Chapter 88

The physician has ordered an endoscopic procedure for a client to directly visualize the stomach and duodenum for tumors. The nurse knows that which test would most likely be scheduled? A) Gastroscopy B) Esophagoscopy C) Colonoscopy D) Sigmoidoscopy

A

A nurse is caring for a female client with anorexia nervosa. What would the nurse observe during the nursing assessment of the client? A) Menorrhagia B) Rapid pulse C) Alopecia D) Hypertension

C

A client is undergoing bariatric surgery in the morning. The nurse explains the procedure to the client stating that the surgeon will design a smaller stomach to form a gastric pouch, and the pouch will then be connected directly to the jejunum (bypassing the rest of the stomach and the duodenum). The nurse is preparing the client for what type of bariatric surgery? A) Laparoscopic gastric band B) Roux-en-Y gastric bypass C) Vertical sleeve gastrectomy D) Biliopancreatic diversion with duodenal switch

B

A client presents at the ER with signs and symptoms of gallstones. What test would be the preferred diagnostic tool to confirm this condition? A) Angiography B) Ultrasound C) Computed tomography D) Nuclear uptake

B

A nurse is caring for a client with a peptic ulcer. What should the nurse include in the client's diet? A) Fresh fruits B) Milk C) Popcorn D) Coffee

B

The nurse is caring for a client following a liver biopsy. Which of the following is a recommended postoperative intervention? A) Position the client on the left side. B) Apply pressure to the biopsied side for 4 to 6 hours. C) Take vital signs hourly for 24 hours. D) Observe the client for signs of dehydration.

B

A client has been prescribed GoLYTELY before a barium study. What instruction should the nurse provide to this client regarding its method of use? A) Mix the solution thoroughly before drinking. B) Drink the solution in the evening and again in the morning. C) Drink the solution along with a glass of warm milk. D) Eat high-fiber foods the evening before the procedure.

A

A client has undergone a colostomy and is wearing an ostomy pouch at the beltline. What should the nurse include in the client education? A) Avoid lifting heavy weights for about 2 months. B) Avoid lifting weights heavier than 10 pounds. C) Avoid swimming and taking a shower. D) Avoid drinking Gatorade and broth.

A

A client with a family history of ulcerative colitis is to undergo a screening test for early detection of colon cancer. In what group is colon cancer more common? A) Clients who have frequent diarrhea B) Clients between the age of 30 and 35 C) Clients who consume a low-calorie diet D) Clients who show monilial patches on the tongue

A

The nurse is caring for a client with Crohn's disease who had surgery to create a continent bowel diversion. Which of the following describes this type of surgery? A) The client's own tissues are formed into internal receptacles for stool. B) An opening is made into the colon and intestines are brought outside the body. C) An opening is made in the ileum and intestines are brought outside the body. D) A loop of intestine is brought through a stoma to allow for feces drainage.

A

The nurse is caring for a client with a Levin GI suction tube. Which of the following is a recommended nursing care guideline for this type of tube? A) Irrigate tube frequently with small amounts of saline or air to keep it patent. B) Clear the air port with air to keep it open and keep the distal tip from the wall of the stomach. C) Provide nasotracheal suctioning because swallowing is impossible. D) Use a humidifier to keep the skin and secretions moist.

A

The nurse is preparing a client who is experiencing rectal bleeding for an occult blood test. Which of the following tests is the most inexpensive and simplest test used to detect occult blood in the stool? A) Hematest B) Culture and sensitivity study C) HemoQuant stool test D) Albumin test

A

A client has a few canker sores in her mouth. What nursing care measure should the nurse provide? A) Add iodized salt to the client's diet. B) Ask the client to apply a silver nitrate stick, as ordered. C) Ask the client to chew a few nuts. D) Provide nasogastric tube feedings to let the mouth rest.

B

A client has been diagnosed with a functional obstruction of the intestine. Which of the following types of obstructions might be the diagnosis? A) Volvulus B) Paralytic ileus C) Stenosis D) Intussusception

B

A client is to undergo endoscopic retrograde cholangiopancreatography. Before the procedure, what client education should the nurse provide? A) Procedure will be done under general anesthesia. B) Fullness and pressure may be felt in the stomach. C) Endoscopic tube may hinder normal breathing. D) Procedure will take 2 to 3 hours.

