon cancer? (Select all that apply.) -"Have you ever been diagnosed with inflammation of the colon?" -"Have you ever been diagnosed with breast or ovarian cancer?" -"Have you ever been exposed to unpasteurized milk?" -"Has anyone in your family been diagnosed with colon cancer." -"Do you have asthma?"

-"Have you ever been diagnosed with inflammation of the colon?" -"Have you ever been diagnosed with breast or ovarian cancer?" -"Has anyone in your family been diagnosed with colon cancer."

A patient with a severe Clostridium difficile infection is to be treated with fecal microbiota transplant. The nurse evaluates that teaching about this treatment is understood when the patient makes which statements? (Select all that apply.) -"My wife is not a good donor because she is over 45 years old." -"I can expect the transplanted material to be administered by enema." -"I will need to take an antibiotic for several days before the transplant." -"I will be hospitalized for at least a month following this transplant." -"This is a rare and dangerous treatment and I am at risk for developing HIV as a result."

-"I can expect the transplanted material to be administered by enema." -"I will need to take an antibiotic for several days before the transplant."

The nurse provides discharge teaching to a patient with acute gastritis. Which patient statement indicates that teaching has been effective? (Select all that apply.) -"I will eat only bland foods." -"I will have yearly upper endoscopy exams." -"I will fully cook all meat, poultry, and egg products." -"I will avoid using aspirin or NSAIDs for routine pain relief." -"If I begin to vomit again, I will wait 24 hours before I eat or drink anything."

-"I will fully cook all meat, poultry, and egg products." -"I will avoid using aspirin or NSAIDs for routine pain relief."

A patient is upset to learn after a sigmoidoscopy that internal hemorrhoids were found. What should the nurse explain about this health problem? (Select all that apply.) -"They are part of the lymphatic system." -"They are part of the arteries of the body." -"They are swollen veins in the anal canal." -"They are just bits of tissue that occur for no reason." -"Internal hemorrhoids may become external."

-"They are just bits of tissue that occur for no reason." -"Internal hemorrhoids may become external."

The nurse is preparing teaching for a patient with gastroesophageal reflux disease. What should this teaching include? (Select all that apply.) -There is no treatment for this disease. -Avoid lying down immediately after eating. -Elevate the head of the bed on 6- to 8-inch blocks. -Peppermint and chocolate candies can help relieve symptoms. -Stop taking the prescribed proton-pump inhibitor once symptoms are relieved.

-Avoid lying down immediately after eating. -Elevate the head of the bed on 6- to 8-inch blocks.

The nurse is assessing a patient's abdomen. Which direction should the nurse provide to the patient when auscultating bowel sounds? -Breathe through your mouth -Breath normally -Hold your breath -Breathe through your nose

-Breath normally

The nurse is caring for a patient receiving radiation therapy for esophageal cancer. Which manifestation should the nurse immediately report to the healthcare provider? -Weight loss -Bright bleeding from the mouth -Difficulty swallowing solid foods -Crackles in the base of the right lung

-Bright bleeding from the mouth

A patient is prescribed omeprazole 20 mg twice daily, clarithromycin 500 mg twice daily, and amoxicillin 1 g daily for treatment of peptic ulcer disease caused by H. pylori. What is the most important instruction for the nurse to give the patient about these medications? -Take the drugs with a full glass of water. -Complete the full course of all medications as prescribed. -Consume 8 oz of yogurt or buttermilk daily while taking these drugs. -Take the drugs on an empty stomach, 1 hour before breakfast and at least 2 hours after dinner.

-Complete the full course of all medications as prescribed.

An older patient is experiencing constipation. What should the nurse teach this patient to help with this health problem? (Select all that apply.) -Eat a bran cereal for breakfast. -Take bisacodyl (Dulcolax) daily. -Eat plenty of fresh fruits and vegetables daily. -Eat whole-wheat bread instead of white bread. -Drink six to eight glasses of nonalcoholic fluid daily.

-Eat a bran cereal for breakfast. -Eat plenty of fresh fruits and vegetables daily. -Eat whole-wheat bread instead of white bread. -Drink six to eight glasses of nonalcoholic fluid daily.

A patient has heard of several friends being diagnosed with colon cancer and does not want to develop the same health problem. What should the nurse recommend to this patient? (Select all that apply.) -Exercise regularly. -Maintain a healthy weight. -Ingest two servings of red wine every day. -Obtain recommended screening after age 50. -Consume a diet high in fruits and vegetables.

-Exercise regularly. -Maintain a healthy weight. -Obtain recommended screening after age 50. -Consume a diet high in fruits and vegetables.

