ch 44, 22-35

The nurse is instructing a client prior to a colonoscopy. The client states, "Why do I have to drink this disgusting liquid?" The nurse is most correct to verbalize the goal of the oral preparation as which of the following? A)"To allow ease of passage of the scope through the colon" B)"To decrease pain associated with fecal matter being pressed against the colon wall" C)"To cleanse the bowel to promote clear visualization of structures" D)"To eliminate gas from the internal portion of the colon"

C)"To cleanse the bowel to promote clear visualization of structures"

The nurse is caring for a client following a colonoscopy. During the procedure, two medium-sized polyps were removed. Which nursing assessment in the recovery area is a priority? A)Assessment of level of consciousness B)Hemoccult test of stool C)Vital signs D)Ability to tolerate liquids

C)Vital signs

The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized? A) The client will fast prior to the procedure. B) The client will have moderate sedation. C) The client will receive antibiotics before and after the procedure. D) The client will change positions frequently throughout the procedure.

D) The client will change positions frequently throughout the procedure.

The nurse is caring for a geriatric client experiencing diarrhea. When instructing on the body site where water and electrolytes are absorbed, the nurse is most correct to instruct on which location? A)The small bowel B)The stomach C)The large bowel D)The cecum

A)The small bowel

The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior? A)Complete blood count (CBC) B)Prothrombin time (PT) C)Blood chemistry D)Erythrocyte sedimentation rate (ESR)

B)Prothrombin time (PT)

The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes being ashamed because he is having frequent gas. Which nursing suggestion is best? A)"Having gas following the procedure is normal. Expel the gas to decrease discomfort." B)"Do not be ashamed. Everyone has gas following the procedure." C)"The nursing staff is used to having clients with gas due to the procedure completed." D)"Nurses anticipate that client will have gas following the procedure and provide privacy."

A)"Having gas following the procedure is normal. Expel the gas to decrease discomfort."

The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids? A)Esophagogastroduodenoscopy B)Sigmoidoscopy C)Peritoneoscopy D)Colonoscopy

A)Esophagogastroduodenoscopy

The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common? A)Light-headedness B)A warm sensation C)Heart palpitations D)Chills

B) A warm sensation

The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment? A)Drowsiness B)Abdominal distention C)Sore throat D)Thirst

B)Abdominal distention

The nurse is accompanying the client to the diagnostic imaging unit for a magnetic resonance imaging (MRI). Which action, by the nurse, is most important prior to the test? A)Instruct the client that the scanner makes loud clanging. B)Calculate drop per minute for intravenous fluids and infuse by gravity. C)Support client, if nervous, by words of encouragement. D)Ensure that the client does not ingest fluids in the waiting area.

B)Calculate drop per minute for intravenous fluids and infuse by gravity.

The nurse is caring for a geriatric client at a long-term care facility. When administering the client's medications, which age-related changes of the client are anticipated? Select all that apply. A)Increased saliva causing drooling B)Decreased motility in the esophagus C)A weak gag reflex D)Increased amount of gastric secretions E)Decreased elasticity of the rectal wall

B)Decreased motility in the esophagus C)A weak gag reflex E)Decreased elasticity of the rectal wall

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client? A)A complete blood count including differential B)Serum antibodies for H. pylori C)A sigmoidoscopy D)Gastric analysis

B)Serum antibodies for H. pylori

The nurse is reviewing the results of a Hemoccult test with the client. Which question, asked by the nurse, is important to screen for the potential of a false-positive result. Select all that apply. A)"Do you take an iron supplement on a daily basis?" B)"Does your diet include a moderate amount of vitamin C?" C)"Are you prescribed regular strength aspirin daily?" D)"Can you tell me the amount of alcohol that you drink on an average week?" E)"When was the last time that you included red meat in your diet?"

C)"Are you prescribed regular strength aspirin daily?" D)"Can you tell me the amount of alcohol that you drink on an average week?" E)"When was the last time that you included red meat in your diet?"

The nurse is assisting the physician in a percutaneous liver biopsy. In which position would the nurse assist the client to assume? A)A high Fowler's position B)Lithotomy position C)Dorsal recumbent position D)Supine position

D)Supine position