GI

The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

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

A) Heavy lifting

The wound care nurse suspects a nutritional problem with a client who presents with weight loss, poor appetite, and delayed healing. Which of the following laboratory findings would be most indicative of a nutritional problem?

A) Serum albumin level 2 g/dL

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

B) "Eliminating bothersome foods will help."

The nurse is counseling an adolescent who has a body mass index of 33%. Which of the following complications is of greatest concern?

C) Lifelong obesity

The nurse is holding a teaching workshop on managing the symptoms of hiatal hernia in the elderly. Which of the following lifestyle modifications should be included in the presentation?

A) Eliminating tobacco use

The nurse is discussing care of the client's ileostomy and is instructing the client to avoid certain medications that may pass through without being absorbed. What medications should the nurse instruct the client to avoid? Select all that apply.

A) Enteric-coated products C) Slow-release beads D) Layered tablets Ans: A, C, D

The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids?

A) Esophagogastroduodenoscopy

The nurse is preparing to irrigate a client's single-barrel colostomy after surgery. What postoperative day should the nurse irrigate the colostomy?

A) Fourth or fifth postoperative day

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

A) Give high-protein, semiliquid foods.

Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes?

A) Increased appetite and thirst

A client is to have a total colectomy and has been on prednisone 3 months ago for the treatment of Crohn's disease. What medication does the nurse anticipate administering in the preoperative phase to prevent adrenal crisis?

A) Intravenous hydrocortisone

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?

A) Keeping the head of the bed elevated.

In caring for a client immediately following gastric cancer surgery, which nursing assessment finding would require priority attention?

A) Levine tube set to high continuous suction

The client is having a total colectomy with an ileostomy created. What does the nurse explain to the client that the stool consistency will be?

A) Liquid or mushy

A male client will be having an ileoanal anastomosis for the treatment of chronic ulcerative colitis. What is the benefit to this client of having this procedure rather than a total colectomy? Select all that apply.

A) Maintains bowel continence B) Unlikely to experience bladder dysfunction C) Unlikely to experience erectile dysfunction D) Unlikely to experience infertility

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

A) Palpation B) Inspection C) Auscultation D) Percussion

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

A) Rectal bleeding

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?

A) Scybala

The nurse is assisting the physician with a procedure to remove ascitic fluid from a client with cirrhosis. What procedure does the nurse ensure the client understands will be performed?

B) Abdominal paracentesis

In addition to teaching a client with constipation to increase dietary fiber intake to 25 g/day, which of the following would the nurse include as important?

B) Adding fiber-rich foods to the diet gradually

The nurse is caring for a young woman who is struggling with weight loss issues, without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?

B) Anorexia nervosa

The nurse is preparing to measure the client's abdominal girth as part of the physical examination. At which location would the nurse most likely measure?

B) At the umbilicus

The nurse is caring for a geriatric client at a long-term care facility. When administering the client's medications, which age-related changes of the client are anticipated? Select all that apply.

B) Decreased motility in the esophagus C) A weak gag reflex E) Decreased elasticity of the rectal wall

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.

B) Dehydration C) Electrolyte imbalances D) Vitamin deficiencies

The nurse is reviewing the results of a Hemoccult test with the client. Which question, asked by the nurse, is important to screen for the potential of a false-positive result.

C) "Are you prescribed regular strength aspirin daily?" D) "Can you tell me the amount of alcohol that you drink on an average week?" E) "When was the last time that you included red meat in your diet?"

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?

C) "To cleanse the bowel to promote clear visualization of structures"

A client scheduled for a total colectomy has been taking the immunosuppressive agent, azathioprine (Imuran). When should the client be told to discontinue the medication to prevent negative effects on tissue healing?

C) 1 month before surgery

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

C) A change in bowel habits

A client is diagnosed with colon cancer, located in the lower third of the rectum. What does the nurse understand will be the surgical treatment option for this client?

C) Abdominoperineal resection

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

C) Back pain

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

C) Cholelithiasis

A patient informs the nurse that he has been having abdominal pain that is relieved when having a bowel movement. The patient states that the physician told him he has irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder?

C) Chronic constipation with sporadic bouts of diarrhea

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?

C) Esophagus

A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment does the nurse anticipate the client will receive to treat the reaction?

C) High-dose corticosteroids

The client receiving radiotherapy complains of increased fatigue. The nurse understands that the most significant reason for this symptom is related to which factor?

C) Radiation suppresses red blood cell production.

A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?

C) Reduce fluid accumulation and venous pressure.

A client with complaints of nausea and vomiting has been ordered a nasogastric tube insertion. Which action should the nurse take first once the NG tube is inserted?

