Exam 1 Gastrointestinal EAQs

Which statement by the client who recently had a colostomy indicates a need for further teaching? a. "I wanted another child, and now pregnancy is not an option for me." b. "Extra time must be allowed for taking care of my colostomy when traveling." c. "It is good to know that I can swim every day after my incision heals." d. "I'm glad I won't have to buy special clothing and I can wear what I have."

a. "I wanted another child, and now pregnancy is not an option for me."

Which teaching would a nurse include with a client who is learning how to self-administer gastrostomy tube feedings? a. Administering water after the feeding is completed b. Maintaining the supine position during the feeding c. Heating the feeding to slightly above body temperature d. Determining tube placement by instilling water before the feeding

a. Administering water after the feeding is completed

In addition to a proton pump inhibitor, the nurse anticipates the healthcare provider will prescribe another medication from which drug class to eradicate the Helicobacter pylori in a patient being treated for gastritis? a.Antibiotic b.Antiinflammator c.Prostaglandin inhibitor d.Therapeutic nutrients

a. Antibiotic

The nurse recognizes that the client data most likely linked to a diagnosis of hepatitis A is the client's history at which place of employment? a. At a plumbing business b. In a hemodialysis unit at a hospital c. As a dishwasher at a restaurant d. At an occupational arsenic compound business

a. At a plumbing business

Which advice would a nurse give to a client at the time of discharge to limit symptoms of gastroesophageal reflux disease (GERD)? Select all that apply. One, some, or all responses may be correct. a. Avoid heavy lifting. b. Lie down after eating. c. Avoid drinking alcohol. d. Eat small, frequent meals. e. Increase fluid intake with meals. f. Wear an abdominal binder or girdle.

a. Avoid heavy lifting. c. Avoid drinking alcohol. d. Eat small, frequent meals.

Which dietary recommendation would be reinforced by the nurse caring for a client with ulcerative colitis to help prevent an exacerbation of the condition? Select all that apply. One, some, or all responses may be correct. a. Decrease alcohol consumption as much as possible. b. Follow the low-residue diet that limits high-fiber foods. c. Avoid concentrated sweets such as juices, candy, and soda. d. Try incorporating more fish such as salmon, mackerel, and herring. e. Consider eating smaller, more frequent meals rather than three large meals.

a. Decrease alcohol consumption as much as possible. b. Follow the low-residue diet that limits high-fiber foods. c. Avoid concentrated sweets such as juices, candy, and soda. d. Try incorporating more fish such as salmon, mackerel, and herring. e. Consider eating smaller, more frequent meals rather than three large meals.

Which type of colostomy may allow the client to have bowel continence? a. Descending or sigmoid colostomy b. Ascending or transverse colostomy c. Ascending or descending colostomy d. Transverse or descending colostomy

a. Descending or sigmoid colostomy

Which instruction would the nurse include in discharge teaching for a patient after a gastrectomyto prevent dumping syndrome? a. Divide meal into six small feedings b. Take fluids along with meals c. Use concentrated sweets, such as honey, jam, and jelly d. Reduce protein and fats in the diet

a. Divide meal into six small feedings

Which finding related to peritonitis would a nurse expect in a client who had surgery for a ruptured appendix and developed peritonitis? Select all that apply. One, some, or all responses may be correct. a. Fever b. Hyperactivity c. Extreme hunger d. Urinary retention e. Abdominal muscle rigidity

a. Fever e. Abdominal muscle rigidity

What should the nurse avoid contamination from to prevent the transmission of hepatitis A? a. Food or water b. Blood transfusion c. Needles d. Sexual contact

a. Food or water

Which instruction would the nurse provide the client in preparation for a sigmoidoscopy? a. Have an enema the morning of the test. b. A chalklike substance will have to be swallowed. c. Withhold food for 24 hours before the test. d. A sterile container will be provided for collection of a stool specimen.

a. Have an enema the morning of the test.

