Ch 38 Questions I got wrong

This is caring for a client with a gastrointestinal condition. For which reason will the nurse question the client being scheduled for a barium enema?

Frank blood in stool

A few hours after eating hot and spicy chicken wings, a client presents with lower chest pain. He wonders if he's having a heart attack. How should the nurse proceed first?

Further investigate the initial complaint

Nurse is caring for a client scheduled for a diagnostic laparoscopy. Client has questions regarding the use of anesthesia during the procedure. Which response by the nurse provide to the client?

We have the primary healthcare provider explained this to you again

What digestive enzymes does the pancreas secrete? SATA

- Lipase - Amylase - Trypsin

A nurse is caring for a client admitted with a suspected malabsorption disorder. The nurse knows that one of the accessory organs of the digestive system is the pancreas. What digestive enzymes does the pancreas secrete? Select all that apply.

- Lipase - Trypsin - Amylase

Older adult client reports difficulty in chewing and swallowing. Which age related changes with the nurse suspect is the reason for this client symptoms? SATA

- Loss of teeth - Weakened gag reflex - Atrophy of taste buds - Reached saliva production - Less ptyalin and amylase in saliva.

The nurse is caring for a client with a duodenal ulcer and is relating the client's symptoms to the physiologic functions of the small intestine. What do these functions include? Select all that apply.

- Secretion of mucus - Absorption of Nutrients - Movement of nutrients in the bloodstream

The nurse is caring for a client with a duodenal ulcer and is relating the client symptoms to the physiologic functions of the small intestine. What do these functions include?

- Secretion of mucus - Absorption of nutrients - Movement of nutrients into the bloodstream

A client who has been experiencing changes in bowel function is scheduled for a barium enema. Which instruction will the nurse provide for post procedure recovery?

- increase fluid intake to evacuate the barium - Stool may be light colors for 3 days

Which of the following digestive enzymes aids in the digesting of starches

Amylase

Client will be undergoing a urea breath test for the detection of H.Pylori. Instruction should the nurse give to the client to prepare for this test?

Avoid taking CIMETIDINE 24 hours before the test

A nurse is giving a client barium swallow test. What is the most important assessment a nurse would make to ensure that a client does not retain any barium after a barium swallow?

Monitoring the stool passage and it's color

A client is scheduled for a barium enema later in the day. Which action will the nurse take to prepare the client on the morning of the test? SATA

- Provide cleansing enemas until clear - administer antianxiety medication before the test

Nurse is caring for a client scheduled for a fiber optic colonoscopy that will receive a bowel preparation that includes polyethylene glycol electrolyte lavage. Which client diagnosis will negate the use of the bowel prep and will be reported to the primary care provider? SATA

- Recent bowel resection - Diverticulitis - Bowel obstruction

Nurse is scheduling a client for a gastrointestinal motility study. The nurse knows that this type of diagnostic test will eat and determine which of the following alterations?

-Dumping Syndrome - Diabetic gastroparesis - Disorders of gastric motility

A nurse is caring for a client with recurrent hematemesis who is scheduled for upper gastrointestinal fibroscopy. How should the nurse in the radiology department prepare this client?

Apply local anesthetic to the back of the client's throat.

The nurse is preparing a client for an assessment of the optimum. What should the nurse complete prior to the assessment?

Ask the client to empty the bladder.

A client has sought care because of recent dark-colored stools. As a result, a fecal occult blood test has been ordered. The nurse should give what instructions to the client?

Avoid NSAIDs within 72 hours of the test

Patient is scheduled for a fiber-optic colonoscopy. What does the nurse know that fiber optic colonoscopy is most frequently used to diagnose?

Cancer

The nurse is teaching a client about the upcoming endoscopic retrograde cholangioancreatography. Although the nurse instructs on several pertinent points of care which is emphasized?

Client will need to be reposition frequently throughout the procedure in order to prevent injury

The nurse cares for a client after a gastroscopy for which the client received a sedation. The nurse should report which finding to the healthcare provider?

Difficulty swallowing

A client has childcare because of recent dark colored stools. As a result a fecal occult blood test has been ordered. The nurse should give wide instructions to the client?

Do not take any NSAIDS within 72 hours of the test

When gastric analysis testing reveals excess secretion of gastric acid, the nurse recognizes which medical diagnoses is supported?

Duodenal ulcer

Nurse is performing in assessment of a patient. During the assessment the patient informs the nurse of some recent stomach trouble. What does the nurse know is the most common symptom of a patient with G.I. dysfunction?

