Patho ATI Quiz: Gastrointestinal

A nurse is providing teaching to a client who has a new colostomy. What information should the nurse include in the teaching? -"Eating yogurt can help decrease the amount of gas that I have." -"I should eliminate pasta from my diet so that I don't have as many loose stools." -"My largest meal of the day should be in the evening." -"Carbonated beverages can help control odor."

"Eating yogurt can help decrease the amount of gas that I have."

A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. Which of the following statements indicates the client understands the teaching? -"I will need to limit the number of fruit servings each day." -"I should avoid eating liver and other organ meats." -"I can drink only white wine." -"I should choose red meat instead of poultry."

"I should avoid eating liver and other organ meats."

A nurse is caring for a client who is 9 days postoperative following a total laryngectomy. The nurse removes the client's NG tube and initiates oral feedings. Which of the following statements would the nurse be correct is saying? -"Tuck your chin when you swallow so you won't choke." -"It is no longer possible for you to choke on or aspirate food." -"You should have no trouble swallowing fluids." -"I will add a thickener to your liquids to prevent aspiration."

"It is no longer possible for you to choke on or aspirate food."

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium? -1/2 cup ice cream -1 ounce swiss cheese -1 cup milk -1 cup cottage cheese

1 cup milk

A nurse is caring for a client who has an NG tube. The nurse tests the pH of the secretions to determine if the tube is correctly placed. Which of the following readings should the nurse expect? 6.0 4.0 7.0 8.0

4.0 This is an acidic pH, which is consistent with gastric drainage. This indicates that the NG tube is correctly placed.

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. the nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero?)

75 mL/hr

A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

8

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? -A room with air exhaust directly to the outdoor environment -A room with another nonsurgical client -A room in the ICU -A room that is within view of the nurses' station

A room with air exhaust directly to the outdoor environment

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.) A. Increased heart rate B. Increased blood pressure C. Increased respiratory rate D. Increase hematocrit E. Increased temperature

A. Increased heart rate B. Increased blood pressure C. Increased respiratory rate

A nurse is providing instructions about bowel cleansing with polyethylene glycol electrolyte solution for a client who is going to have a colonoscopy. which of the following information should the nurse include? -"To prevent dehydration, drink an additional liter of fluid during preparation time." -"Expect bowel movements to begin 3 hr following completion of solution." -"Abdominal bloating might occur." -"Drink 400 mL every hour until bowel movements are clear."

Abdominal bloating might occur

A nurse is preparing to perform hand hygiene, which of the following actions should the nurse take? -Adjust the water temperature to feel hot. -Apply 4 to 5 mL of liquid soap to the hands. -Hold the hands higher than the elbows. -Rub hands and arms to dry.

Apply 4 to 5 mL of liquid soap to hands

A nurse is caring for a client who is postoperative following an appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the client? (Select all that apply.) -Broth -Grape juice -Nonfat milk -Custard -Lemon gelatin

Broth Grape juice Lemon gelatin

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? -Positive western blot test -CD4-T-cell count 180 cells/mm -Platelets 150,000/mm -WBC 5,000/mm

CD4-T-cell count 180 cells/mm^3

A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take? -Allow the AP to deliver the food tray to the client. -Call the dietary department and ask for a kosher tray. -Replace the nonfat milk with apple juice. -Explain to the client that he needs the protein in the milk and the beef.

Call the dietary department and ask for a kosher tray.

A nurse is teaching a client who is at risk for iron-deficiency anemia about optimizing her dietary intake of iron. The nurse should explain that which of the following sources of iron is easiest for the body to absorb? -Spinach -Cantaloupe -Chicken -Lentils

Chicken

A nurse is teaching a client who has a prescription of an NG tube to treat pyloric obstruction. What rational for the use of the NG tube should the nurse include in the teaching? -Determine the pH of the gastric secretions -Supply nutrients via tube feedings -Decompress the stomach -Administer medications

Decompress the stomach

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first? -Discontinue the existing IV line. -Initiate a new IV line in the other extremity. -Apply a hot pack to the irritated site. -Determine if the client needs to continue IV therapy.

Discontinue the existing IV line

A nurse is preparing to administer three liquid medications to a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take? -Mix the three medications together prior to administering -Dilute each medication with 10 mL of tap water -Maintain the head of the bed in a flat position for 30 min following medication administration -Flush the NG feeding tube with 30 mL of water immediately following medication administration

Flush the NG feeding tube with 30 mL of water immediately following medication administration

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort? -Lower the height of the solution container. -Encourage the client to bear down. -Allow the client to expel some fluid before continuing. -Stop the enema and document that the client did not tolerate the procedure.

Lower the height of the solution container

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?

Monitor daily laboratory values and report as needed.

A nurse is admitting a client who has acute pancreatitis. which of the provider prescriptions should the nurse anticipate? -Initiate a low residue diet -Pantoprazole 80 mg IV bolus twice daily -Ambulate twice daily -Pancrelipase 500 units/kg PO three times daily with meals

Pantoprazole 80 mg IV bolus twice daily

A nurse is caring for a client who has a new prescription for a low-sodium diet. The client's family has requested to bring in some of the client's favorite foods. Which of the following food items should the nurse recommend the family members to omit? -Boiled rice -Flat bread -Broiled fish fillet -Pickled vegetables

Pickled vegetables

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan? -Oranges -Cashews -Red meat -Yogurt

Red meat

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.

Remember primary survey = ABCDE 1. (A) Open the airway using a jaw-thrust maneuver 2. (B) Determine effectiveness of ventilator efforts 3. (C) Establish IV access 4. (D) Glasgow coma scale assessment 5. (E) Removing clothing for a thorough assessment

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? -Flaccid abdomen -Absent Rovsing's sign -Sudden decrease in abdominal pain -Low-grade fever

Sudden decrease in abdominal pain

A nurse is providing teaching for a client who has anemia and a new prescription for ferrous sulfate liquid. Which of the following instructions should the nurse provide? -Take the med on an empty stomach to decrease gastrointestinal irritation -Take the med with orange juice to enhance absorption -Take the med with milk -Rinse the mouth before taking the iron

Take the medication with orange juice to enhance absorption.

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make? -"Taking the medication between meals will help you avoid becoming constipated." -"Taking the medication with food increases the risk of esophagitis." -"Taking the medication between meals will help you absorb the medication more efficiently." -"The medication can cause nausea if taken with food."

Taking the medication between meals will help you absorb the medication more efficiently.

A nurse is providing teaching about dietary recommendations to a client who has iron-deficiency anemia. Which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron? -Tomato juice -Tea -Milk -Dried beans

Tomato juice

A nurse is planning to teach a client about a low-potassium diet. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.) -Butter -Poultry -Yogurt -Frozen vegetables -Orange juice

Yogurt Orange juice

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect? -pH 7.25, HCO3- 19mEq/L, PACO2 30 mm Hg -pH 7.30, HCO3 - 26 mEq/L, PACO2 50 mm Hg -pH 7.50 7.50, HCO3-20 mEq/L, PaCO2 32 mm Hg -pH 7.55, HCO3 - 30 mEq/L, PaCO2 31 mm Hg

pH 7.25, HCO3- 19mEq/L, PACO2 30 mm Hg