Prep u questions GI

Question 6 See full question Report this Question • 95 The nurse is teaching a client about peptic ulcers. The client understands the provided education when stating which of the following?

"Hemorrhage and gastritis are the most common complications."

The nurse provides client education to a client about to undergo hydrogen breath testing. The nurse evaluates that the client understands the test when the client makes which statement?

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

A home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow, Which statement by the client indicates an understanding of the test?

"I'll avoid eating or drinking anything 6 to 8 hours before the test."

Question 2 See full question Report this Question O 525 A patient has been diagnosed with acute gastritis and asks the nurse what could have caused it. What is the best response by the nurse? (Select all that apply.)

"It can be caused by ingestion of strong acids." "You may have ingested some irritating foods." "Is it possible that you are overusing aspirin."

A client with gastric ulcers caused by H. pylori is prescribed metronidazole. Which client statement indicates to the nurse that teaching about this medication was effective?

"It might cause a metallic taste in my mouth."

Question 18 See full question Report this Question © 5s A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?

10-14 days

When assisting with preparing a client scheduled for a barium swallow, what nursing instruction would be appropriate to include?

Avoid smoking for at least a day before the procedure. • Explanation: The nurse should instruct the client to avoid smoking for at least a day before the procedure of barium swallow because smoking stimulates gastric motility. The client is advised to take vitamin K before a liver biopsy and instructed to take three cleansing enemas before a barium enema. Instruction to avoid red meat would be appropriate for a client who is having a Hemoccult test.

Question 15 See full question Report this Question 125 The nurse is evaluating a client's ulcer symptoms to differentiate ulcer as duodenal or gastric Which symptom should the nurse at attribute to a duodenal ulcer?

Awakening in pain

Someone is taking iron supplements what color would their stool be

Black

Question 4 See full question Which of the following clients is at highest risk for peptic ulcer disease?

Blood type O

Bowel sounds

Bowel sounds are assessed using the diaphragm of the stethoscope for high-pitched and gurgling sounds (Gu, Lim, & Moser, 2010). The frequency and character of the sounds are usually heard as dicks and gurgles that occur irregularly and range from 5 to 35 per minute. The terms normal (sounds heard about every 5 to 20 seconds), hypoactive (one or two sounds in 2 minutes). hyperactive (5 to 6 sounds heard in less than 30 seconds), or absent (no sounds in 3 to 5 minutes) are frequently used in documentation, but these assessments are highly subjective

If a client's central venous catheter accidentally becomes disconnected, what should a nurse do first?

Clamp the catheter

Question 5 See full question Report this Question • 16s A patient is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed?

Correct response: © A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum.

The nurse is to discontinue a NG tube that had been used for decompression. What is the first action the nurse should take?

Flush w 10ml of water You Selected: Remove the tape from the nose of the client. Correct response: © Flush with 10 mL of water. W Explanation: Before a nasogastric tube is removed, the nurse flushes the tube with 10 mL of water or normal saline to ensure that the tube is free of debris and away from the gastric tissue. The tape keeps the tube in the correct position while flushing is occurring and is then removed from the nose. The nurse then withdraws the tube gently for 6 to 8 inches until the tip reaches the esophagus, and then the remainder of the tube is withdrawn rapidly from the nostril. After the tube is removed, the nurse provides oral hygiene.

A client has a new order for metoclopramide. The nurse identifies that this medication can safely administered for which condition?

GERD Metoclopramide (Reglan) accelerates gastric emptying . It is contraindicated with hemorrhage or perforation. It's not used to treat gastritis

Question 17 See full question Report this Question © 11s The nurse is caring for a client who has just returned from the PACU after surgery for peptic ulcer disease. For what potential complications does the nurse know to monitor? Select all that apply.

Hemorrhage Perforation Penetration Pyloric obstruction

Question 16 see full question Report this Question • 185 The nurse is cautiously assessing a client admitted with peptic ulcer disease. The nurse is aware that which complications occur in 20% to 30% of clients with this diagnosis?