Which action would the nurse do first when counseling a client diagnosed with Crohn disease who thinks that her boyfriend's behavior causes an increase in her symptoms? a. Helping the client explore attitudes about herself b. Educating the client's boyfriend about her illness c. Suggesting that the client not see her boyfriend for a while d. Scheduling the client and her boyfriend for a counseling session

a. Helping the client explore attitudes about herself

The nurse concludes that the teaching about home gastrostomy feedings was effective when the client makes which statement? a. I will measure the residual volume before starting the feeding. b. Injury caused by exposed intestinal mucosa c. Altered bowel elimination caused by the ostomy d. Limited water reabsorption caused by removal of intestine

a. I will measure the residual volume before starting the feeding.

The nurse is providing teaching to a client who has received a prescription for an oral pancreatic enzyme the nurse evaluates the teaching it's understood when the client makes which statement? a. I will take it with meals b. I won't take it with meals c. I will take it before bed time d. I won't take it at all

a. I will take it with meals

Which allergy would the nurse check for before administration of contrast dye in a patient scheduled for a T-tube cholangiography? a. Iodine b. Peanuts c. Silk tape d. Strawberries

a. Iodine

The nurse explains which information to a client with acute pancreatitis regarding the use of total parental nutrition (TPN) as a nutritional therapy? a. It will meet the client's nutritional needs without causing the discomfort associated with eating. b. Bacterial contamination c. Inappropriate positioning d. High osmolarity of the feedings

a. It will meet the client's nutritional needs without causing the discomfort associated with eating.

Which intervention would the nurse perform on a client presenting with appendicitis? Select all that apply. One, some, or all responses may be correct. a. Maintain nothing-by-mouth (NPO) status. b. Administer a soap suds enema until clear. c. Administer 30 mL of milk of magnesia 1 hour before surgery. d. Apply moist heat to the right lower abdominal area. e. Hold intravenous antibiotics until surgery is performed.

a. Maintain nothing-by-mouth (NPO) status.

Which pain medication ordered by the provider would the nurse question for a patient with cholelithiasis who has severe abdominal pain? a. Morphine b. Ketorolac c. Dicyclomine d. Meperidine

a. Morphine

Which complication of peritonitis would cause a client to be admitted to the intensive care unit. Select all that apply a. Organ failure b. Severe hypotension c. Shock occurring due to septicemia d. Deficient intravascular fluid volume e. Cardiac output failing with a reduction in perfusion of vital organs

a. Organ failure b. Severe hypotension c. Shock occurring due to septicemia d. Deficient intravascular fluid volume e. Cardiac output failing with a reduction in perfusion of vital organs

Which finding would a nurse expect in a client with rectosigmoid colon cancer admitted for surgery? Select all that apply. One, some, or all responses may be correct. a. Rectal bleeding b. Inability to digest fat c. Change in the shape of stools d. Feeling of abdominal bloating

a. Rectal bleeding c. Change in the shape of stools d. Feeling of abdominal bloating

Which intervention helps prevent hepatic coma in a client with liver dysfunction? a. Restricting dietary protein b. Preparing for emergency surgery c. Eliminating carbohydrates from the diet d. Giving hypertonic small-volume enemas

a. Restricting dietary protein

Which nursing action is appropriate when a client appears depressed after an extensive abdominal surgery? a. Talking with the client and encouraging exploration of feelings b. Asking the client's primary health care proader to prescribe an antidepressant medication c. Understanding that the client's depression is an expected response to surgery d. Reassuring the client that feelings of depression will lift after returning home

a. Talking with the client and encouraging exploration of feelings

The client is being prepared for surgery to have placement of a percutaneous endoscopic gastrostomy (PEG) tube. The client asked "why the PEG tube is performed over the existing nasogastric tube" that is being used for feedings. Which explanation would the nurse give? a. There is less chance of aspiration b. Inability to digest fat c. Change in the shape of stools d. Feeling of abdominal bloating

a. There is less chance of aspiration

A client is admitted to the hospital with signs and symptoms of obstruction of the common bile duct. Which manifestation of biliary obstruction explains why this client would have prolonged bleeding and clotting times? a. Vitamin K is not being absorbed. b. Ionized calcium level is decreased. c. Bilirubin in the plasma is increased. d. Extrinsic factor is not being absorbed.

a. Vitamin K is not being absorbed.