Dyspepsia

A client is having clonic transit study to diagnose a G.I. disorder which instruction will the nurse provide to the client after taking a capsule containing radionuclide markers?

Follow a regular diet and usual daily acitivites

A nurse assess bowel sounds and hears one to two bowel sounds in 2 minutes. How should the nurse document the bowels sounds?

Hypoactive

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

I should avoid antibiotics 1 month before the test

Gastrin has which of the following affects on gastrointestinal motility?

Increased motility of the stomach

A client asked the nurse why the physician ordered the blood test carcinoembryonic antigen. The nurse answers?

It indicate if a cancer is present.

The nurse is caring for a geriatric I am experiencing diarrhea. When teaching about the site in the body where water and electrolytes are absorbed, the nurse is most correct to instruct which location?

LARGE intestine

After 20 seconds of auscultating for bowel sounds on a client recovering from abdominal surgery, the nurse here's nothing. What should the nurse do based on the assessment findings?

Listen longer for the sounds

A client is scheduled for a flexible sigmoidoscopy. Which preparation will the nurse instruct the client to complete before the procedure?

Minister tap water enemas until liquid from rectum is clear

The nurse asks a client to point where the pain is felt. The client asks why this is important. What is the nurses best response?

Often the area of pain is referred from another area

The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has a fax as an exocrine gland and as an endocrine gland?

Pancreas

A nurse is promoting increased protein intake to enhance a client's wound healing. What is the enzyme that will initiate the digestion of the protein that the client consumes?

Pepsin

A client is being assessed for a suspected deficit in intrinsic factor synthesis. What diagnostic or assessment finding is the most likely rationale for this examination of intrinsic factor production?

Persistent low hemoglobin and hematocrit

Enzyme that begins the digestion of starches

Ptyalin

Nurse inspect the clients tongue. Which finding would the nurse evaluate as an indication of potential oral cancer?

Red plaque on undersurface of tongue

The client is scheduled for about resection with anastomosis involving the large intestine. Cause of the surgical site, the nurse formulates the nursing diagnosis of risk for infection. To complete the nursing diagnosis statement, the nurse should add which related to phrase?

Related to presence of bacteria at the surgical site

Nurse cares for a client after an endoscopic examination and prepares the client for discharge. The nurse include which instruction?

Resume regular diet

The nurse is caring for a client with gastrointestinal symptoms who reports being under a significant amount of stress at home and at work. Which gastrointestinal effect of stress should the nurse anticipate is affecting this client?

Slowed Peristalsis

When evaluating the function of the G.I. track the nurse needs to understand the role of hormones. Secretin stimulated by the pH of chyme in the duodenum, is a major G.I. hormone that does which of the following?

Stimulates the production of bicarbonate in pancreatic juice

A nurse is doing a physical assessment on a client with a G.I. disorder. Which position will the nurse most likely ask the client to assume when performing abdominal examination

Supine with knees flexed slightly

Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed insufficient quantities into the upper gastrointestinal tract, it produces which changes in the stool appearance?

Tarry-black

The nurse is providing health education to a client with a gastrointestinal disorder. What should the nurse describe as a major function of the GI tract?

The absorption into the bloodstream of nutrient molecules produced by digestion

A client sigmoidoscopy has been successfully completed and the client is preparing to return home. Which of the following teaching points to the nurse include in the clients discharge education?

The client can resume a normal routine immediately

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

The stools may be white or clay colored

A client with a recent history of intermittent bleeding is undergoing capsule endoscopy to determine the source of the bleeding. When explaining this diagnostic test to the client, what advantage should the nurse describe?

The test is noninvasive

The nurse is assisting the healthcare provider with a colonoscopy for a client with rectal bleeding. The healthcare provider request the nurse to administer glucagon during the procedure. Why is the nurse administering this medication during the procedure?

To relax colonic musculature and reduce spasm

When describing the role of the pancreas to a client with a pancreatic dysfunction, the nurse would identify which substance has been acted on by pancreatic lipase?

Triglycerides

Which enzyme aids in the digestion of proteins?

Trypsin

Which of the following is the most definitive means of assessing for liver disease?

A biopsy

A client has come to the clinic reporting blood in the stool. If Eco or cold blood test is performed but is negative. Based on the clients history, the healthcare provider suggest a colonoscopy, but the client refuses citing a strong aversion to the invasive nature of the test. What other test made the provider order to check for blood in the stool?