A patient is experiencing an alteration in bowel function. Which should the nurse instruct this patient? -Limit physical activity -The prevalence of bowel problems -Increase fluid and fiber intake -Use of laxatives

-Increase fluid and fiber intake

A patient with a bowel obstruction has a nasogastric tube in place for gastric decompression. The nurse will perform which interventions associated with this treatment? (Select all that apply.) -Measure abdominal girth every 4 to 8 hours. -Provide the patient with generous amounts of oral fluids. -Keep an accurate record of intake and output every 2 to 4 hours. -Document the amount and color of nasogastric tube drainage every shift. -Monitor mental status at each patient encounter.

-Measure abdominal girth every 4 to 8 hours. -Keep an accurate record of intake and output every 2 to 4 hours. -Document the amount and color of nasogastric tube drainage every shift. -Monitor mental status at each patient encounter.

A patient is diagnosed with peptic ulcer disease (PUD). For which reason should the patient be instructed to stop taking nonsteroidal anti-inflammatory drugs (NSAIDs)? -They interact with many medications used to treat peptic ulcer disease. -They cause direct damage to gastrointestinal mucosal cells. -They cause an increase in secretion of stomach acids. -They inhibit the secretion of pepsin, which is needed for digestion.

-They cause direct damage to gastrointestinal mucosal cells.

The nurse is assessing a patient with a persistent sore on the tongue. For which oral cancer risk factors should the nurse assess this patient? (Select all that apply.) -Tobacco use in any form -Drinking alcohol -Consumption of highly spiced foods -Thumbsucking or pacifier use as a child -Infection with human papilloma virus

-Tobacco use in any form -Drinking alcohol -Infection with human papilloma virus

The nurse is caring for a patient with a new diagnosis of gastroesophageal reflux disease (GERD). Which pathophysiological change should the nurse identify as the cause of this disease? -Thickening of the muscle between the stomach and intestine -Decreased gastric acid secretion -Herniation of stomach through diaphragm -Weakened lower esophageal sphincter pressure

-Weakened lower esophageal sphincter pressure

The nurse provides instructions to a client about measures to treat inflammatory bowel syndrome (IBS). Which statement by the client indicates a need for further teaching? 1. "I need to limit my intake of dietary fiber." 2. "I need to drink plenty, at least 8 to 10 cups daily." 3. "I need to eat regular meals and chew my food well." 4. "I will take the prescribed medications because they will regulate my bowel patterns."

1. "I need to limit my intake of dietary fiber."

A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate for this client? Select all that apply. 1. Administer stool softeners as prescribed. 2. Instruct the client to limit fluid intake to avoid urinary retention. 3. Encourage a high-fiber diet to promote bowel movements without straining. 4. Apply cold packs to the anal-rectal area over the dressing until the packing is removed. 5. Help the client to a Fowler's position to place pressure on the rectal area and decrease bleeding.

1. Administer stool softeners as prescribed. 3. Encourage a high-fiber diet to promote bowel movements without straining. 4. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.

The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. Which items should the nurse include on this list? Select all that apply. 1. Coffee 2. Chocolate 3. Peppermint 4. Nonfat milk 5. Fried chicken 6. Scrambled eggs

1. Coffee 2. Chocolate 3. Peppermint 5. Fried chicken

The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations support this diagnosis? Select all that apply. 1. Fever 2. Positive Cullen's sign 3. Complaints of indigestion 4. Palpable mass in the left upper quadrant 5. Pain in the upper right quadrant after a fatty meal 6. Vague lower right quadrant abdominal discomfort

1. Fever 3. Complaints of indigestion 5. Pain in the upper right quadrant after a fatty meal

A client with hiatal hernia chronically experiences heartburn following meals. The nurse should plan to teach the client to avoid which action because it is contraindicated with a hiatal hernia? 1. Lying recumbent following meals 2. Consuming small, frequent, bland meals 3. Taking H2-receptor antagonist medication 4. Raising the head of the bed on 6-inch (15 cm) blocks

1. Lying recumbent following meals

The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed for the client? Select all that apply. 1. Maintain NPO (nothing by mouth) status. 2. Encourage coughing and deep breathing. 3. Give small, frequent high-calorie feedings. 4. Maintain the client in a supine and flat position. 5. Give hydromorphone intravenously as prescribed for pain. 6. Maintain intravenous fluids at 10 mL/hr to keep the vein

1. Maintain NPO (nothing by mouth) status. 2. Encourage coughing and deep breathing. 5. Give hydromorphone intravenously as prescribed for pain.

A client has developed hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected assessment finding? 1. Malaise 2. Dark stools 3. Weight gain 4. Left upper quadrant discomfort

1. Malaise

The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which findings indicate this occurrence? 1. Sweating and pallor 2. Bradycardia and indigestion 3. Double vision and chest pain 4. Abdominal cramping and pain

1. Sweating and pallor

A client had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the stoma. What is the correct interpretation by the nurse? 1. This is a normal, expected event. 2. The client is experiencing early signs of ischemic bowel. 3. The client should not have the nasogastric tube removed. 4. This indicates inadequate preoperative bowel preparation.