C) Secure the NG tube and assess drainage.

The nurse is asking the client with acute pancreatitis to describe the pain. What pain symptoms does the client describe related to acute pancreatitis?

C) Severe midabdominal to upper abdominal pain radiating to both sides and to the back

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 ocation?

C) Sigmoid colon

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?

C) Stomach

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

C) Stool cultures negative for microorganisms or parasite

A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Which of the following most likely would be ordered?

C) Tacrolimus (Prograf, FK506)

Chapter 46 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?

C) The client's natural bowel function may become sluggish.

The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

C) Transverse

The nurse is caring for a client following a colonoscopy. During the procedure, two medium-sized polyps were removed. Which nursing assessment in the recovery area is a priority?

C) Vital signs

A client undergoes surgery for a Kock pouch and returns to the nursing unit. The nurse anticipates that the ileal catheter will be removed in about?

D) 10 to 14 days

The nurse is checking the residual content for a client who is receiving intermittent feedings. Which residual content, if obtained, would lead the nurse to delay the feeding?

D) 120 mL

After teaching a group of students about intestinal obstruction, the instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction?

D) Abdominal surgery

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

D) Chew food well.

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 symptom?

D) Esophageal tumor

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

D) Increase dietary fiber.

The nurse is providing ostomy care to the client with an ileostomy. What can the nurse use to protect the skin and promote adhesion of the ostomy appliance?

D) Karaya gum

A client with peptic ulcer disease is scheduled for a partial gastrectomy and vagotomy.The nurse understands the surgery will accomplish which of the following physiologic effects?

D) Remove source of acid secretion.

A client with peptic ulcer disease complains of sharp mid-epigastric pain. Which assessment finding is most important to the care of this client?

D) Rigid abdomen

A client is recently diagnosed with Crohn's disease and is beginning treatment. What first-line treatment does the nurse expect that the client will be placed on to decrease the inflammatory response?

D) Sulfasalazine (Azulfidine)

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

B) A warm sensation

The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment?

B) Abdominal distention

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

B) Checking if the mucous membranes are dry

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

C) Client's tolerance for pain and discomfort

The nurse is preparing a patient for a test that involves inserting a thick barium paste into the rectum with radiographs taken as the client expels the barium. What test will the nurse prepare the patient for?

C) Defecography

A client has been discharged from the acute care facility with an ileostomy. The client comes to the clinic for a follow-up visit and informs the nurse that the wound has been draining and they are having abdominal pain and running a fever. What does the nurse suspect is occurring with the client?

C) The client has developed a wound infection.

A female client with chronic hepatitis B has been prescribed recombinant interferon alfa-2b (Intron A, Roferon-A) in combination with ribavirin (Rebetol). Which of the following instructions should a nurse provide this client?

C) Use strict birth control methods.

A client is prescribed a magnesium and aluminum hydroxide antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following?

C) Watch for possible antacid-related diarrhea.

The nurse is admitting a client to their room at the hospital and observes that the client's skin and sclera are jaundice. What does the nurse expect the client's total bilirubin levels to be?

D) 3.0 mg/dL

After assessing a client with peritonitis, the nurse likely would document the client's bowel sounds as?

D) Absent

A client is having the first stage of an ileoanal anastomosis. What should the nurse inform the client they will experience?

D) Continuous discharge of mucus from the anus

A client with severe acute pancreatitis has a glucose level of 750 mg/dL. What does the nurse understand is the cause of this level of hyperglycemia?

D) Imbalance of glucagon, insulin, and somatostatin

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?

C) Prochlorperazine (Compazine)

A client is being discharged from the outpatient care center after having an inguinal hernia reduced nonsurgically. What can the nurse instruct the client to do to decrease the incidence of recurrence? Select all that apply.

A) Avoid heavy lifting and strenuous exercise. B) Avoid constipation. C) How to wear a truss.

The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply.

A) Asterixis C) Positive Babinski reflex E) Fetor hepaticus

A client informs the nurse that he is taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about the taking a stimulant laxative?

A) They can be habit forming and will require increasing doses to be effective.

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?

B) Gastrostomy tube

An elderly client presents with a complaint of 10-lb weight loss over the past month. Which assessment finding is most important in determining the care of this client?

C) History of COPD

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?

B) Inform the client to remain upright for at least 2 hours after meals.

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?

B) Vitamin K

A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike. What complication does the nurse determine may be occurring at this time?

C) Peritonitis

The nurse observes the physician palpating the abdomen of a client that is suspected of having acute appendicitis. When the abdomen is pressed in the left lower quadrant the client complains of pain on the right side. What does the nurse understand this assessment technique is referred to?

