GI questions
D
A client with ascites is scheduled for a paracentesis. To prepare the client for the abdominal paracentesis. What should the nurse do? A. shave the clients abdomen B. medicate the client for pain C. encourage the client to drink fluids D. instruct the client to empty the bladder
d
A clients surgery for an abdominal cholecytectomy and returns Fromm surgery with an NG tube to low continuous suction, a T-tube, and an indwelling catheter. Which intervention should the nurse perform first? A. fasten each tube to the bedsheets B. irrigate each tube with normal saline C. measure the drainage in the collection devices d. ensure that all tubes are attached to collection devices
B
A nurse is evaluating a client's responses to receiving an intermittent gravity flow PEG tube feeding. Which clinical finding indicates that the client is unable to tolerate a continuation of the feeding? A. passage of the flatus B. rise of the formula in the tube. C. rapid inflow of the feeding D. tenderness of epigastric area
D
A nurse iss performing a health history and physical assessment of a client with cholelithiasis and obstructive jaundice. Which clinical finding would the nurse expect this client to exhibit? A. hematuria B. bloody stools c. straw-colored urine D. pain in the right upper quadrant
B
A client who had a choledochostomy to explore the common bile duct is returned to the surgical unit with a T-tube in place. What is the priority intervention when caring for this client? A. irrigate the T-tube as necesssary B. protect the abdominal skin from bile drainage C. have the client wear a binder when out of bed D. empty the T-tube drainage bag every 2 hours
B
A client is admitted to the hospital with slight jaundice and reports of pain on the left side and back. A diagnosis of acute pancreatitis is made. Which common response to acute pancreatitis should the nurse monitor in the client? A. crackles B. hypovolemia C. gastric reflux D. jugular vein distension
A
A client is being prepared for surgery to have placement of a PEG tube. The client asks why the PEG tube is preferred over the existing NG tube that is being used for feedings. What explanation does the nurse give for why a PEG tube is preferred for administering a tube feeding? A. there's less chance of aspiration B. the procedure does not require a pump C. Self-administration of the feeding is possible D. more tube feeding mixture can be given each time
b
A client with GERD reports having difficulty sleeping at night. What should the nurse instruct the client to do? A. Drink a glass of milk before retiring B. Elevate the head of the bed on blocks C. Eliminate carbohydrates From the diet. D. take antacid, much as sodium bicarbonate
C
a client had a colon resection and formation of a colostomy two days ago. Which color indicates to the nurse the stoma is viable? A. blue B. Gray C. brick red D. Dark purple
B
a client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurses encourage the client to add to the diet to help normalize bowel funx after surgery A. vitamins B. whole bran C. cod liver oil D. amino acids
b
on the second day after an abdominoperineal resection, the nurse anticipatesss that the colotomy stoma will have what appearance? A. dry, pale, pink, and flush with the skin B. moist, red, and raised above the skin surface C. dry, purple, and depressed below the skin surface D. moist, pink, flush with the skin, and painful when touched
D
Which client response during the insertion of a NG tube indicates to the nurse that the client is experiencing serious difficulty with the insertion? A. Choking B. redness C. gagging D. cyanosis