1. This is a normal, expected event.

A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my taste for food." What instruction should the nurse give the client to provide adequate nutrition? 1. Select foods high in fat. 2. Increase intake of fluids, including juices. 3. Eat a good supper when anorexia is not as severe. 4. Eat less often, preferably only 3 large meals daily.

2. Increase intake of fluids, including juices.

The primary health care provider has determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice. Which statement made by the client supports this medical diagnosis? 1. "I have had unprotected sex with multiple partners." 2. "I ate shellfish about 2 weeks ago at a local restaurant." 3. "I was an intravenous drug abuser in the past and shared needles." 4. "I had a blood transfusion 30 years ago after major abdominal surgery."

2. "I ate shellfish about 2 weeks ago at a local restaurant."

The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the most appropriate nursing intervention? 1. Administer the prescribed pain medication. 2. Notify the primary health care provider (PHCP). 3. Call and ask the operating room team to perform surgery as soon as possible. 4. Reposition the client and apply a heating pad on the warm setting to the client's abdomen.

2. Notify the primary health care provider (PHCP).

The nurse is providing care for a client with a recent transverse colostomy. Which observation requires immediate notification of the primary health care provider? 1. Stoma is beefy red and shiny 2. Purple discoloration of the stoma 3. Skin excoriation around the stoma 4. Semiformed stool noted in the ostomy pouch

2. Purple discoloration of the stoma

The nurse has taught the client about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) procedure. The nurse determines that the client needs further information if the client makes which statement? 1. "I know I must sign the consent form." 2. "I hope the throat spray keeps me from gagging." 3. "I'm glad I don't have to lie still for this procedure." 4. "I'm glad some intravenous medication will be given to relax me."

3. "I'm glad I don't have to lie still for this procedure."

The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence? 1. Dorsiflex the client's foot. 2. Measure the abdominal girth. 3. Ask the client to extend the arms. 4. Instruct the client to lean forward.

3. Ask the client to extend the arms.

The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 750 mL of green-brown drainage since the surgery. Which nursing intervention is most appropriate? 1. Clamp the T-tube. 2. Irrigate the T-tube. 3. Document the findings. 4. Notify the primary health care provider.

3. Document the findings.

The nurse suspects a patient recovering from surgery is deficient in vitamin K. What is a finding associated with vitamin K deficiency? -Bruising -Slow peristalsis -Poor wound healing -Surgical wound bleeding

Bruising

The nurse is caring for a client following a gastrojejunostomy (Billroth II procedure). Which postoperative prescription should the nurse question and verify? 1. Leg exercises 2. Early ambulation 3. Irrigating the nasogastric tube 4. Coughing and deep-breathing exercises

3. Irrigating the nasogastric tube

The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist in preventing dumping syndrome? 1. Ambulate following a meal. 2. Eat high-carbohydrate foods. 3. Limit the fluids taken with meals. 4. Sit in a high-Fowler's position during meals.

3. Limit the fluids taken with meals.

The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which manifestation of duodenal ulcer? 1. Weight loss 2. Nausea and vomiting 3. Pain relieved by food intake 4. Pain radiating down the right arm

3. Pain relieved by food intake

The nurse is caring for a patient with diverticulosis. Which aspect of the patient's diet places the patient at risk? -High intake of salt -Low fiber intake -Low-cholesterol diet -High intake of red meat

Low fiber intake

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer? 1. Bradycardia 2. Numbness in the legs 3. Nausea and vomiting 4. A rigid, board-like abdomen

4. A rigid, board-like abdomen

A client has undergone esophagogastroduodenoscopy. The nurse should place highest priority on which item as part of the client's care plan? 1. Monitoring the temperature 2. Monitoring complaints of heartburn 3. Giving warm gargles for a sore throat 4. Assessing for the return of the gag reflex

4. Assessing for the return of the gag reflex

A client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate postoperative period for which most frequent complication of this type of surgery? 1. Folate deficiency 2. Malabsorption of fat 3. Intestinal obstruction 4. Fluid and electrolyte imbalance

4. Fluid and electrolyte imbalance

A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? Select all that apply. 1. Diarrhea 2. Black, tarry stools 3. Hyperactive bowel sounds 4. Gray-blue color at the flank 5. Abdominal guarding and tenderness 6. Left upper quadrant pain with radiation to the back

4. Gray-blue color at the flank 5. Abdominal guarding and tenderness 6. Left upper quadrant pain with radiation to the back

The nurse is preparing a community education program on ways to prevent the development oral cancer. Which information should the nurse include? -Have an annual dental exam -Avoid smoking -Chew food thoroughly -Brush teeth three times a day

