ATI Target GI

A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse expect? SATA A. Oral temp 38.5 C (101.1 F) B. WBC count 6,000/m^3 C. Bloody diarrhea D. N/V E. RLQ pain

A, D, E

A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations over the past 3 years. Which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations? SATA A. Use progressive relaxation techniques B. Increase dietary fiber intake C. Drink two 240 mL (8 oz) glasses of milk per a day D. Arrange activities to allow for daily rest periods E. Restrict intake of carbonated beverages

A, D, E Progressive relaxation techniques, a form of biofeedback, are recommended to help the client minimize stress, which can precipitate an exacerbation Client should restrict dietary fiber Dairy products are poorly tolerated by clients Avoid GI stimulants

A nurse is providing discharge teaching for a client who has peptic ulcer disease & a new prescription for famotidine. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take this medication at bedtime." B. "I should expect this medication to discolor my stools." C. "I will drink iced tea with my meals & snacks." D. "I will monitor my blood glucose level regularly while taking this medication."

A. Correct B. incorrect, can cause constipation, anorexia, & cramps C. incorrect, avoid excessive intake of caffeinated beverages D. incorrect, famotidine does not have any adverse effect on BGL

A nurse is assessing a client who has Crohn's disease. Which of the following findings should the nurse expect? A. Fatty diarrheal stools B. Hyperkalemia C. Weight gain D. Sharp epigastric pain

A. Fatty diarrheal stools Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's

A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse expect? A. Joint pain B. Obstipation C. Abdominal distention D. Periumbilical discoloration

A. correct B. incorrect, failure to pass stools is an expected finding w complete bowel obstruction C. incorrect, expected finding w bowel obstruction D. incorrect, expected w intraperitoneal bleeding

A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should identify which of the following findings as an indication of abdominal distension? A. Hiccups B. HTN C. Bradycardia D. Chest pain

A. correct, can be caused by irritation of the phrenic nerve due to abdominal distension. B. incorrect, hypotension is a indication of abd distension C. incorrect, tachycardia is indicator of abd distension D. incorrect, abd pain is an indicator

A nurse is providing discharge teaching for a client who has GERD. Which of the following statements made by the client indicates an understanding of the teaching? A. "I will decrease the amount of carbonated beverages I drink." B. "I will avoid drinking liquids for 30 minutes after taking a chewable antacid tablet." C. "I will eat a snack before going to bed." D. "I will lie down for at least 30 minutes after eating each meal."

A. correct, limit or eliminate fatty foods, coffee, tea, carbonated beverages, & chocolate, they irritate the lining of the stomach B. incorrect, drink a glass of water immediately after taking an antacid tablet C. incorrect, eat four to six small meals per a day & avoid snacking before bed D. incorrect, sit up 1 to 2 hours after meals

A nurse is developing a plan of care for a client who has cirrhosis & ascites. Which of the following interventions should the nurse include in the plan? A. Measure the client's abdominal girth daily B. Check mental status once daily C. Provide a daily intake of 4 g of sodium for the client D. Assess the client's breath sounds every 12 hours

A. correct, monitor fluid accumulation & effectiveness of tx B. incorrect, should be assessed q 4 to 8 hours C. incorrect, 1 to 2 g of sodium a day is prescribed D. incorrect, breath sounds every 4 to 8 hours

A nurse is teaching for a client who has chronic hepatitis C. Which of the following statements by the client indicates an understanding of the teaching? A. "I will avoid alcohol until i'm no longer contagious." B. "I will avoid medications that contain acetaminophen." C. "I will decrease my intake of calories." D. "I can donate blood once when I am in remission."

B. "I will avoid medications that contain acetaminophen." a. incorrect, should avoid alcohol consumption at all times c. incorrect, eat small, frequent meals that are high in carbs & calories d. incorrect, they can never donate blood or organs regardless

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? A. Bloody diarrhea B. Board-like abdomen C. Periumbilical cyanosis D. Increased bowel sounds

B. Board-like abdomen A board-like, distended abdomen, accompanied by extreme pain & tenderness, ia an expected finding for a client who has peritonitis.