The patient's cirrhosis of the liver has also caused a dilation of the veins of the lower esophagus secondary to portal hypertension, resulting in the development of the complication of: a. esophageal varices. b. diverticulosis. c. Crohn disease. d. esophageal reflux (GERD).

a. esophageal varices.

How would the nurse respond to a client who asks why prescribed colostomy irrigations for a permanent sigmoid colostomy are needed? a. "Less fluid is lost from the intestine." b. "They help establish an elimination schedule." c. "They decrease the amount of flatus in the bowel." d. "Straining is minimized during a bowel movement."

b. "They help establish an elimination schedule."

Which instruction would the nurse include in the discharge teaching for a patient with a hepatitis A infection? a. "Avoid sharing razors or toothbrushes." b. "Wash hands carefully after bowel movements." c. "Avoid close contact with other family members." d. "Take acetaminophen every 4 hours if fever persists."

b. "Wash hands carefully after bowel movements."

Which are indicators of colorectal cancer? (Select all that apply.) a. Constant diarrhea b. Abdominal pain c. Cachexia d. Cramps e. Rectal bleeding f. Anemia

b. Abdominal pain c. Cachexia d. Cramps e. Rectal bleeding f. Anemia ANS: B, C, D, E, F The indicators for colorectal cancer are changing bowel habits between diarrhea and constipation abdominal pain, cachexia,cramps, rectal bleeding, and anemia.

The patient with cirrhosis has a rising ammonia level and is becoming disoriented. The patient waves to the nurse as she enters the room. How should the nurse interpret this? a. As an attempt to get the nurse's attention b. As asterixis c. As an indication of respiratory obstruction from varices d. As spasticity

b. As asterixis

What should the nurse do as part of the preparation for an endoscopic retrograde cholangiopancreatography (ERCP)? (Select all that apply.) a. Confirm that a recent chest x-ray is on file b. Confirm the presence of a consent form c. Warn patient that the procedure will take about 3 hours d. Confirm the presence of a prothrombin time/INRe. Withhold food and drink for 4 hours

b. Confirm the presence of a consent form d. Confirm the presence of a prothrombin time/INRe. Withhold food and drink for 4 hours

What should the nurse explain is the major purpose of the Sengstaken-Blakemore tube (S/B tube)? a. Decompress the stomach b. Control esophageal varices bleeding c. A route for tube feedings d. Obtain specimen for gastric analysis

b. Control esophageal varices bleeding

The nurse anticipates administering which medication to a patient immediately after liver transplantation? a. Lactulose b. Cyclosporine c. Acetaminophen d. Hepatitis B vaccine

b. Cyclosporine

Which instruction would the nurse provide to help prevent leakage of stool when teaching a client with an ascending colon who is using a colostomy appliance? a. Irrigate the colostomy to establish an expected pattern of elimination. b. Empty the appliance when it is approximately one half full of feces. c. Use an antiseptic to clean the peristomal skin before applying the appliance. d. Select an appliance with a pouch opening of at least 5 cm larger than the stoma.

b. Empty the appliance when it is approximately one half full of feces.

