GI Assessment Quiz

A client was recently diagnosed with a cancerous lesion of the mouth. What should the nurse ask when analyzing the client's need for health education in relation to this health problem?

"Have you noticed any change in your appetite?"

A home care nurse is teaching a client of the Orthodox Jewish faith about food supplements that can promote weight gain. Which client statement supports the nurse's conclusion that the teaching is successful?

"I will have cookies and a milkshake as a midafternoon snack."

A client who is receiving total parenteral nutrition (TPN) reports experiencing nausea, thirst, and a headache. Which clinical factor should the nurse monitor initially to further assess the client's status?

Blood glucose

A client just has returned from the postanesthesia care unit after having a laparotomy. Which sign or symptom indicates to the nurse that peristalsis has begun to return?

Borborygmi are auscultated

A nurse is caring for a postoperative client who had a gastrectomy. What early client response indicates that peristalsis has returned?

Borborygmi are auscultated

A nurse is educating a client with a colostomy of the ascending colon about using a colostomy appliance. Which instruction should the nurse provide to help prevent leakage of stool from the appliance?

Empty the appliance when it is approximately one half full with feces.

A nurse is teaching an athletic teenager about nutrients that provide the quickest source of energy. Which food selected from a menu indicates to the nurse that the adolescent understands the teaching?

Glass of orange juice

A nurse is caring for a client with hepatic cirrhosis. Which elements are important to include in this client's diet?

Low protein Low sodium High vitamins

A client is scheduled for ligation of hemorrhoids. Which diet does the nurse expect to be prescribed in preparation for this surgery?

Low-residue

A client is admitted to the hospital with a diagnosis of Crohn's disease. What is most important for the nurse to include in the teaching plan for this client?

Meeting nutritional needs

A client is admitted to the hospital with a diagnosis of cirrhosis of the liver. For which classic signs of hepatic coma should the nurse assess this client?

Mental confusion Flapping hand tremors

Which medication should the nurse question when it is prescribed for a client with acute pancreatitis?

Meperidine (Demerol)

An older adult client who is accustomed to taking enemas periodically to avoid constipation is admitted to a long-term care facility. In addition to medications, the health care provider prescribes bed rest and a regular diet. Which action should be implemented to help prevent the client from developing constipation?

Offer a large glass of prune juice with warm water each morning.

A client has a colon resection with an anastomosis. What assessments by the nurse support a suspicion of impending shock?

Oliguria Irritability Hypotension

A nurse concludes that a client understands the teaching about limiting the discomfort associated with a hiatal hernia when the client states, "After meals I will:

Rest in a sitting position for one hour."

A nurse is teaching a client with an acute exacerbation of colitis about the most appropriate diet. Which food selected by the client indicates that the dietary teaching is effective?

Scrambled eggs

A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome?

Small, frequent feeding schedule

A client is recovering from an acute episode of alcoholism that included esophageal involvement. What are the components of a therapeutic diet that are most appropriate for the nurse to include in the teaching plan for this client?

Soft diet High protein diet

The nurse is caring for a client with ascites who is scheduled for a paracentesis. The client teaching will include:

The need to empty the bladder immediately before the procedure

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take?

Use gloves when removing the client's bedpan.

A client is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver. The nurse suspects what type of toxicity?

Vitamin A

A nurse provides dietary teaching about a low-sodium diet for a client with hypertension. Which nutrient selected by the client indicates an understanding about foods that are low in natural sodium?

fruits

On the third postoperative day after a subtotal gastrectomy, a client complains of severe abdominal pain. The nurse palpates the client's abdomen and identifies rigidity. What action should the nurse take?

Obtain the client's vital signs

A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional aspect of palliative care with the family. Why is it important to explain these nutritional interventions to the family?

Enhance the quality of the client's life

A client is instructed to avoid straining on defecation postoperatively. The nurse evaluates that the related teaching is understood when the client states, "I must increase my intake of:

Green vegetables."

A client is diagnosed with chronic pancreatitis. When providing dietary teaching it is most important that the nurse instruct the client to:

Avoid ingesting alcoholic beverages

When performing the initial history and physical examination of a client with a tentative diagnosis of peptic ulcer, the nurse expects the client to describe the pain as:

Gnawing epigastric pain or boring pain in the back

A client reports pain as a result of a gastric ulcer. What clinical findings is the nurse most likely to identify during an assessment of the client's pain?

Vomiting relieves pain. Pain described as gnawing. Pain occurs a half hour after meals.

What should transmission-based precautions for a client with salmonellosis include?

Wearing a gown if soiling is likely.