A nurse is caring for a client who has colorectal cancer & is receiving chemotherapy. The client asks the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make? A. "The CEA determines the current stage of your colon cancer." B. "The CEA determines the efficacy of your chemotherapy." C. "The CEA determines if the neutrophil count is below the expected reference range." D. "The CEA determines if you are experiencing occult bleeding from the GI tract."

B. Correct A. incorrect, provider uses a colonoscopy to determine the diagnosis C. incorrect, CBC is used to determine if the neutrophil count is within expected range D. incorrect, fecal occult blood test for bleeding in GI

A nurse is reviewing the lab results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A. BGL 110 mg/dL B. Increased amylase C. WBC count 9,000/mm^3 D. Decreased bilirubin

B. Correct, due to the pancreatic cell injury A. incorrect, elevated blood glucose is expected; this is within the normal range C. incorrect, within normal range, an elevation is expected D. incorrect, increased bilirubin is expected

A nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. Which of the following prescriptions should the nurse clarify with the provider? A. 0.45% sodium chloride IV B. Magnesium hydroxide C. Ciprofloxacin D. Potassium

B. Correct, this increases GI motility which can increase the risk for an electrolyte imbalance and continued dehydration A. incorrect, a hypotonic solution is prescribed to reverse the effects of dehydration from N/V/D with enteritis C. incorrect, this antibiotic is expected D. incorrect, N/V/D are manifestations of enteritis, which places the client at risk for hypokalemia

A nurse is providing teaching for a client who has cirrhosis & a new prescription for lactulose. The nurse should include which of following instructions in the teaching? A. Notify the provider if bloating occurs B. Expect to have two to three soft stools per day C. Restrict carbohydrates in the diet D. Limit oral fluid intake to 1,000 mL per a day of clear liquids

B. Expect to have two to three soft stools per a day Lactulose is to promote the excretion of ammonia in the stool. Take medication every day & inform the client that two to three bowel movements every day is the treatment goal.

A nurse is providing discharge teaching for a client who has a new prescription for medications to treat peptic ulcer disease. The nurse should inform the client that which of the following medications inhibits gastric acid secretion? A. Calcium carbonate B. Famotidine C. Albuminum hydroxide D. Sucralfate

B. Famotidine, H2 receptor antagonist that inhibits secretion A. incorrect, neutralizes gastric acid C. incorrect, neutralizes gastric acid D. incorrect, a mucosal barrier

A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of the following foods should the nurse encourage the client to include in their diet to reduce for dumping syndrome? A. ice cream B. eggs C. grape juice D. honey

B. eggs The nurse should instruct the client to increase intake of protein-containing foods, such as eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some form of protein at each meal.

A nurse is teaching a client how to prepare for a colonscopy. Which of the following instructions should the nurse include in the teaching? A."Refrain from eating or drinking for 2 hour prior to the procedure." B. "Stop taking aspirin the day before the procedure." C. "Drink clear liquids for 24 hours prior to the procedure, & then take nothing by mouth for 6 hours before the procedure." D. "Drink the oral liquid preparation for bowel cleansing slowly the night before the procedure."

C

A nurse is providing dietary teaching for a client who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching? A. "I can return to my regular diet when I am free of symptoms." B. "I will need to avoid taking vitamin supplements while on this diet." C. "I will eat beans to ensure I get enough fiber in my diet." D. "I need to avoid drinking liquids with my meals while on this diet."

C. Clients must maintain a gluten-free diet, which eliminates fiber-rich whole wheat products. Clients should eat beans, nuts, fruits, & vegetables to ensure an adequate intake of fiber.

