GI

The nurse is providing community education at the mall. The nurse is instructing on the muscular tube that connects the mouth to the stomach. The nurse outlines this structure on a drawing and labels it with which of the following?

Esophagus

Which of the following would be most important to ensure that a client does not retain any barium after a barium swallow?

Monitoring the stool passage and its color

The complication of diverticulitis that causes swelling of the tissue lining the abdominal cavity is

peritionitis

The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?

A warm sensation

A diagnostic marker for Crohn disease is

ASCA

A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?

Assist client to increase dietary fiber

The nurse is preparing to measure the client's abdominal girth as part of the physical examination. At which location would the nurse most likely measure?

At the umbilicus

The most effective diagnostic tool for diverticular disease

CT scan with contrast

The nurse is accompanying the client to the diagnostic imaging unit for a magnetic resonance imaging (MRI). Which action, by the nurse, is most important prior to the test?

Calculate drop per minute for intravenous fluids and infuse by gravity

When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important?

Checking if the mucous membranes are dry

A client is scheduled for an esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for which of the following while assessing the client during the procedure?

Client's tolerance for pain and discomfort

Appropriate questions to ask about the client's GI history include: (select all that apply)

Do you have problems swallowing? b. Do you experience diarrhea or constipation? Do you take any nutritional supplements?

When completing an assessment on a patient with a GI disorder, the nurse asks questions about the patient's habits and history. Which questions would elicit answers that could be linked to a potential hereditary GI disorder?

Does anyone in your family have ulcerative colitis?

The nurse is holding a teaching workshop on managing the symptoms of hiatal hernia in the elderly. Which of the following lifestyle modifications should be included in the presentation?

Eliminating tobacco use

A client with esophageal cancer has difficulty in swallowing. Which of the following would be appropriate to help the client achieve improved nutrition?

Give high-protein, semiliquid foods

The nurse is assisting the physician in a percutaneous liver biopsy. In which position would the nurse assist the client to assume?

Supine position

The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized during pre-procedure education?

The client will fast prior to the procedure.

The nurse is assessing a client of color for jaundice. In which location would the nurse assess for discoloration? Select all that apply.

The sclera B. The gums The hard palate F. The conjunctiva

Which nursing instruction is correct to provide the client following a barium enema?

The stools may be a white or clay colored.

In a client receiving radiation therapy to the head, prevention of infection of the teeth and gums is important. Which is the primary nursing care measure that should be taken?

Use of topical antiseptic mouthwash

The nurse is caring for a client following a colonoscopy. During the procedure, two medium-sized polyps were removed. Which nursing assessment in the recovery area is a priority?

Vital signs

The formation of granulomas in Crohn disease results from

a collection of immune cells called macrophages

The string sign seen during a barium enema of a patient with Crohn disease refers to

a constriction of the terminal ileum

The primary contributing factor leading to diverticulosis is eating

a low-fiber diet

All of the following medications may be used to treat moderate diverticulitis except

a steroid to treat inflammation

Although Inflammatory bowel disease can occur at any age, is peak onset is at

age 15-30

The first line of treatment for mild to moderate Inflammatory bowel disease is

anti-inflammatory medicaitons

GI discomfort in Inflammatory bowel disease can be managed by consuming

bread and rice

A group of students is studying for an examination on the gastrointestinal (GI) system. The students demonstrate understanding of the material when they identify which of the following as the sphincter that may spasm with the administration of morphine?

c. Sphincter of Oddi

Diverticulitis occurs when

food, bacteria, or feces causes inflammation or infection in the bowel

Patients with severe symptoms of diverticulitis may require

hospitalization, IV antibiotics, and/or surgery

In ulcerative colitis, the colon

loses both its elasticity and absorptive ability

Ulcerative colitis occurs most frequently in

men

Which medication is used to reduce local GI tract inflammation?

mesalamine

Surgery for the patient with diverticulitis typically necessitates

partial bowel resection with connection of the remaining parts

The most common extra-intestinal symptom of Inflammatory bowel disease is

peripheral arthritis

Diverticulosis is

the condition of having more than one small, bulging pouch in the intestinal wall

Which statement about fiber in foods is accurate?

the fiber in high-fiber foods isn't digestible

Initial diagnostic testing to rule out diverticulitis includes

white blood cell count, guaiac test of stool, urinalysis, and abdominal x-ray

Teach your patient to take fiber supplements

with 8 ounces of water

Symptoms of Crohn disease include abdominal pain in the

right lower quadrant after a meal

The stovepipe sign seen during a barium enema of a patient with ulcerative colitis refers to the

rigid, shortened appearance of the colon

One symptom of dieverticulosis may be

sudden, acute pain in the lower abdomen

Early signs of fluid volume deficit in your hospitalized patient with diverticulitis include

tachycardia and tachypnea

Which of the following isn't a complication of diverticulitis?

rectal polyps

Inflammation in ulcerative colitis begins in the

rectum and extends to the proximal colon

Crohn disease is least likely to be found in

preteens

A client, who has occasional gastric symptoms, is receiving teaching on how to prevent gastroesophageal reflux disease (GERD). Which statement indicates the client understands the teaching?

"Eliminating bothersome foods will help."

The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes being ashamed because he is having frequent gas. Which nursing suggestion is best?

"Having gas following the procedure is normal. Expel the gas to decrease discomfort."

When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the physician?

"I really don't like to be in small, enclosed spaces."

The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids?

. Esophagogastroduodenoscopy

The recommended daily consumption of fiber is

20-35 grams

A nurse is employed as a gastroenterologist's office nurse. When assessing the client, which objective data would provide useful information for diagnosis?

22-lb weight loss in 2 months

A person whose sibling has inflammatory bowel disease has an increased risk of developing the disorder by

30

The nurse fills a tube feeding bag with two 8 oz cans of commercially prepared formula. The client is to receive the formula at 80 mL/hour via continuous gastrostomy feeding tube and pump. How many hours will this bag of formula run before becoming empty?

6 hours

When assisting with preparing a client scheduled for a barium swallow, which of the following would be appropriate to include?

Avoid smoking for at least 12 to 24 hours before the procedure.

A client is being evaluated for an esophageal tumor. Which nursing assessment finding presents the greatest concern?

Back pain

An elderly client presents with a complaint of 10-lb weight loss over the past month. Which assessment finding is most important in determining the care of this client?

History gallbladder removal

The nurse measures abdominal girth at the umbilicus. The rationale for measuring abdominal girth is to determine

Improving or worsening ascites

The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal?

Increase the amount of fluids

When examining the abdomen of a client with complaints of nausea and vomiting, which of the following would the nurse do first?

Inspection

A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will be priority?

Keeping the head of the bed elevated

The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?

Prothrombin time (PT

A client with peptic ulcer disease complains of sharp mid-epigastric pain. Which assessment finding is most important to the care of this client?

Rigid abdomen

The nurse is providing care to a client who has had a percutaneous liver biopsy. The nurse would monitor the client for which of the following?

Signs and symptoms of bleeding

After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected?

Stomach

Treatment of mild diverticulosis often includes pain medication and

a high fiber diet

Chronic inflammation in ulcerative colitis inhibits new red blood cell formation

decreasing production of erythropoietin

Inflammatory bowel disease would more likely develop in someone living in a/an

developed urban area and who's white

A patient beginning to exhibit symptoms of diverticulosis should be advised to

eat a bland diet and drink more fluids

Inflammtory bowel disease is a disorder that produces

edema, ulceration, and bleeding in any part of the GI tract

A history of diverticulitis and chronic urinary tract infections is suspicious of which complication?

fistula