Hemorrhage or perforation

Question 3 See full question Report this Question • 10s The nurse auscultates the abdomen to assess bowel sounds. She documents five to six sounds heard in less than 30 seconds. How does the nurse document the bowel sounds?

Hyperactive Normal is sounds heard every 5-20 seconds

Question 5 See full question Which response is a parasympathetic response in the Gl tract?

Increased peristalsis • Explanation: Increased peristalsis is a parasympathetic response in the Gl tract. Decreased gastric secretion, blood vessel constriction, and decreased motility are sympathetic responses in the Gl tract.

Question 17 See full question Report this Question • 525 A client with gastroesophageal reflux disease is scheduled for esophageal manometry. Which information about the test will the nurse review with the client? Select all that apply.

Ingest no food or fluids 8-12 hours before test Withhold taking CCB meds for 24-48 hours

Pt is scheduled for an upper gastrointestinal barium study. Which teaching will the nurse ride for the client to prepare for this diagnostic test?

Ingest nothing by mouth after midnight

Question 19 See full question Report this Question • 145 A nursing student is caring for a client with gastritis. Which of the following would the student recognize as a common cause of gastritis? Choose all that apply.

Irritating foods Ingestion of strong acids Overuse of aspirin

Which of the following is an enzyme secreted by the gastric mucosa?

Pepsin Pepsin is secreted by the gastric mucosa . Trypsin is secreted by the pancreas. The salivary glands secrete ptyalin. The liver and gallbladder secrete bile.

Question 14 See full question Report this Question © 11s The nurse is conducting a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which disease/condition?

Peptic ulcers

Question 13 See full question Report this Question O 85 A client is in the hospital for the treatment of peptic ulcer disease. The client reports vomiting and a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate?

Perforation of peptic ulcer

The client is on a continuous tube feeding. The nurse determines the tube placement should be checked every

Shift

A client with an esophageal stricture is about to undergo esophageal dilatation. As the bougies are passed down the esophagus, the nurse should instruct the client to do which action to minimize the vomiting urge?

Take long, slow breaths

What would the nurse recognize as preventing a client from being able to take a fecal occult blood test (FOBT)?

The client has hemorrhoidal bleeding

Cardiac complications, which may occur following resection of an esophageal tumor, are associated with irritation of which nerve at the time of surgery?

Vagus nerve • Explanation: Cardiac complications include atrial fibrillation, which occurs due to irritation of the vagus nerve at the time of surgery. The hypoglossal nerve controls muscles of the tongue. The vestibulocochlear nerve functions in hearing and balance. The trigeminal nerve functions in chewing of food.

Question 1 see full question Report this Question © 85 A client with peptic ulcer disease has a blood pressure of 88/40 mm Hg, dizziness, and nausea. Which complication will the nurse suspect is occurring with this client?

You Selected: Bleeding from the ulcer Correct response: • Bleeding from the ulcer • Explanation:

A nurse is teaching a client with gastritis about the need to avoid the intake of caffeinated beverages the client asks why this is so important.

You Selected: © "Caffeine stimulates the central nervous system and thus gastric activity and secretions, which need to be minimized to promote recovery." Correct response: © "Caffeine stimulates the central nervous system and thus gastric activity and secretions, which need to be minimized to promote recovery."

Question 3 See full question Report this Question © 1m 15s When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain in the right shoulder. What is the initial appropriate action by the nurse?

You Selected: © Assess the client's abdomen and vital signs. Correct response: © Assess the client's abdomen and vital signs.

Question 20 See full question Report this Question © 5s The nurse recognizes that the client diagnosed with a duodenal ulcer will likely experience

You Selected: © pain 2 to 3 hours after a meal. Correct response: © pain 2 to 3 hours after a meal.

A client who can't tolerate oral feedings begins receiving intermittent enteral feedings. When monitoring for evidence of intolerance to these feedings, what must the nurse remain alert for?

diaphoresis, vomiting, and diarrhea.

Question 17 See full question Report this Question • 295 The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? Use all options.

© Inspection © Auscultation © Percussion © Palpation