A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I may experience right lower quadrant pain." B. "I will remain active by working in my garden every day." C. "I should eat foods that are low in fiber." D. "I will use a mild laxative every day."

C. "I should eat foods that are low in fiber." A. incorrect, LLQ pain is typical B. incorrect,

A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report to the provider? A. Spider angiomas B. Peripheral edema C. Bloody stools D. Jaundice

C. Bloody stools The greatest risk to the client who has cirrhosis of the liver is hemorrhagic shock due to bleeding in the esophageal varices. Therefore, bloody stools is the priority finding to report to the provider.

A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings should the nurse expect? A. Bradycardia B. Bounding peripheral pulses C. Hypotension D. Increased hematocrit levels

C. Hypotension Hypotension is a manifestation of hemorrhagic shock

A nurse is providing discharge teaching for a client who has a new colostomy & is concerned about flatus & odor. Which of the following foods should the nurse recommend to the client? A. Eggs B. Fish C. Yogurt D. Broccoli

C. Yogurt Yogurt, crackers, & toast can prevent flatus & stool odor

A nurse admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first? A. Insert a NG tube for the patient B. Administer ceftazidime to the client C. Identify the client's current level of pain D. Instruct the client to remain NPO

C. correct, the first action the nurse should take when using the nursing process is to assess

A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following findings to the provider? A. intolerance to high-fiber foods B. liquid ileostomy output C. dark purple stoma D. sensation of burning during bowel elimination

C. dark purple stoma Indication of bowel ischemia

A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse expect? A. The client states that the pain is in the upper epigastrium B. The client is malnourished C. The client states that ingesting food intensifies the pain D. The client reports the pain occurs during the night

D! a. incorrect, pain is typically located below or the right of the epigastrium B. incorrect, typically not malnourised C. incorrect, ingestion of food typically diminishes their pain level

A nurse is assessing a client immediately following a paracentesis for the tx of ascites. Which of the following findings indicates the procedure was effective? A. Presence of fluid wave B. Increased heart rate C. Equal pre- & postprocedure weights D. Decreased shortness of breath

D. Correct A. incorrect, presence of a fluid wave is an indicator of ascites B. incorrect, indicator of hypovolemia C. incorrect, postprocedure weight should be less than preprocedure weight

A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following food selections by the client indicates an understanding of the teaching? A. 8 oz (0.24L) whole milk B. One slice of beef bologna C. 1 oz (28.3 g) cheddar D. 1 cup (0.24L) sliced banana

D. Correct, clients who have pancreatitis should consume a high-protein & low-fat diet w an adequate amount of carbohydrates & calories A. incorrect, high fat= diarrhea B. incorrect, high fat = diarrhea C. incorrect, high fat = diarrhea

A nurse reviewing the lab values of a client who has colorectal cancer. Which of the following findings should the nurse expect? A. Negative fecal occult blood test B. Decreased serum carcinoembryonic antigen (CEA) level C. Hematocrit 43% D. Hemoglobin 9.1 g/dL

D. Hemoglobin 9.1 g/dL a. incorrect, positive is an expected finding b. incorrect, an elevated CEA is expected c. incorrect, this is within the expected reference range

A nurse is caring for a client who has GERD & a new prescription for metoclopramide. The nurse should plan to monitor for which of the following adverse effects? A. Thrombocytopenia B. Hearing loss C. Hypersalivation D. ataxia

D. correct, EPS should be reported to the provider

A nurse is reviewing the lab results of a client who has hepatic cirrhosis. Which of the following lab findings should the nurse report to the provider? A. Albumin 4.0 g/dL B. INR 1.0 C. Direct bilirubin 0.5 mg/dL D. Ammonia 180 mcg/dL

D. correct, above the expected range of 10 to 80 mcg/dL A. incorrect, within the expected range of 3.5 to 5 g/dL B. incorrect, within expected range of 0.8 to 1.1 C. incorrect, within expected range of 0.3 to 1.0 mg/dL