Which nursing intervention is critical for a client going home with a new ileostomy? a. Testing the client's ability to independently change the appliance b. Evaluating the client's plan to care for the ileostomy c. Reinforcing the new dietary limitations d. Ensuring that the client can change the dry, sterile dressing on the incision

b. Evaluating the client's plan to care for the ileostomy

Which action would the nurse take first for a patient undergoing a paracentesis for ascites caused by cirrhosis? a. Monitoring for signs of syncope b. Having the patient empty the bladder c. Positioning patient in high-Fowler's position d. Observing the site for bleeding or drainage

b. Having the patient empty the bladder

Which intervention would the nurse perform for a patient who is admitted to the hospital because of vomiting that has lasted 3 days despite minimal intake and severe abdominal distention and pain? a. Administering a laxative to promote bowel evacuation b. Inserting a nasojejunal tube, and connecting it to wall suction c. Providing preoperative education about colostomy formation d. Preparing the patient for surgery to repair the intestinal obstruction

b. Inserting a nasojejunal tube, and connecting it to wall suction

A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a flapping tremor. Which diet would the health care provider prescribe for this client based on the nurse's assessment? a. No protein b. Moderate protein c. High protein d. Strict protein restriction

b. Moderate protein

Which action would the nurse take after assessing abdominal rigidity in a client reporting severe abdominal pain 3 days after a subtotal gastrectomy? a. Assisting the client to ambulate b. Obtaining the client's vital signs c. Administering the prescribed analgesic d. Encouraging the use of spirometry

b. Obtaining the client's vital signs

In which position would the nurse place a patient who had a fine-needle aspiration biopsy (FNAB) of the liver 15 minutes ago? a. On the patient's left side b. On the patient's right side c. Semi-Fowler's position d. Trendelenburg's position

b. On the patient's right side

Which drug does the nurse expect the health care provider to prescribe to treat a chronic hepatitis B infection and decrease the viral load? a. Ribavirin b. Pegylated interferon alfa c. Interferon alfa-2b d. Azathioprine

b. Pegylated interferon alfa

Which nursing action would best prevent pulmonary complications in a client immediately after subtotal gastrectomy? a. Ambulating the client to increase respiratory exchange b. Promoting frequent turning and deep breathing to mobilize secretions c. Maintaining a consistent oxygen flow rate to increase oxygen saturation d. Keeping an artificial airway in place to ensure patency of the client's airway

b. Promoting frequent turning and deep breathing to mobilize secretions

The nurse concludes that a client with Crohn disease and general malnutrition who has anemia, a low serum albumin level, and signs of negative nitrogen balance is lacking which major substance? a. Iron b. Protein c. Vitamin C d. Linoleic acid

b. Protein

Which outcome is most important for the client to achieve to meet long-range goals associated with adjusting to a new colostomy? a. Mastery of techniques of colostomy care b. Readiness to accept an altered body image and function c. Awareness of available community resources d. Knowledge of the necessary dietary modifications

b. Readiness to accept an altered body image and function

Which action would be considered beneficial in minimizing the risk for contracting hepatitis B? Select all that apply. One, some, or all responses may be correct. a. Preventing constipation b. Screening of blood donors c. Avoiding shellfish in the diet d. Limiting hepatotoxic drug therapy e. Maintaining a monogamous sexual relationship

b. Screening of blood donors e. Maintaining a monogamous sexual relationship

A client with Crohn disease is admitted to the hospital with abdominal pain, fever, poor skin turgor, and diarrhea, with 10 stools in the past 24 hours. Which sign is evidence that the client is probably dehydrated? Select all that apply. One, some, or all responses may be correct. a. Moist skin b. Sunken eyes c. Decreased apical pulse d. Dry mucous membranes e. Increased blood pressure

b. Sunken eyes d. Dry mucous membranes

A client coping with ulcerative colitis for many years makes the decision to have a colectomy as advised by the health care provider. Which factor most likely affected the client' s decision? a. It is temporary until the colon heals. b. Surgical treatment cures ulcerative colitis. c. Ulcerative colitis can progress to Crohn disease. d. Eating regular foods is contraindicated without surgery.

b. Surgical treatment cures ulcerative colitis.