A fecal immunochemical test

Which procedure is performed to examine and visualize the lumen of the small bowel?

A small bowel enteroscopy

A female client has presented to the emergency department with right upper quadrant pain the healthcare provider has ordered a domino ultrasound to rule out cholecystitis. The client expresses concern about the safety of this diagnostic procedure. How should the nurse best respond?

Abdominal ultrasound poses no known safety risks of any kind

Which neuroregulator increase gastric acid secretion?

Acetylcholine

What should the nurse describe as a major function of the G.I. tract? SATA

- Absorption into the bloodstream of nutrient molecules produced by digestion. - The elimination of waste products

The nurse is caring for a client who is scheduled to have an upper endoscopy. Which type of medication's might be provided during the procedure? SATA

- Anticholinergic agent - Sedative - NSAID

The nurse is caring for a client who is scheduled for a urea breath test to detect H. pylori as a reason for gastric distress. Which instructions will the nurse provide to the client to prepare for this test? SATA

- Avoid bismuth subsalicylate before the test - Do not take PPI before test

A client will be undergoing a urea breath test for the detection of Helicobacter pylori. Which instruction should the nurse give to the client to prepare for this test?

- Avoid taking Cimetidine 24 hours before the test

The nurse is providing instructions to a client scheduled for a gastroscopy. Which have come back positive. What is the nurse including in the instructions? SATA

- Client must fast for eight hours before the examination. - The throat will be sprayed with a local anesthetic. - After gastroscopy, the client cannot eat or drink until gag reflex returns

A client has been experiencing significant psychosocial stress in recent weeks. The nurse is aware of the hormonal effects of stress, including norepinephrine release. Release of this substance would have what effect on the client's gastrointestinal function? Select all that apply

- Decreased motility - Increased sphincter tone - Inhibition of secretions

A client has been experiencing significant psychosocial stress in recent weeks. The nurse is aware of the hormonal effects of stress, including norepinephrine release. Release of the substance would have what effect on the clients G.I. function? SATA

- Decreased motility - Increased sphincter tone - Inhibition of secretions

The nurse is performing abdominal assessment of an older adult client. Which age related changes in gastrointestinal structure and function with the nurse include in the assessment

- Decreased mucous secretions - Decreased tone of internal anal sphincter

Nurse is aware that both the parasympathetic and sympathetic portions of the autonomic nervous system affect G.I. motility. What are the actions of the sympathetic nervous system? SATA

- Decreases gastric motility - Causes blood vessel constriction - Creates an inhibitory effect on the GI tract

Client with GERD scheduled for esophageal manometry. Which information about the test with the nurse review with a client? SATA

- Ingest no food or fluids for 8 to 12 hours before the test - Withhold taking calcium channel blocking medication's for 24 to 48 hours.

What is the major carbohydrate that tissue cells use as fuel in the body?

Glucose

A client reports having red stools lately. What will the nurse ask during assessment questioning?

Have you been eating beets?

A client asked the nursing assistant for a bedpan. When the client is finished, the nursing assistant notified the nurse that the client has bright red streaking of blood in the stool. The nurses assessment should focus on what potential cause?

Hemorrhoids

A clinic client has described recent dark colored stools, and the nurse recognizes the need for fecal occult blood testing. What aspect of the clients current health status what contraindicate FOBT?

Hemorrhoids

How would the nurse explain the formation and role of acid in the stomach?

Hydrochloric acid is secreted by glands in the stomach in response to the actual or anticipated presence of food.

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

Increasing the amount of fluids

The nurse is caring for a client who has a diagnosis of aids. The inspection of the clients mouth reveals the new presence of white lesions on the clients oral mucosa. What is the nurse's most appropriate response?

Informed the primary provider of this finding

A client with diabetes begins to have digestive problems and is told by the physician that they are a complication of the diabetes. Which of the following explanations from the nurse is most accurate?

The pancreas secretes digestive enzymes

The client described to test previously completed to detect a small bottle obstruction prior to admission to the hospital. The client states that the test involved in session of a tube through the nose and lasted over six hours. The nurse determines which test name should be documented?

Upper G.I. Enteroclysis

A nurse is caring for a newly admitted client with a suspected GI bleed. The nurse assesses the client's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?

Upper GI Tract

A nurse is caring for a newly admitted client with a suspected G.I. bleed assesses the clients stool after a bowel movement and noted to be a tarry black color. This finding is suggestive of bleeding from which location?

Upper GI tract