C) Rovsing's sign

A client with a history of peptic ulcer disease is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?

C) Prepare for nasogastric irrigations.

The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes being ashamed because he is having frequent gas. Which nursing suggestion is best?

A) "Having gas following the procedure is normal. Expel the gas to decrease discomfort."

A patient with cirrhosis is complaining to the nurse of itching. The client asks the nurse if the itching is because he has been taking warm baths. What is the best response by the nurse?

A) "The itching is caused by the accumulation of bile salts."

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

D) Use of topical antiseptic mouthwash

A nurse is preparing to administer the prescribed vitamin B12 to a client who has had most of his ileum removed. The nurse understands that this is necessary for which reason?

B) Prevents deficiencies

The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?

B) Prothrombin time (PT)

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

B) Semiliquid

A client who had a total colectomy with an ileostomy has rectal packing in place to absorb drainage and promote healing. When does the nurse know that the rectal packing will be removed?

C) Within 1 week

A client is preparing for discharge to home, following a partial gastrectomy and vagotomy. Which is the best rationale for the client being taught to lie down for 30 minutes after each meal?

A) Slows gastric emptying

The nurse is reviewing laboratory work that is consistent with a client being positive for hepatitis and in the incubation phase of the illness. What should the nurse be concerned with at this stage of the illness?

A) The client is infectious.

A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important?

A) The consistency of stool and comfort when passing stool

Which nursing interventions are primary in the care of a client receiving internal sealed radiation? Select all that apply.

A) Time, distance, and shielding B) Count wires/threads every shift.

Chapter 48 A client who is scheduled for an ileostomy surgery and been taking corticosteroids is instructed to taper the drug, eventually discontinuing it. The nurse would monitor this client for which of the following?

D) Adrenal insufficiency

When assessing a client with cirrhosis of the liver, which of the following stool characteristics is the client likely to report?

D) Clay-colored or whitish

A client at a long-term care facility informs the nurse that he is having cramping when trying to have a bowel movement, and all that is coming out is liquid. When the nurse reviews the client's 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?

D) Encopresis

The nurse is assisting the physician in a percutaneous liver biopsy. In which position would the nurse assist the client to assume?

D) Supine position

A client is scheduled for a gastrojejunostomy as a surgical treatment of chronic peptic ulcer disease. The client asks the nurse to explain the stump left behind. Which is the best explanation provided by the nurse?

B) "Keeping the stump aids in digestion."

The nurse is caring for a patient in the immediate postoperative phase after having a colostomy created. What type of appliance should the nurse use at this time?

B) A disposable or temporary appliance should be used.

The client is scheduled for external beam radiation for the treatment of an upper gastrointestinal cancer. Which is the most significant factor in the nursing care of this client?

B) Avoid washing off markings.

A client had an open cholecystectomy with a T-tube insertion, and the nurse is measuring the bile drainage every 8 hours. When should the nurse notify the physician?

A) If more than 500 mL of bile drainage is present in 24 hours.

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?

A) Signs and symptoms of bleeding

What potentially life-threatening complication can the client have if corticosteroids are abruptly withdrawn or the client has significant stress due to the impending surgical procedure?

D) Adrenal crisis

A client has developed an anorectal abscess. Which client is at most risk for the development of this type of abscess?

A) A client with Crohn's disease

A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis?

A) A liver biopsy

The client expresses fears about looking at the stoma for the first time. What can the nurse inform the client will occur when he first views and touches the stoma?

A) An assigned staff nurse will be there when the stoma is exposed for view.

The nurse is accompanying the client to the diagnostic imaging unit for a magnetic resonance imaging (MRI). Which action, by the nurse, is most important prior to the test?

B) Calculate drop per minute for intravenous fluids and infuse by gravity.

Which of the following interventions would be appropriate for a client who has undergone surgery for a liver disorder and has started shivering?

B) Cover the client with a light blanket.

Which nursing instruction is correct to provide the client following a barium enema?

B) The stools may be a white or clay colored.

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

C) Anti-arthritis medication (Advil)

Chapter 45 A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?

C) Assist client to increase dietary fiber.

The nurse is caring for a geriatric client and notices polypharmacy. Which diagnostic studies are anticipated?

C) Liver function studies

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

A) Impaired Gas Exchange

Which of the following would be most important to ensure that a client does not retain any barium after a barium swallow?

B) Monitoring the stool passage and its color

formation of gas. What can the nurse tell the client to help her with this common issue?

A) Eat slowly and chew food well with mouth closed.

A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?

