GI quizzes

A client asks the nursing assistant for a bedpan. When the client is finished, the nursing assistant notifies the nurse that the client has bright red streaking of blood in the stool. The nurse's assessment should focus on what potential cause? Diet high in red meat Upper GI bleed Hemorrhoids Use of iron supplements

Hemorrhoids

A client presents to the clinic reporting vomiting and burning in her mid-epigastria. The nurse knows that in the process of confirming peptic ulcer disease, the health care provider is likely to order a diagnostic test to detect the presence of what? Infection with Helicobacter pylori Excessive stomach acid secretion An incompetent pyloric sphincter A metabolic acid-base imbalance

Infection with Helicobacter pylori

The nurse recognizes that the client diagnosed with a duodenal ulcer will likely experience: vomiting hemorrhage pain 2 to 3 hours after a meal weight loss

pain 2 to 3 hours after a meal

A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine. Before the client is discharged, the nurse should provide which instruction? "Increase your intake of fluids containing caffeine." "Avoid aspirin and products that contain aspirin." "Stop taking the drugs when your symptoms subside." "Eat three balanced meals every day."

"Avoid aspirin and products that contain aspirin."

The nurse provides client education to a client about to undergo Urea breath testing. The nurse evaluates that the client understands the test when the client makes which statement? "First, I will drink a cherry flavored liquid." "The test will detect the presence of staph." "I should avoid antibiotics for 1 month before the test." "The test will detect the presence of oral cancer."

"I should avoid antibiotics for 1 month before the test."

A client comes to the clinic reporting pain in the epigastric region. What statement by the client suggests the presence of a duodenal ulcer? "I seem to have bowel movements more often than I usually do." "I know that my father and my grandfather both had ulcers." "The pain really interferes with my quality of life." "My pain resolves when I have something to eat."

"My pain resolves when I have something to eat."

A nurse is providing preprocedure education for a client who will undergo a lower GI tract study the following week. What should the nurse teach the client about bowel preparation? "For 24 hours before the test, insert a glycerin suppository every 4 hours." "You'll need to have enemas the day before the test." "Starting today, take over-the-counter stool softeners twice daily." "You'll need to fast for at least 18 hours prior to your test."

"You'll need to have enemas the day before the test."

Inflammation of a diverticulum resulting in abscess formation Diverticulitis Diverticulosis Mechanical bowel obstruction Nonmechanical (functional, paralytic, ileus) bowel obstruction

Diverticulitis

Presence of several diverticula in the intestine Diverticulitis Diverticulosis Mechanical bowel obstruction Nonmechanical (functional, paralytic, ileus) bowel obstruction

Diverticulosis

A client has a new order for metoclopramide. What potential side effects should the nurse educate the client about? Extrapyramidal Peptic ulcer disease Decreased gastric motility nausea

Extrapyramidal

A client has a new order for metoclopramide. The nurse identifies that this medication can be safely administered for which condition? Gastroesophageal reflux disease Peptic ulcer with melena Diverticulitis with perforation Gastritis

Gastroesophageal reflux disease

Which of the following is a true statement regarding regional enteritis (Crohn's disease)? It has a progressive disease pattern It is characterized by lower left quadrant abdominal pain. The clusters of ulcers take on a cobblestone appearance. The lesions are in continous contact with one another.

The clusters of ulcers take on a cobblestone appearance.

A 75-year-old male patient presents at the emergency department with symptoms of a small bowel obstruction. An emergency room nurse is obtaining assessment data from this patient. What assessment finding is characteristic of a small bowel obstruction? Mucosal edema Mucus in stool Nausea and vomiting Decrease in urine production

Nausea and vomiting

Absence of peristalisis due to diabetes, neurologic disorders or manipulation of the bowel during surgery Diverticulitis Diverticulosis Mechanical bowel obstruction Nonmechanical (functional, paralytic, ileus) bowel obstruction

Nonmechanical (functional, paralytic, ileus) bowel obstruction

A client with a recent history of intermittent bleeding is undergoing capsule endoscopy to determine the source of the bleeding. When explaining this diagnostic test to the client, what advantage should the nurse describe? the test allows visualization of the entire peritoneal cavity the test allows for painless biopsy collection the test does not require fasting the test is noninvasive

the test is noninvasive

A nurse is caring for a newly admitted client with a suspected GI bleed. The nurse assesses the client's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location? sigmoid colon upper GI tract large intestine anus or rectum

upper GI tract

The nurse is caring for a client who has developed dumping syndrome while recovering from a gastrectomy. What recommendation should the nurse make to the client? Drink a minimum of 12 ounces of fluid with each meal. Eat several small meals daily spaced at equal intervals. Sit upright when eating and for 30 minutes afterward. Choose foods that are high in simple carbohydrates.

