GI Adult Health HESI

A client is diagnosed with a peptic ulcer. The nurse instructs the client to contact the health care provider immediately if the client's stool has which appearance?

dark brown or black

A client progresses to a regular diet after a gastrectomy for gastric cancer. After eating lunch, the client becomes diaphoretic and experiences palpitations. Which probable cause of this response would the nurse recognize?

extracellular fluid shift into the bowel

The nurse is reviewing a list of current medications with a client who has developed gastrointestinal (GI) bleeding. Which prescription would the nurse discuss with the primary health care provider?

ibuprofen

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the nurse expect the client to report?

projectile vomiting

The nurse reviews the room assignments for clients who are scheduled for admission. One client is being hospitalized to receive intravenous steroids for management of Crohn disease. The nurse would question the assignment if the client is scheduled to have a roommate who has which illness?

bacterial meningitis

When teaching a client with a new colostomy about appliance care and maintenance, which information would the nurse include?

change the ostomy pouch on a routine basis replace the ostomy wafer weekly or sooner if needed empty the ostomy pouch before exercise and at bedtime

The nurse is teaching a student nurse about how to administer percutaneous enterostomal gastrostomy (PEG) tube feeding. Which information would the nurse include?

connect the tube feeding bag to the client and feeding pump flush with warm water before feeding check the prescription for the correct formula set the correct rate and initiate the pump check for diarrhea

Which finding indicates that a client is at an increased risk for colorectal cancer (CRC)?

presence of dark, tarry stools family history of polyposis 20-year history of ulcerative colitis unintentional 20-pound weight loss change in bowel pattern for 3 months

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 would the nurse include when discussing prevention of esophageal reflux?

reduce caloric intake to foster weight reduction

A client with an intestinal obstruction is prescribed intestinal suction via a nasoenteric decompression tube. When caring for the client, the nurse would consider the loss of which constituents associated with this type of suctioning?

water and electrolytes