A client with ulcerative colitis decides to have a colectomy as advised by the primary health care provider. Which is most likely the significant factor that affected the client's decision? a. It is temporary until the colon heals. b. Surgical treatment cures ulcerative colitis. c. Ulcerative colitis can progress to Crohn disease. d. Eating table foods will be easier.

b. Surgical treatment cures ulcerative colitis.

A patient with a T-tube for an open cholecystectomy has resumed oral intake. The T-tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat. During the time the tube is clamped the patient complains of abdominal pain and nause a. Which intervention is most appropriate? a. Notify the physician b. Unclamp the tube immediately c. Increase the IV fluids d. Change the T-tube dressing

b. Unclamp the tube immediately

The nurse is providing discharge instructions to a client who is recovering from an acute case of viral hepatitis. Which statement by the client indicates a need for further teaching? a. " I will avoid alcohol." b. " I will eat small, frequent meals." c. " I will take acetaminophen for pain rather than aspirin." d. " I will eat foods high in carbohydrates and moderate in fats and protein."

c. " I will take acetaminophen for pain rather than aspirin."

Which statement by the client with a new colostomy indicates correct understanding of the teaching about irrigation of the colostomy? a. "After it is done healing in a few weeks, I'll begin irrigating it just before going to bed each day." b. "It will need to be irrigated each morning before I can eat any food." c. "I plan to irrigate it in the late morning, the same time I had a bowel movement every day before I had surgery." d. "I can wait to start irrigating it until after I have gotten used to this bag and change in lifestyle."

c. "I plan to irrigate it in the late morning, the same time I had a bowel movement every day before I had surgery."

Which statement by the client indicates understanding of the nurse's teaching regarding the purpose of total parenteral nutrition (TPN) after extensive colon surgery? a. "TPN provides short-term nutrition after surgery." b. "TPN assists in providing supplemental nutrition." c. "TPN provides total nutrition when gastrointestinal (GI) function is questionable." d. "TPN assists people who are unable to eat but have active GI function."

c. "TPN provides total nutrition when gastrointestinal (GI) function is questionable."

Which instruction would the nurse include in the teaching for a client who has had a recent colostomy and expresses concern about the inability to control the passage of gas? a. Eliminate foods high in fiber. b. Decrease fluid intake at mealtimes. c. Avoid foods that caused flatus in the past. d. Adhere to a bland diet before social events.

c. Avoid foods that caused flatus in the past.

Which diagnosis does the nurse anticipate for a patient reporting severe abdominal pain in the right upper quadrant immediately after a large meal of fatty food? a. Hepatitis b. Pancreatitis c. Cholecystitis d. Irritable bowel disease

c. Cholecystitis

The nurse monitors the client for which sign of a risentially severe response after 1500 mL of fluid is removed during a client's paracentesis? a. Decrease in abdominal girth b. Drier mucous membranes c. Increase in heart rate from 80 to 135 d. Increase in blood pressure from 130/70 to 190/80

c. Increase in heart rate from 80 to 135

Which rationale is accurate for why a client who has just undergone a liver biopsy is immediately placed on the right side? a. It decreases pain to provide comfort. b. It supports erythropoiesis to increase red blood cell production. c. It compresses the blood vessels to prevent bleeding. d. It expels fluid trapped in the biliary ducts to promote drainage.

c. It compresses the blood vessels to prevent bleeding.

Which food choice indicates to the nurse that dietary teaching for a client with an acute exacerbation of colitis was effective? Select all that apply. One, some, or all responses may be correct. a. Orange juice b. Creamed soup c. Jelly sandwich d. Lean roast beef e. Scrambled eggs

c. Jelly sandwich d. Lean roast beef e. Scrambled eggs

How would the nurse expect a client's stoma to appear on the second day after an abdominoperineal resection? a. Dry, pale pink, and flush with the skin b. Moist, skin-colored, and flush with the skin c. Moist, red, and raised above the skin surface d. Dry, purple, and depressed below the skin surface

c. Moist, red, and raised above the skin surface

Why is morphine contraindicated in the patient with pancreatitis? a. Demerol (meperidine) is less expensive. b. Tylenol is more effective at managing this type of pain. c. Morphine may cause spasms of the sphincter of Oddi. d. These patients do not experience pain.

c. Morphine may cause spasms of the sphincter of Oddi.