B

A client is scheduled for a cholecystogram to check for gallstones. Which of the following would the nurse instruct the client to do to prepare for this procedure? A) Eat foods rich in fat the night before the x-ray study. B) Take a radiopague dye via an enema. C) Eat nothing for 12 hours after taking radiopague dye. D) Continue smoking and chewing gum before the test, if desired.

C

For which of the following clients would a nurse who is an enterostomal therapist be consulted? A) A client with enterocolitis B) A client with a peptic ulcer C) A client with an ileostomy D) A client with pancreatitis

C

The nurse is preparing a client who is undergoing ERCP to facilitate the passage of stones in the common bile duct. Which of the following is a teaching point for this client? A) Tell the client that the procedure will be performed under general anesthesia. B) Tell the client that oxygen will be given because the endoscope will hinder breathing. C) Tell the client to avoid aspirin, ibuprofen, or anticoagulants 5 to 7 days before the test. D) Tell the client that the procedure will take 1 to 2 hours to perform.

C

Which of the following clients would the nurse monitor for stomatitis? A) A client with diabetes B) A client with kidney failure C) A client undergoing a bone marrow transplant D) A client with emphysema

C

Which of the following disorders is the most common functional disorder of the GI tract, causing increased motility of the small or large intestine? A) Constipation B) Diarrhea C) Irritable bowel syndrome D) Ulcerative colitis

C

The nurse is removing a nasogastric tube at the bedside of a client. Which of the following are recommended steps for this procedure? Select all that apply. A) Unclamp the tube before removal. B) Call the physician to remove the tube. C) Ask the client to hold his or her breath when pulling out the tube. D) Pull out the tube slowly, and then quickly, when the client coughs. E) Pull the tube harder if resistance is encountered. F) Place the tube in a towel and discard in appropriate receptacle.

C,D,F

The nurse is studying anatomy and physiology of the digestive system. Which of the following are considered accessory organs of digestion? Select all that apply. A) Mouth B) Anus C) Liver D) Gallbladder E) Stomach F) Pancreas

C,D,F

A morbidly obese client has hepatitis. What measure should the nurse undertake when caring for the client? A) Encourage intake of large amounts of water B) Suggest high intensity exercise on alternate days C) Keep the head of the bed parallel to the floor D) Have the client wear rubber-soled shoes

D

A nurse is caring for a client with a duodenal ulcer. What sign and symptom noticed during nursing assessment indicates a potential hemorrhagic complication? A) Bradycardia B) High blood pressure C) Hard and tender abdomen D) Coffee ground vomitus

D

A nurse is caring for a client with spastic colitis. What sign and symptom should be reported to the physician for further evaluation? A) Diarrhea B) Flatulence C) Abdominal pain D) Fever

D

A nurse is preparing a client with severe gastrointestinal reflux disease (GERD) for a test to determine the extent of damage caused by the disorder. Which of the following tests would be ordered for this client? A) Cholecystogram B) Lower GI series C) Colonoscopy D) Esophagogastroduodenoscopy (EGD)

D

The nurse is providing nutrition for a postoperative client who has a normally functioning GI tract. Which of the following would be the best form of nutrition for this client? A) Total parenteral nutrition B) Hyperalimentation C) Parenteral nutrition D) Enteral nutrition

D

The nurse is providing teaching for a client with gastroesophageal reflux disease (GERD). Which of the following is a recommended guideline to help relieve the symptoms of this disorder? A) Elevate the foot of the bed. B) Lie down for at least 2 hours after meals. C) Eat fewer, but larger meals. D) Do not wear tight belts or waistbands.

D

The nurse is scheduling blood tests for a client suspected of having pancreatitis. Which of the following tests detects inflammation or disease of the pancreas, or obstruction of surrounding ducts? A) Alkaline phosphatase (ALP) B) Cholesterol C) Triglyceride levels D) Serum amylase

D