GI quiz

A nurse is developing a plan of care for a client who has gastroesophageal reflux disease (GERD). The nurse should plan to monitor the client for which of the following complications? A. Aspiration B. Infection C. Anemia D. Weight Loss

A - Aspiration (*remember ABCs still apply- regurgitation can cause aspriation)

A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply). A. I plan to eat small, frequent meals B. I will eat easy-to-digest foods with limited spice C. I will use skim milk when cooking D. I plan to drink regular cola E. I will limit alcohol intake to two drinks per day

A, B, C Small frequent meals, bland easy to digest foods, low-fat foods are recommended for the client who has pancreatitis.

A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (Select all that apply). A. Diuretic B. Beta-blocking agent C. Opioid analgesic D. Lactulose E. Sedative

A, B, D Diuretics facilitate excretion of excess fluid from the body in a client who has cirrhosis. Beta-blocking agents are prescribed for a client who has cirrhosis to prevent bleeding from varices. Lactulose is prescribed for a client who has cirrhosis to aid in the elimination of ammonia in the stool.

A nurse is caring for a client who has a new diagnosis of Hepatitis C. Which of the following laboratory findings should the nurse expect?

B - A positive EIA test is an expected laboratory finding in a client who has a new diagnosis of Hep C.

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? A. Decrease intake of calorie-dense foods B. Drink canned protein supplements C. Increase intake of high fiber foods D. Eat high-residue foods

B - Drink canned protein supplements. A high-protein diet is recommended for the client who has Crohn's disease. Canned protein supplements are encouraged.

A nurse is preparing to administer pancrelipase to a client who has pancreatitis. Which of the following actions should the nurse take? A. Instruct the client to chew the medication before swallowing B. Offer a glass of water following medication administration C. Administer the medication 30 min before meals D. Sprinkle the contents on peanut butter

B - drink a full glass of water following administration of pancrelipase

A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following findings should the nurse expect? A. Pain in right upper quadrant radiating to right shoulder B. Report of pain being worse when sitting upright C. Pain relieved with defecation D. Epigastric pain radiating to the left shoulder

D - A client who has pancreatitis will report severe, boring epigastric pain that radiates to the back, left flank or left shoulder

A nurse is assessing a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? A. Increased blood pressure B. Decreased heart rate C. Yellowing of the skin D. Boardlike abdomen

D - Boardlike abdomen

A nurse is providing teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching? A. Avoid foods containing protein B. Drink liquids during each meal C. Eat foods that contain simple sugars D. Maintain a supine position after meals

D - Maintain a supine position after meals

A nurse is caring for a client who is 2 days post-op following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following should the nurse provide at the initial feeding? A. Vanilla pudding B. Apple juice C. Diet ginger ale D. Clear liquids

D - clear liquids

A nurse is reviewing the admission laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A. Decreased blood lipase level B. Decreased blood amylase level C. Increased blood calcium level D. Increase blood glucose level

D - will experience increased blood glucose level due to pancreatic cell injury, which results in impaired metabolism of carbohydrates due to a decrease in the release of insulin.

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching? A. I will plan to limit fiber in my diet B. I will restrict fluid intake during meals. C. I will switch to black tea instead of drinking coffee D. I will try to eat cold foods rather than warm when my stomach feels upset

A - Eat a low fiber diet to reduce inflammation

A nurse in a clinic is reviewing the laboratory reports of a client who has suspected cholelithiasis. Which of the following is an expected finding? A. Blood amalyse 80Units/L B. WBC 9,0000/mm3 C. Direct bilirubin 2.1mg/dL D. Alkaline phosphatase 25Units/L

C - Expect the client who has cholelithiasis to have an elevated direct bilirubin level if the bile duct is obstructed. A direct bilirubin level of 2.1mg/dL is above the expected reference range 0.0-0.4

A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching? A. Take the medication 2 hours after eating B. Discontinue this medication if your skin turns yellow-orange C. Notify the provider if you experience sore throat D. Expect your stools to turn black

C - Notify the provider if you experience sore throat Sulfasalazine can cause blood dyscrasias. The client should monitor and report any manifestations of infection, such as a sore throat.

A nurse is teaching a client who has Hep B about home care. Which of the following instructions should the nurse include in the teaching? (Select all that apply): A. Limit physical activity B. Avoid alcohol C. Take Acetaminophen for comfort D. Wear a mask when in public places E. Eat small frequent meals

A, B, E Limiting physical activity and taking frequent rest breaks conserves energy and assists in the recovery process for a client who has Hep B; Alcohol is metabolized in the liver and should be avoided by the client who has Hep B; The client who has Hep B should eat small, frequent meals to promote improved nutrition due to the presence of anorexia.