Eat several small meals daily spaced at equal intervals.

A nurse is providing client education for a client with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use. The client has recently been prescribed misoprostol. What would the nurse be most accurate in informing the client about the drug? It reduces the stomach's volume of hydrochloric acid It increases the speed of gastric emptying It protects the stomach's lining It increases lower esophageal sphincter pressure

It protects the stomach's lining

An obstruction of the lumen of the intesting due to intussusceptions, tumors, stenosis, strictures, adhesions, or hernias Diverticulitis Diverticulosis Mechanical bowel obstruction NoDiverticulitis Diverticulosis Mechanical bowel obstruction Nonmechanical (functional, paralytic, ileus) bowel obstructionnmechanical (functional, paralytic, ileus) bowel obstruction

Mechanical bowel obstruction

The nurse is caring for a client with a duodenal ulcer and is relating the client's symptoms to the physiologic functions of the small intestine. What do these functions include? **Select all that apply Secretion of HCl (hydrochloric acid) Reabsorption of water Secretion of mucus Absorption of nutrients Movement of nutrients into the bloodstream

Secretion of mucus Absorption of nutrients Movement of nutrients into the bloodstream

A client has sought care because of recent dark-colored stools. As a result, a fecal occult blood test has been ordered. The nurse should give what instructions to the client? Take no NSAIDs within 48 hours of the test Take prescribed medications as usual Avoid over the counter vitamin C supplements Do not use fiber supplements before the test

Take no NSAIDs within 48 hours of the test

A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client? Take the medication 2 hours before or after other medications Blood levels will be evaluated after 1 week Take the medication at bedtime to accommodate sedative effects Ensure adequate potassium intake during therapy

Take the medication 2 hours before or after other medications

A client will be undergoing abdominal computed tomography (CT) with contrast. The nurse has administered IV sodium bicarbonate and oral acetylcysteine before the study, as prescribed. What would indicate that these medications have had the desired therapeutic effect? The client's BUN and creatinine levels are within reference range following the CT The CT yields high-quality images The client's electrolytes are stable in the 48 hours following the CT The client's intake and output are in balance on the day after the CT

The client's BUN and creatinine levels are within reference range following the CT

A nurse is preparing to provide care for a client whose exacerbation of ulcerative colitis has required hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the client's stools will have what characteristics? Watery with blood and mucus Hard and black formed stool Dry and streaked with blood Loose with visible fatty streaks

Watery with blood and mucus

A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. The nurse determines which nursing intervention is advised for this client? monitor for any breathing related disorder or discomforts do not give any food and fluids until the gag reflex returns monitor for cramping or abdominal distention measure fluid output for at least 24 hours after the procedure

do not give any food and fluids until the gag reflex returns

A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to: restrict fluid intake to 1 qt (1,000 ml)/day. drink liquids only with meals. don't drink liquids 2 hours before meals. drink liquids only between meals.

drink liquids only between meals.

A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. The client reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. The nurse suspects the client has? a normal reaction to surgery peritonitis dehiscence of the surgical wound. dumping syndrome

dumping syndrome

An adult client is scheduled for an upper GI series that will use a barium swallow. What teaching should the nurse include when the client has completed the test? stool will be yellow for the first 24 hours postprocedure the barium may cause diarrhea for the next 24 hours fluids must be increased to facilitate the evacuation of the stool slight anal bleeding may be noted as the barium is passed

fluids must be increased to facilitate the evacuation of the stool

A nurse has auscultated a client's abdomen and noted one or two bowel sounds in a 2-minute period of time. How should the nurse document the client's bowel sounds? normal hypoactive hyperactive paralytic ileus

hypoactive

A nurse is caring for a client who is scheduled for a colonoscopy and whose preparation will include polyethylene glycol electrolyte lavage prior to the procedure. The presence of what health problem would contraindicate the use of this form of bowel preparation? colon cancer diverticulitis intestinal polyps inflammatory bowel disease

inflammatory bowel disease

The nurse is preparing to perform a client's abdominal assessment. What examination sequence should the nurse follow? inspection, auscultation, percussion, palpation inspection, palpation, auscultation, percussion inspection, percussion, palpation, auscultation inspection, palpation, percussion, auscultation

inspection, auscultation, percussion, palpation