B) "I'll need to learn how to empty the reservoir several times a day."

What medication will the nurse administer to the client with pancreatitis in order to reduce the activity of the vagus nerve?

B) Atropine

The plan of care for the cancer client includes weekly blood counts. Changes in which of the following laboratory values would be the most likely reason for an order of filgrastim (Neupogen) injection?

C) Leukopenia

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?

B) Delayed or altered tissue healing

A client is seeing the physician for a suspected tumor of the liver. What laboratory study results would indicate that the client may have a primary malignant liver tumor?

B) Elevated alpha-fetoprotein

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?

D) The client will change positions frequently throughout the procedure.

A client with bacterial infection is suspected of suffering from malnutrition. Which nursing assessment finding would be most significant in evaluating this client?

D) Total lymphocyte count (TLC)

The nurse would expect to observe which of the following when assessing a client with cholelithiasis?

D) Urine that appears dark brown

A client has had surgery to create an ileoanal reservoir surgery. Which instruction would the nurse give to reduce the risk for bowel incontinence?

C) Perform perineal exercises.

The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?

B) Pancreas

A client has a blockage of the passage of bile from a stone in the common bile duct. What type of jaundice does the nurse suspect this client has?

C) Obstructive jaundice

A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered?

C) Permit the client to drink only clear liquids.

A client with esophageal varices is scheduled to undergo injection sclerotherapy. Which of the following client statements indicates that the teaching was successful?

B) "I might need to have this procedure done again."

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

B) "I need to drink 8 oz of water before eating."

When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the physician?

B) "I really don't like to be in small, enclosed spaces."

Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

B) Measure pH of aspirates

Following abdominal surgery, excessive drainage from the client's nasogastric tube is observed. Which assessment finding is most likely to occur?

B) Metabolic alkalosis—pH 7.52, PaCO2 35 mm Hg, HCO3 28 mEq/L

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?

B) Serum antibodies for H. pylori

When the nurse is teaching the client about attachment of the faceplate around the stoma, what measure will ensure secure attachment of the pouch to the peristomal skin?

B) Press the adhesive faceplate around the stoma for about 30 seconds.

A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication should the nurse anticipate administering that will reduce pressure in the portal venous system and control esophageal bleeding?

B) Octreotide (Sandostatin)

The nurse is caring for a client with intussusception of the bowel. What does the nurse understand occurs with this disorder?

B) One part of the intestine telescopes into another portion of the intestine.

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?

B) Normal activities may be resumed in 1 week.

A client has been diagnosed with Laennec's cirrhosis. What does the nurse understand that this type of cirrhosis is caused by?

A) Chronic alcohol intake

The nurse is following an order to collect a stool specimen from a patient who is having diarrhea for ova and parasites. What does the nurse understand may be required when obtaining this specimen?

B) The nurse may have to obtain several samples.

A client is having a procedure that will remove the entire colon and rectum and will bring the end of the ileum through a separate area on the right lower quadrant of the abdomen. What type of procedure does the nurse understand this client will be having?

B) Total colectomy

When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. The nurse documents this finding as which of the following?

C) Caput medusae

A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?

C) Hepatitis C increases a person's risk for liver cancer.

The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal? C) Increase the amount of fluids

C) Increase the amount of fluids

The nurse is administering medications to a patient that has elevated ammonia due to cirrhosis of the liver. What medication will the nurse give to detoxify ammonium and to act as an osmotic agent?

C) Lactulose (Cephulac)

Which intervention would be most appropriate for a client who has undergone colostomy surgery?

C) Monitoring the volume of gastric secretions.

The nurse is talking with a group of clients that are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care provider?

A) Change in bowel habits

A client with cirrhosis is complaining of severe pruritus related to the accumulation of bile salts. What can be prescribed for the client to relieve the itching?

A) Cholestyramine (Questran)

The client is ordered cimetidine (Tagamet) H2-receptor antagonist agent for the short-term management of gastroesophageal reflux disease (GERD). Which of the following assessment findings is most important in determining care of this client?

A) Elevation of liver enzymes

After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?

A) Loperamide (Imodium)

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

A) The sclera B) The gums E) The hard palate F) The conjunctiva

The nurse is caring for a geriatric client experiencing diarrhea. When instructing on the body site where water and electrolytes are absorbed, the nurse is most correct to instruct on which location?

A) The small bowel

A client has undergone a total gastrectomy for refractory ulcers. The nurse would explain the need for lifelong treatment with which of the following?

A) Vitamin B12 replacement

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

B) Inspection

Chapter 47 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?

B) Measure abdominal girth according to a set routine.

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

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