Avoid smoking

The three pancreatic enzymes that will be affected if a person has pancreatitis are: A. Protease B. Secretin C. Lipase D. Intrinsic factor E. Amylase

A. Protease C. Lipase E. Amylase

A nurse is caring for a client who has a serum sodium level of 133 mEq/L and serum potassium level of 3.4 mEq/L. The nurse should recognize that which of the following treatments could result in these laboratory findings? A. Three tap water enemas B. 0.9% NaCl at 50 mL/hr C. LR at 80 mL/hr D. Antibiotic therapy

A. Three tap water enemas

Which bowel disease starts in the rectum and migrates in a continuous fashion through the colon? A. Ulcerative colitis B. Crohn's disease C. Perianal abscess D. Gallstones

A. Ulcerative colitis

A patient recovering from surgery 3 days ago is experiencing abdominal pain and nausea. Which assessment finding indicates that the patient has an intestinal obstruction? -Abdominal pain with rectal bleeding and diarrhea -Abdominal pain relieved by right hip flexion -Abdominal distention with high-pitched bowel sounds -Constipation with anorexia and weight loss

Abdominal distention with high-pitched bowel sounds

The nurse is caring for a patient experiencing abdominal distention after surgery. Which additional clinical manifestation should the nurse expect with a possible small-bowel obstruction? -Abdominal pain and nausea -Rectal itching -Absence of bowel sounds -Dysphagia

Abdominal pain and nausea

A patient with known peptic ulcer disease (PUD) experiences severe upper abdominal pain that began within the past half hour. The nurse suspects possible perforation. Which additional assessment information should the nurse identify that helps support a definitive diagnosis? -Nausea and vomiting and electrolyte imbalance -Abdominal rigidity and absence of bowel sounds -Steatorrhea and low sodium and potassium levels -Hematemesis and occult blood in stool

Abdominal rigidity and absence of bowel sounds

The nurse is reviewing the physiology of the large intestine. Which should the nurse identify as the purpose of water in this structure? -facilitates the chemical breakdown of food in the large intestine -Absorbed to facilitate nutrient absorption in the body -Absorbed from indigestible food residue and feces are formed -Assists in digestion of fats

Absorbed from indigestible food residue and feces are formed

The nurse notes that a patient's serum amylase level is elevated. For which health problem should the nurse plan patient care? -Cheilosis -Gallstones -Gastric reflux -Acute pancreatitis

Acute pancreatitis

The nurse is assessing a patient with Crohn disease for systemic manifestations. For symptoms of which disorder should the nurse assess this patient? -Edema -Arthritis -Headache -Decreased urine output

Arthritis

An older adult presents for an annual physical examination. The nurse is completing the nursing assessment for the patient. Which should the nurse include in the health history to determine the patient's risk for colorectal cancer? -Palpate the abdomen for tenderness. -Listen for bowel sounds. -Assess current weight. -Ask the patient if there is any pain during defecation.

Ask the patient if there is any pain during defecation.

A patient has been experiencing diarrhea for the past week. What should the nurse do first when caring for this patient? -Ask the patient to describe the number and character of daily stools. -Advise the patient to abstain from all oral intake until the diarrhea subsides. -Recommend an over-the-counter antidiarrheal preparation such as Pepto-Bismol. -Question the patient about possible ex

Ask the patient to describe the number and character of daily stools.

What is the purpose of lipase? A. Breaks down protein to amino acids B. Breaks down fats C. Triggers cholecystokinin to contract the gallbladder D. Breaks down starch to glucose

B. Breaks down fats

A patient has acute diverticulitis and experiences a sudden increase in temperature and has a sudden onset of abdominal tenderness. His abdomen is rigid and firm upon assessment. What do you do? A. Administer a Fleet enema as ordered and remain with the patient B. Contact the primary care provider promptly and report these signs of possible perforation C. Position the patient supine and insert an NG tube D. Page the primary care provider and report that the patient is obstructed

B. Contact the primary care provider promptly and report these signs of possible perforation

Intrinsic factor is a protein secreted by cells of the stomach lining. Which vitamin attaches to this protein for protection from this acidic environment and takes it to the intestine to be absorbed? A. Vitamin A B. Vitamin B12 C. Vitamin C D. Vitamin D

B. Vitamin B12

The nurse is caring for a patient with severe ulcerative colitis. Which clinical manifestation should the nurse anticipate to assess in this patient? -Bloody diarrhea occurring at least six times per day -Leakage of intestinal contents into the abdomen -Diarrhea with semiformed stools and abdominal cramping -Diarrhea fewer than six times per day

Bloody diarrhea occurring at least six times per day

Which activity correlates with digestion which takes the food you ate and breaks them down into smaller molecules? A. Metabolic B. Anabolic C. Catabolic D. Respiratory

