MS week 9

A health care provider has prescribed omperazole for a client. The nurse will carefully monitor the client for increased adverse reactions if the client is also prescribed which additional medications? Select all that apply.

-Warfarin -Digoxin -Daizepam

A client is scheduled to have a total colectomy due to a colon mass and is also taking prednisone for asthma. The physician has instructed the client to taper down on the prednisone and discontinue. What negative outcome does the nurse know may occur if the client does not adhere to the instructions?

Delayed of altered tissue healing

A nurse is preparing to administer vitamin B12 to a client who has had most of his ileum removed. The nurse understands that this is necessary for which reason?

Prevents deficiencies

A client is preparing for discharge to home, following a partial gastrectomy and vagotomy. Which is the best rationale for the client being taught to lie down for 30 minutes after each meal?

Slows gastric emptying

The nurse is administering furosemide to promote urinary excretion of excess fluids for a client with cirrhosis. When administering furosemide to this client, what should the nurse closely monitor?

Sodium level

A client recently diagnosed with Crohn disease is beginning treatment. What first-line treatment does the nurse expect that the client will be placed on to decrease the inflammatory response?

Sulfasalazine

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

-Sclera -Gums -Hard palate -Conjunctiva

The nurse is caring for a client who has had diarrhea for 3 days. What major problems associated with severe or prolonged diarrhea should the nurse monitor for when caring for this client? Select all that apply

-Vitamin deficiency -Electrolyte imbalances -Dehydration

A patient who was diagnosed with senile dementia has become incontient of urine. The patient's daughter asks the nurse why this is happening. What is the nurse's best response?

"The patient is losing sphincter control due to the dementia"

After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?

"I need to drink 8 oz of water before eating"

When preparing a client for a MRI of the abdomen, which statement would indicate the need to notify the physician?

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

A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?

"I'll need to learn how to empty the reservoir several times a day"

A client with an ileostomy who has been discharged from the hospital calls the clinic and asks the nurse if he should take another one of his "potassium pills" because there is a waxy coating on the ileostomy from the pill. What is the best response by the nurse?

"Some medications will leave a "ghost" of the wax matrix coating, but it doesn't mean the drug wasn't absorbed."

A client is prescribed an antidiarrheal drug. The nurse should question administering the drug if which disorder is noted in the client's medical record? Select all that apply.

-Abdominal pain of unknown origin -Obstructive jaundice -Pseudomembranous colitis

A client is being discharged from the outpatient care center after having an inguinal hernia reduced nonsurgically. What can the nurse instruct the client to do to decrease the incidence of recurrence? Select all that apply.

-Avoid heavy lifting and strenuous exercise -Avoid constipation -How to wear a truss

The nurse is caring for a geriatric client at a long-term facility. When administering the client's medications, which age-related changes of the client are most anticipated? Select all that apply.

-Decreased elasticity of the rectal wall -Decreased motility in the esophagus -A weak gag reflex

A group of nursing students are analyzing the various categories of upper gastrointestinal system drugs. The instructor determines the session is successful when the students correctly choose which drugs as examples of a proton pump inhibitor? Select all that apply.

-Esomeprazole -Omeprazole

The nursing instructor is teaching a class illustrating the action of various GI medications. The instructor determines the class is successful when the students correctly choose which medications that exert their actions by reducing gastric motility and decreasing the amount of secreted acid in the stomach? Select all that apply.

-Glycopyralate -Propanthline

A nurse has administered the antacid calcium carbonate to a client. Which adverse reactions should the nurse monitor the client for during the ongoing assessment? Select all that apply.

-Headache -Rebound hyperacidity -Confusion

During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. As the nurse, you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? Select all that apply.

-Increase fiber intake -Decrease physical exercise

The nurse prioritizes a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements for a client who is prescribed an antiemetic. Which instructions should the nurse include in the client's plan of care? Select all that apply

-Make the environment as pleasant as possible -Remove items with strong smells and odors -Use mouthwash or frequent oral rinses

The caregivers of a young child present to the emergency department with reports that the child ingested something they shouldn't have. Which assessments should the nurse prioritize before administering an antiemetic to this young client? Select all that apply.