A nurse is recommending dietary modifications for a client who has GERD. The nurse should suggest eliminating which of the following foods from the client's diet? A. Oranges and Tomatoes B. Carrots and bananas C. Potatoes and Squash D. Whole wheat and beans

A - Oranges and Tomatoes (they are acidic)

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding. Which of the following actions should the nurse take first? A. Flush the tube with water B. Place the client in the semi-Fowler's position C. Cleanse the skin around the tube site D. Aspirate the tube for residual contents

B - Place the client in Semi-Fowler's position

A nurse is completing preoperative teaching for a client who is scheduled for a laparoscopic cholecystectomy. Which of the following should be included in the teaching? A. The scope will be passed through your rectum B. You might have shoulder pain after surgery C. You will have a JP drain after surgery D. You should limit how often you walk for 1 to 2 wks

B - Shoulder pain is expected postoperatively due to free air that is introduced into the abd during laparoscopic surgery

A nurse is teaching a client with Barrett's esophagus who is scheduled to undergo an esophagealgastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching? A. This procedure is performed to measure the presence of acid in your esophagus. B. This procedure can determine how well the lower part of your esophagus works. C. This procedure is performed while you are under general anesthesia. D. This procedure can determine if you have colon caner.

B - This procedure can determine how well the lower part of your esophagus works. An EGD is useful in determining how well the lower part of your esophagus works. A:pH probe study, involves insertion of a specially designed probe into the distal esophagus, is performed to monitor for the presence of acid in the normally alkaline esophagus. C:EGD is performed while the client receives moderate sedation. D:Colonoscopy is performed to detect colon cancer

A nurse is reviewing the laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following blood laboratory results should the nurse expect to be elevated? (Select all that apply): A. Hematocrit B. Erythrocyte sedimentation rate C. WBC D. Folic acid E. Albumin

B, C ESR & WBC Increased ESR is a finding in Crohn's disease as a result of inflammation; increased WBC is finding in Crohn's disease

A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findings as indicators of hepatic encephalopathy? (Select all that apply) A. Anorexia B. Change in orientation C. Asterixis D. Ascites E. Fetor hepaticus

B, C, E A change in orientation indicates hepatic encephalopathy in a client who has advanced cirrhosis; Asterixis, a coarse tremor of the wrists and fingers, is observed as a late complication in a client who has cirrhosis and hepatic encephalopathy; Fetor hepaticus is fruity, musty breath odor is a finding of hepatic encephalopathy in the client who has advanced cirrhosis.

A nurse is providing discharge teaching to a client who is post-op following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply): A. Take baths rather than showers B. Resume a diet of choice C. Cleanse the puncture site using mild soap and water D. Remove adhesive strips from the puncture site in 24 hr E. Report nausea and vomiting to the surgeon

B, C, E Can resume regular diet on d/c Should cleanse puncture site w/mild soap and water to decrease the risk of infection Should report nausea, vomiting, or abd pain to surgeon

A nurse is caring for a client who is 2 days postoperative following gastric surgery and has an NG tube inserted. Which of the following findings should the nurse report to the provider? A. Dryness of mucous membranes B. Hypoactive bowel sounds in all quadrants C. 200 mL of bright red drainage from the NG tube D. Suction set at continuous low suction

C - 200 mL of bright red drainage from the NG tube

A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse identify as a manifestation of pancreatitis? A. Generalized cyanosis B. Hyperactive bowel sounds C. Gray-blue discoloration of the skin around the umbilicus D. Wheezing in the lower lung fields

C - A gray-blue discoloration in the periumbilical area is a manifestation of pancreatitis

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority? A. Client reports difficulty sleeping B. The client's urine is positive for glucose C. Client reports having an elevated body temperature D. Client reports gaining 4 lb. in the last 6 months

C- elevated body temp The greatest risk to the client is infection because prednisone can cause immunosuppression. Therefore, identity manifestations of an infection, such as an elevated body temperature, as the priority finding.

A nurse is caring for a client who is receiving total parental nutrition (TPN) therapy and has just returned to the room following Phy Therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis

D - Diaphoresis A: A client experiencing fluid volume overload will exhibit HTN. B:A client experiencing hyperglycemia will exhibit thirst. C:A client with an infection will have an increased temperature.

A nurse is providing postoperative teaching about the management of dumping syndrome to a client who had a partial gastrectomy. Which of the following instructions should the nurse include in the teaching? A. Consume at least 4 oz. of fluid with meals B. Take a short walk after each meal C. Use honey to flavor foods such as cereal D. Eat protein with each meal

D - Eat protein with each meal

A nurse on a med-surg unit is admitting a client who has Hep B with ascites. Which of the following actions should the nurse include in the plan of care? A. Initiate contact precautions B. Weigh the client weekly C. Measure abd girth at the base of the ribcage D. Provide a high-calorie, high-carb diet

D - Hep B client should have a diet high in calories and carbohydrates