Which symptom concerns a nurse the most in a patient with late-stage cirrhosis because it puts the patient at risk for a potentially life-threatening complication? a. Pruritus b. Diarrhea c. Nonproductive cough d. Increased abdominal girth

c. Nonproductive cough

A client is admitted to the hospital with jaundice. After numerous diagnostic tests, the health care provider diagnoses the client with cancer of the pancreas. Which is the most likely cause of the client's jaundice? a. Necrosis of the pancreatic parenchyma caused by the neoplasm b. Excessive serum bilirubin caused by red blood cell destruction c. Obstruction of the common bile duct by the pancreatic neoplasm d. Impaired liver function resulting in incomplete bilirubin metabolism

c. Obstruction of the common bile duct by the pancreatic neoplasm

Which complication of a peptic ulcer is the most lethal ? a. Bleeding b. Dyspepsia c. Perforation d. Gastric outlet obstruction

c. Perforation

Which lunch selected by the client indicates understanding about the dietary principles associated with viral hepatitis ? a. Turkey salad, french fries, and sherbet b. Cottage cheese, mixed fruit salad, and a milkshake c. Salad, sliced chicken sandwich, and gelatin dessert d. A cheeseburger, tortilla chips, and chocolate pudding

c. Salad, sliced chicken sandwich, and gelatin dessert

Why would the nurse suggest that a client use an antacid containing aluminum and magnesium hydroxide instead of baking soda to reduce heartburn? a. They contain little, if any, sodium. b. Absorption by the stomach mucosa is markedly enhanced. c. There is no direct effect on the systemic acid-base balance when taken as directed. d. Fewer side effects, such as diarrhea or constipation, are experienced when they are used properly

c. There is no direct effect on the systemic acid-base balance when taken as directed.

A patient is diagnosed with diabetic gastroparesis. Which medication does the nurse recognize as appropriate in treating a patient with diabetic gastroparesis? a. Omeprazole b.Dexlansoprazole c.Metoclopramide d.Famotidine

c.Metoclopramide

Which is an appropriate response by the nurse when a client with acute pancreatitis and alcoholism asks, "What does drinking alcohol have to do with my diagnosis?" a. "It promotes the formation of calculi in the cystic duct." b. "It stimulates the pancreas to secrete more insulin than it can immediately produce." c. "It alters the composition of enzymes so they are capable of damaging the pancreas." d. "It increases enzyme secretion and pancreatic duct pressure."

d. "It increases enzyme secretion and pancreatic duct pressure."

Which response would a nurse give to a client who asks about the mechanism of famotidine? a. "It increases gastric motility." b. "It neutralizes gastric acidity." c. "It facilitates histamine release." d. "It inhibits gastric acid secretion."

d. "It inhibits gastric acid secretion."

The nurse determines that a client who becomes shaky after an episode of dumping syndrome does so because of which response in the body? a. A second, more extensive rise in glucose b. An overwhelmed insulin-adjusting mechanism c. A distention of the duodenum from an excessive amount of chyme d. An overproduction of insulin that occurs in response to the rise in blood glucose

d. An overproduction of insulin that occurs in response to the rise in blood glucose