-What time was the substance ingested? -What is the client's blood pressure? -What chemicals or substances were ingested?

The nurse is caring for a client with cirrhosis of the liver. What symtoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply.

-fetor heapticus -asterixis -positive Babinski reflex

The nurse is admitting a client to their room at the hospital and observes the client's skin and sclera are jaundice. What does the nurse expect the client's total bilirubin levels to be?

3.0 mg/dL

During a routine clinic visit, a client reports using an over-the-counter antidiarrheal agent for treatment of diarrhea. The nurse reviews the drug information with the client and determines the client grasps the importance of contacting the primary health care provider if the diarrhea is not resolved within which time frame?

48 hours

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

6 hours

A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis?

A liver biopsy

5. When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. The nurse documents this finding as which of the following?

Caput medusae

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 comes to the clinic and informs the nurse that he is there to see the physician for right upper abdominal discomfort, nausea, and frequent belching especially after eating a meal high in fat. What disorder do these symptoms correlate with?

Cholelithiasis

A client who will be a having a portion of colon removed and colostomy created informs the nurse that he "will not be attractive any longer." The nurse determines the nursing diagnosis is Disturbed Body Image related to the stoma and altered bowel elimination. What expected outcome related to this diagnosis will this client have?

Client verbalizes what the changes will be and the benefits of future health.

A client with an ileostomy tells the nurse that he is having a lot of problems with the formation of gas. What can the nurse tell the client to help her with this common issue?

Eat slowly and chew food well with mouth closed

A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which of the following would the nurse expect the physician to order most likely?

Prochlorperazine

A client with severe acute pancreatitis has a glucose level of 750 mg/dL. What does the nurse understand is the cause of this level of hyperglycemia?

Imbalance of glucagon, insulin, and somatostatin

The nurse is providing ostomy care to the client with an ileostomy. What can the nurse use to protect the skin and promote adhesion of the ostomy appliance?

Karaya gum

A client who is recovering from anasthesia following oral surgery for lip cancer is experiencing difficulty breathing and coughing up secretions. Which of the following measures will help ease the client's discomfort?

Keeping the head of the bed elevated

A client is brought to the emergency department for a drug overdose. The nurse concludes the emetic is safe to give the client if which client assessment finding is noted?

Mental status is intact

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

Monitoring the stool passage and its color

The nurse is caring for a client with intussusception of the bowel. What does the nurse understand that occurs with this disorder?

One part of the intestine telescopes into another portion of the intestine

Which of the following interventions would be appropriate for a client who has undergone surgery for a liver disorder and has started shivering?

Place the client on a hyperthermia blanket

A client with a peptic ulcer is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?

Prepare for nasogastric irrigations

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

Prothrombin time (PT)

The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

Radiography of the gallbladder

When interviewing a client, which of the following would the nurse expect the client to report?

Rectal bleeding

A client is prescribed a bowel evacuant in prepartion for a colonoscopy. The client reports "going to the bathroom about every 30 to 45 minutes" and their stools are "like water." The client also reports being thirsty and mouth feels dry. Which nursing diagnosis would the nurse most likely prioritze?

Risk for imbalance fluid volume

The nurse is assessing a client for fecal impaction, and when inserting a lubricated gloved finger, the stool feels like small rocks. What does the nurse document this finding as?

Scybala

The nurse is caring for a geriatric client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?

Serum antibodies for H. Pylori

The nurse is answering questions regarding fecal matter for a client who is scheduled for a colon resection. The client is asking questions regarding the composition of the fecal matter and when it becomes a formed mass. The nurse is most correct to state at which location?

Sigmoid colon

A client realizes thar regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason?

The client's natural bowel function may become sluggish

A client with a hernia decides to manage the herniation with a truss. The nurse would emphasize which of the following?

Using cornstarch to absorb moisture in the area