C. Catabolic

A client recovering from an abdominal surgery has the following vital​ signs: Pulse: 92​ beats/min BP: 100/60 mmHg; RR: 24 breaths/min; temperature: 100.1°F. Which should be the​ nurse's priority​ action? A. Call the doctor B. Document your findings C. Perform a focused assessment D. Administer acetaminophen for the fever

C. Perform a focused assessment

A patient is being evaluated for a lower GI disorder. Which symptom should indicate to the nurse that the patient has colorectal cancer? -Vomiting -Gained weight -Hyperemia -Change in bowel habits

Change in bowel habits

A patient suspected of having Crohn disease is scheduled to have a colonoscopy.Which finding should the nurse expect from the colonoscopy if the patient has Crohn disease? -Cobblestone appearance of bowel -Red, edematous, and friable tissue -Continuous inflammatory lesions of bowel -Inflammation that begins at the crypts of Lieberkühn in the distal large intestine and rectum

Cobblestone appearance of bowel

A patient seeks medical care for diarrhea and lower abdominal pain. Which diagnostic test should the nurse anticipate being prescribed for this patient? -Abdominal flat plate -PET scan -Colonoscopy -CT scan

Colonoscopy

A patient reports blood in the stool and an unexpected weight loss. Which health problem should the nurse suspect in this patient? -Gastrointestinal bleeding -Colorectal cancer -Stomach cancer -Hemorrhoids

Colorectal cancer

Which medication promotes gastric motility after surgery for esophageal cancer? A. Ranitidine (Zantac) B. Ondansetron (Zofran) C. Metformin (Glucophage) D. Metoclopramide (Reglan)

D. Metoclopramide (Reglan)

A patient has developed a paralytic ileus following recent abdominal surgery. What is the most important nursing action when caring for this patient? -Monitor bowel sounds every hour. -Maintain the patient on strict bedrest. -Ensure nasogastric tube is functioning. -Ensure that the patient is given a clear liquid diet.

Ensure nasogastric tube is functioning.

A patient is prescribed an immunochemical fecal occult blood test (I-FOBT). Which should the nurse explain as the purpose of this test? -Determines effectiveness of fat metabolism -Identifies presence of hemorrhoids -Identifies nutritional deficiencies -Detects colon cancer

Detects colon cancer

A patient with a colostomy is at risk for sexual dysfunction. Which action by the nurse would help meet the patient's needs? -Ask the healthcare provider to order erectile dysfunction medication. -Inform the patient that some sexual dysfunction is normal. -Reassure the patient that he should not have any difficulty resuming sexual relations. -Encourage the patient to express any current sexual concerns.

Encourage the patient to express any current sexual concerns.

The patient with a new ostomy tells the nurse, "I am worried my wife will not want an intimate relationship with me. I am embarrassed to have this thing attached to me." Which action should the nurse implement first? -Encourage the patient to further discuss his feelings. -Assure the patient that it is normal to feel that way. -Reassure the patient that the situation is temporary. -Refer the patient to social services.

Encourage the patient to further discuss his feelings.

A patient is prescribed ranitidine, an H2-receptor blocker, for gastroesophageal reflux disease (GERD). Which adverse effect should the nurse counsel the patient to report to the healthcare provider? -Extrapyramidal symptoms -Black, tarry stools -Enlarged or tender breasts -Decreased stomach acid production

Enlarged or tender breasts

A patient taking prescribed medication and following dietary changes for gastroesophageal reflux disease (GERD) continues to experience severe symptoms. Which plan of treatment should the nurse expect the healthcare provider to consider next? -Stress management techniques -Fundoplication -Proton pump inhibitors -Gastric bypass surgery

Fundoplication

The nurse notes that a patient with severe ulcerative colitis (UC) has decreased hemoglobin and hematocrit levels. Which complication should cause the nurse to have the most concern? -Perforation -Hemorrhage -Fulminant colitis -Toxic megacolon

Hemorrhage

The nurse is preparing an educational seminar about the development of peptic ulcer disease. Which information should the nurse include that best characterizes the pathophysiological changes secondary to Helicobacter pylori (H. pylori) infection leading to the development of peptic ulcer disease (PUD)? -Infection with H. pylori inhibits the secretion of bicarbonate by the pancreas, causing a marked rapid transit of gastric acid into the duodenum. -H. pylori reduces the efficacy of the mucosal gel protecting the gastric mucosa. -Prostaglandin synthesis is interrupted by H. pylori, affecting the gastric mucosal barrier. -H. pylori crosses the lipid membranes of gastric epithelial cells, damaging the cells themselves.