Which is a nursing responsibility common to preparing both a sigmoidoscopy and a barium enema? a. Withholding food for several hours b. Giving a laxative the afternoon before c. Administering soapsuds enemas until clear d. Ensuring an understanding of the procedure

d. Ensuring an understanding of the procedure

Which would the nurse consider to be the main reason a client may experience diarrhea from hypertonic tube feedings? a. Increased fiber intake b. Bacterial contamination c. Inappropriate positioning d. High osmolarity of the feedings

d. High osmolarity of the feedings

Which finding is more likely to be identified in a client with ulcerative colitis than in a client with Crohn disease? a. Inclusion of transmural involvement of the small bowel wall b. Correlation with increased malignancy because of malabsorption syndrome c. Pathology beginning proximally with intermittent plaques found along the colon d. Involvement starting distally with rectal bleeding that spreads continuously up the colon

d. Involvement starting distally with rectal bleeding that spreads continuously up the colon

What should the nurse point out as a significant advantage of the laparoscopic cholecystectomy? a. Slightly more invasive, but there is less pain b. Can be performed on all patients of any age c. Can be performed even when there are large stones present in the bile duct d. Less invasive procedure

d. Less invasive procedure

A client with a history of ulcerative colitis has a portion of the large intestine removed, and an ileostomy is created. For which potential life-threatening postoperative complication would the nurse assess in the client? a. Infection caused by the excretion of feces b. Injury caused by exposed intestinal mucosa c. Altered bowel elimination caused by the ostomy d. Limited water reabsorption caused by removal of intestine

d. Limited water reabsorption caused by removal of intestine

For which potential life-threatening complication would the nurse assess the client who just had a large portion of the large intestine removed and the creation of an ileostomy? a. Infection caused by the excretion of feces b. Injury caused by exposed intestinal mucosa c. Altered bowel elimination caused by the ostomy d. Limited water reabsorption caused by removal of intestine

d. Limited water reabsorption caused by removal of intestine

Which type of tube would the nurse anticipate for a client with bleeding esophageal varices? a. Levin b. Salem sump c. Miller-Abbott d. Sengstaken- Blakemore

d. Sengstaken- Blakemore

Which food would remain contaminated even after being cooked if contaminated with the hepatitis A virus? a. Canned tuna b. Broiled shrimp c. Baked haddock d. Steamed lobster

d. Steamed lobster

Which action provides evidence that a family member is effectively managing the care for a homebound client with a percutaneous endoscopic gastrostomy (PEG) tube? a. The empty feeding bag is attached to the tubing. b. The tube is flushed with air after medication is given. c. Replacement of the tube is done on a weekly basis. d. The head of the bed remains elevated after the feeding.

d. The head of the bed remains elevated after the feeding.

The nurse determines that there is some movement toward adaptation to the change in body image when a client who had a colostomy placed 5 days ago takes which action? a. Discusses the necessity of the colostomy b. Requests the nurse to change the dressing c. Looks at the face of the nurse during care d. Views the stoma during dressing changes

d. Views the stoma during dressing changes

The nurse explains that the use of cyclosporine as an immunosuppressant has been successful in the reduction of rejection of liver transplants because the drug: a. increases the rate of the regeneration of liver cells. b. can overcome complications presented by hepatitis C. c. increases blood supply to transplant. d. does not suppress bone marrow.

d. does not suppress bone marrow.

Which medications reduce gastric ulcers by inhibiting hydrogen ion pumps? Select all that apply. a.Amoxicillin (Amoxil) b.Cimetidine (Tagamet) c.Misoprostol (Cytotec) d.Pantoprazole (Protonix) e.Dexlansoprazole (Dexilant)

d.Pantoprazole (Protonix) e.Dexlansoprazole (Dexilant)

Which statement is true regarding sucralfate (Carafate)? a.Sucralfate (Carafate) can induce diarrhea as an adverse effect. b.Sucralfate (Carafate) is a prokinetic agent that is used to treat duodenal ulcers. c.Sucralfate (Carafate) treats ulcers by inhibiting gastric secretions and altering gastric pH. d.Sucralfate (Carafate) is prescribed to patients who cannot tolerate other forms of antiulcer therapy. Forms a protective barrier over ulcers.

d.Sucralfate (Carafate) is prescribed to patients who cannot tolerate other forms of antiulcer therapy. Forms a protective barrier over ulcers.