H. pylori reduces the efficacy of the mucosal gel protecting the gastric mucosa.

A patient with colon cancer had colostomy surgery 3 days ago. At the start of the shift, the nurse assesses the patient to determine the patient's current priority care needs. How can the nurse involve the patient in managing pain? -Initiate complementary health approaches. -Monitor analgesic effectiveness 60 minutes after administration. -Medicate the patient when breakthrough pain is experienced. -Identify strategies for coping with pain.

Identify strategies for coping with pain.

The nurse is assessing a patient's abdomen. In which region should the nurse locate the descending colon? -RUQ -LUQ -RLQ -LLQ

LLQ

A patient seeks medical attention because of abdominal cramping and pain that occurs every morning after eating cereal for breakfast. Which health problem should the nurse consider this patient is experiencing? -Lactase intolerance -Dehydration -Abdominal hernia -Constipation

Lactase intolerance

The nurse is preparing a patient with appendicitis for surgery. Which information should the nurse include in their teaching? -The use of antibiotics is not required. -Laparoscopic surgery is the preferred method of treatment. -No need of intravenous fluids or electrolyte replacements. -Open abdominal surgery is the gold standard for appendicitis.

Laparoscopic surgery is the preferred method of treatment.

The nurse is preparing to assess a patient with ascites. In which position should the nurse place the patient to assess the abdomen? -Lateral -Supine -Trendelenburg -Low semi-fowler

Lateral

A patient is recovering from a colonoscopy. Which teaching should the nurse provide if polyps are removed during this test? -Lift nothing heavy for 7 days -Expect the stools to be white for several days -A sore throat may be present for several days -Take a high-fiber supplement every day

Lift nothing heavy for 7 days

The nurse is caring for a patient with intractable nausea and vomiting. Which intervention should the nurse make a priority? -Monitoring vital signs, skin turgor and condition, and weight -Giving clear liquids as tolerated -Encouraging separate intake of clear fluids and food -Restricting fluid intake for 1 hour before and after meals

Monitoring vital signs, skin turgor and condition, and weight

The evening following surgery for esophageal cancer, the nurse notes that there has been no drainage from the nasogastric tube for the past 3 hours. What should the nurse do first? -Chart the finding. -Notify the surgeon. -Reposition the nasogastric tube. -Gently irrigate the tube with normal saline.

Notify the surgeon.

While assessing the oral cavity, the nurse notes that an older patient has obvious caries and difficulty swallowing. When asked about eating, the patient mentions frequent issues with a dry mouth. Which health problem is this patient at most risk for developing? -Acute pain -Risk for infection -Nutritional deficit -Altered elimination

Nutritional deficit

A patient has been diagnosed with a peptic ulcer. Which potential etiology should the nurse suspect? -Overproduction of gastric acids -Overproduction of mucus in the large intestine -Decreased secretion of intrinsic factor -Decreased secretion of gastrin

Overproduction of gastric acids

A patient is suspected of having cholecystitis. Which technique should the nurse use to assess this patient? -Palpate the liver and gallbladder after instructing the patient to take a deep breath in. -Place the patient in a supine position and, holding the hand at a 90 degree angle, press deeply into the abdomen and rapidly remove the fingers. -Place a pillow under the patient's head and knees and lightly palpate the upper right and left abdominal quadrants. -Place the left hand above the patient's right knee and instruct the patient to raise the leg.

Palpate the liver and gallbladder after instructing the patient to take a deep breath in.

The nurse is reviewing the laboratory results for a client with cirrhosis and notes that the ammonia level is 85 mcg/dL (51 mcmol/L). Which dietary selection does the nurse suggest to the client? 1. Roast pork 2. Cheese omelet 3. Pasta with sauce 4. Tuna fish sandwich

Pasta with sauce

A patient with a history of peptic ulcer disease (PUD) reports severe abdominal pain that radiates to the right shoulder. The patient's heart rate is 114 beats/min and blood pressure is 90/56 mmHg. The patient's skin is cool and clammy, the abdomen is hard, and bowel sounds are absent. Which complication associated with PUD should the nurse suspect? -Gastric outlet obstruction -Zollinger-Ellison syndrome -Hemorrhage -Perforation

Perforation

The nurse is providing teaching to a patient recovering from a colonoscopy. For which reason should the patient be instructed to avoid heavy lifting for 7 days? -Hemorrhoids were diagnosed -Polyp was removed -Rectum prolapsed -Anal fissure is present

Polyp was removed

A patient is experiencing constant heartburn. Which action should the nurse take to help this patient? -Encourage the patient to avoid food an hour before bedtime. -Position the patient to decrease pressure on the abdomen. -Advise the patient to incorporate bland foods into the diet. -Encourage the patient to drink juices and carbonated soft drinks.

Position the patient to decrease pressure on the abdomen

A patient learns that during a colonoscopy two polyps were removed. Why is the removal of these structures important? -Helps to identify genetic disorders. -Prevents the development of cancer. -Facilitates further examination of the bowel. -Decreases future problems with constipation.

Prevents the development of cancer.

The nurse reviews medications prescribed for a patient with gastroesophageal reflux disease (GERD) and a history of osteoporosis. Which prescribed medication should the nurse question? -Antacid -Proton-pump inhibitor -Antiulcer gastriadhesive agent -H2-receptor blocker

Proton-pump inhibitor

A patient receiving chemotherapy continues to experience nausea after receiving medication. Which additional action should the nurse take to help with this patient's nausea? -Coach the patient to lean forward and place the head between the legs. -Encourage the patient to relax in a supine position. -Assist the patient to ambulate. -Remove food from the room.

Remove food from the room.

A patient is scheduled for an endoscopic retrograde cholangiopancreatogram (ERCP). Which should the nurse expect to occur during this test? -Remove polyps -Measure enzyme levels -Remove gall stones -Repair esophageal tears

Remove gall stones

During an assessment, the nurse becomes concerned that a patient is experiencing early signs of acute appendicitis. Which assessment finding has caused this concern? -Right lower quadrant abdominal pain aggravated by coughing -Mid-epigastric abdominal pain aggravated by bending forward -Mid-lower abdominal pain aggravated by palpating over the bladder -Left lower quadrant abdominal pain aggravated by bending the left leg

Right lower quadrant abdominal pain aggravated by coughing

The nurse instructs a young adult patient regarding dietary changes for celiac disease. Which meal selection indicates that the teaching has been effective? -Baked chicken, macaroni and cheese, green beans, fresh strawberries, and water -Peanut butter sandwich on whole wheat bread, a banana, and skim milk -Salad of mixed greens with roasted chicken, reduced-fat cheddar cheese, and low fat-dressing; an apple; and lemonade -Cream of vegetable soup with crackers; tossed salad with apple, grapes, and walnuts; and iced tea

Salad of mixed greens with roasted chicken, reduced-fat cheddar cheese, and low fat-dressing; an apple; and lemonade

The nurse is conducting a physical examination of a patient with ascites. Which sound should the nurse expect to hear when percussing this patient's abdomen? -Flatness -Resonance -Shifting dullness -Alternating amplitude

Shifting dullness

A patient is recovering from small bowel resection surgery as treatment for Crohn disease. For which reason should the nurse realize the patient may experience nutritional deficiencies and chronic diarrhea after this surgery? -Colitis -Short bowel syndrome -Diverticulitis -Increased vitamin K

Short bowel syndrome

A patient with ongoing gastrointestinal issues asks for ways to improve digestion. Which information should the nurse include when responding to this patient? -Lie down for 2 hours after eating. -Limit the intake of fluids. -Sit upright when eating. -Reduce the amount of daily exercise.

Sit upright when eating.

The nurse prepares teaching material for a patient with gastroesophageal reflux disease. Which position should the nurse instruct the patient to assume to reduce the symptoms of this disorder after eating? -Lying supine -Sitting upright -Right-side lying -Any comfortable position

Sitting upright

The healthcare provider suspects a patient is experiencing gastrointestinal effects from parasites. For which diagnostic test should the nurse prepare this patient to confirm the diagnosis? -Colonoscopy -Barium enema -Stool specimen -CT of the abdomen

Stool specimen

A patient with appendicitis asks how it is treated. Which response from the nurse is the most accurate? -Enemas or laxatives to relieve constipation -Surgery -Antibiotics only -Watch and wait

Surgery

The nurse is concerned that a patient is at risk for developing peptic ulcer disease (PUD). Which should the nurse identify as the patient's greatest risk factor? -Family history of PUD -Takes nonsteroidal anti-inflammatory drugs (NSAIDs) -Excessive consumption of caffeine -History of eating spicy foods

Takes nonsteroidal anti-inflammatory drugs (NSAIDs)

A patient has been experiencing nausea and vomiting for several days. Which action should the nurse recommend to promote this patient's fluid and electrolyte balance? -Taking small sips of a sports drink -Ingesting small quantities of broth and crackers -Restricting fluid intake to 1 hour after meals -Avoiding all food preparation

Taking small sips of a sports drink

A patient is experiencing frequent large, fatty, foul-smelling stools. What additional information should the nurse obtain from the patient? -Known family history of colorectal cancer -The relationship of episodes to particular foods -History of alternating diarrhea and constipation -Possible exposure to enterotoxins in food or water

The relationship of episodes to particular foods

The nurse is caring for a patient suspected of having celiac disease. Which test should the nurse expect to be prescribed for this patient? -Tissue biopsy of the small intestine -IgG and IgA antigliadin antibodies -Upper GI series with small-bowel follow-through -Fecal fat content

Tissue biopsy of the small intestine

A patient reports following a low carbohydrate eating plan to lose weight. For which potential health problem should the nurse monitor this patient? -Tissue wasting -Elevated cholesterol -Hyperglycemia -Skin lesions

Tissue wasting

A patient with ulcerative colitis is scheduled for surgery to remove the bowel and place a temporary ostomy. For which surgical procedure should the nurse prepare teaching material for this patient? -Stricturoplasty -Total colectomy ileal pouch-anal anastomosis (IPAA) -Pyloroplasty -Gastric resection

Total colectomy ileal pouch-anal anastomosis (IPAA)

A patient is diagnosed with a malfunction of the pyloric sphincter. Which should the nurse expect this patient to experience? -Excessive flatus -Ability to ingest large quantities of food -Extreme fullness after eating a small amount -Undigested food in fecal material

Undigested food in fecal material

A patient is diagnosed with gastroesophageal reflux disease (GERD). Which patient behavior should the nurse identify that would make the GERD symptoms worse? -Limited health insurance plan -Use of mint to alleviate heartburn -Use of proton-pump inhibitors -Elevating the head of the bed at night

Use of mint to alleviate heartburn

The nurse notes that a patient with gastroesophageal reflux disease (GERD) is prescribed famotidine, an H2-receptor blocker. Which additional prescribed medication should the nurse identify as a contraindication to famotidine? -Heparin -Warfarin -Lisinopril -Paroxetine

Warfarin

A patient comes into the emergency department with manifestations of appendicitis. What is the highest priority when caring for this patient? -Withhold all food and fluids. -Perform preoperative skin preparation. -Insert saline lock for intravenous pain medication. -Teach postoperative deep breathing, coughing, and leg exercises.

Withhold all food and fluids.

The nurse is caring for a patient with a suspected bowel obstruction. Which diagnostic test should the nurse expect to be completed first for this patient? -Barium swallow -Upper GI series -abdominal ultrasound -endoscopy

abdominal ultrasound

A patient has tissue wasting of the arms and legs. Which nutrient should the nurse suspect this patient is restricting the intake? -Carbohydrates -Vitamins -Minerals -Fat

carbohydrates

The nurse is caring for a patient who is 8 hours postappendectomy. The bowel sounds have returned. Which diet should the nurse expect to be prescribed for the patient? -Full liquid -Pureed diet -Soft diet -Clear liquid

clear liquid

The nurse is preparing a booth for a health fair. Which modifiable risk factor should the nurse identify that decreases the risk of developing colon cancer? -Eating red meat -Drinking alcohol -Daily aspirin -Smoking

daily aspirin

The nurse is assessing a patient's abdomen. Which should the nurse expect to assess in the left lower quadrant? -descending colon -Stomach -Duodenum -ascending colon

descending colon

A patient is diagnosed with stomach cancer. Which should the nurse expect to assess in this patient? -Hyperactive bowel sounds -Early satiety -Hoarseness -Heartburn

early satiety

The nurse is caring for a patient with Barrett esophagus. For which type of cancer should the nurse assess this patient? -Stomach -Oral -Liver -Esophageal

esophageal

An older patient with ongoing gastrointestinal issues asks for ways to improve digestion. Which information should the nurse include when responding to this patient? -lie down for 2 hrs after eating -limit intake of fluids -exercise regularly -increase eating foods high in fat

exercise regularly

The nurse prepares information to teach a group of community members about foods to promote digestive health. Which food should the nurse recommend in this teaching? -Yogurt -Fruit -Ham -Cheese

fruit

A patient is having a gastric analysis. Which should the patient be instructed to expect during this test? -drink orange juice with radioactive material -consume an egg with radioactive material -drink 20 oz of chalky white liquid -gastric contents to be aspirated every 15 to 20 minutes

gastric contents to be aspirated every 15 to 20 minutes

A patient is diagnosed as lactose intolerant. Which food should the nurse encourage the patient to consume in their diet? -Green, leafy vegetables -Cottage cheese -Yogurt -Sherbet

green, leafy vegetables

The nurse is caring for a patient with gastroesophageal reflux disease (GERD). Which assessment finding should the nurse expect? -Diarrhea -Jaundice -Constipation -Heartburn

heartburn

The nurse reviews the organs of the gastrointestinal tract. Which organ should the nurse identify that stores glucose and synthesizes fat into adipose tissue? -Liver -Ileum -Jejunum -Gallbladder

liver

A patient has a family history of esophageal cancer. Which should the nurse instruct the patient to avoid to prevent developing this disease? -Fatty foods and starches -spicy foods and carbohydrates -smoking and alcohol intake -chocolate and caffeine

smoking and alcohol intake

The nurse is providing dietary teaching to a patient with chronic constipation. Which food selection by the patient indicates that teaching was effective? -Creamed wheat cereal with low-fat milk -Chocolate pudding -White bread and butter -Steamed broccoli

steamed broccoli