Gastro Exam Review

The nurse recognizes the need for additional teaching when a patient with celiac disease states?

"I really don't need to restrict my diet of gluten-containing foods, as I am not having diarrhea."

Fluoxetine is prescribed, and the nurse reinforces instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about the administration of this medication?

"I should take the medication in the morning when I first arise."

What is the therapeutic range for lithium bicarbonate?

0.6-1.2 mEq/L

Students have calculated their BMI. The results are listed subsequently. Which one is within the optimal range?

20

A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medication plan?

Arrives at the clinic neat and appropriate in appearance

A patient in the clinic is prescribed an immunosuppressant drug for treatment of IBD. Which patient teaching point related to this drug is appropriate?

Avoid people with active infections

A hospitalized client is prescribed phenelzine sulfate for the treatment of depression. The nurse reinforces instructions to the client and tells the client to avoid consuming which foods while taking this medication? Select all that apply.

Figs Yogurt Aged cheese

Which of the following types of anti ulcer drugs work by inhibiting the secretion of gastric acid? SATA

H2 Receptor Blockers Proton Pump Inhibitors Synthetic Prostaglandins

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

Hepatitis A

The nurse is assisting with the insertion of a nasogastric tube into a client. The nurse would place the client in which position for insertion?

High-Fowler's position

The nurse is monitoring a client taking an antipsychotic medication for signs/symptoms of neuroleptic malignant syndrome (NMS). The nurse would expect to note which sign/symptom if NMS occurred?

Hyperpyrexia

A patient is being transitioned from parenteral nutrition to oral nutrition. The nurse should monitor for nutritional recovery syndrome which is categorized by?

Hypophophatemia

As the nurse, you are providing instructions to a patient who recently had a gastrectomy . You focus your teaching on prevention of dumping syndrome. Which instruction do you include in your teaching?

Increase ambulation after each meal

In what order should you do an abdominal assessment?

Inspect Auscultate Percuss Palpate

After a client undergoes a liver biopsy, the nurse places the client in the prescribed right-side lying position. The nurse understands that the purpose of this intervention is to accomplish which?

Limit bleeding from the biopsy site

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure would the nurse include during client teaching to help prevent dumping syndrome

Limit the fluids taken with meals.

Which of the following factors are thought to contribute to constipation in older adults?

Low fluid intake Lack of dietary fiber Inactivity Drugs

You have been assigned to care for a patient who was recently diagnosed with a hiatal hernia. The patient is experiencing chronic heartburn when eating a meal. You will teach the patient to avoid which of the following situations?

Lying flat after eating a meal

A patient reports that she is lactovegetarian. You know that her diet includes?

Milk

A client taking buspirone for 1 month returns to the clinic for a follow-up visit. Which would indicate medication effectiveness?

No rapid heartbeats or anxiety

Shortly after a liver biopsy, a patient has a sudden onset of dyspnea. Which actions should the nurse take? SATA

Notify the RN Remain calm and assure the pt Take VS

The nurse is teaching older adults in the community about nutrition. The content should include which of the following?

Older people who are less active need fewer calories that's they did when younger A moderately active older woman needs 300 fewer calories daily than when younger

A nursing student is teaching a patient how to read the nutrition label on a canned product. The label reads: Daily value 20% Vitamin A. The patient asks what that means. Which of the following is the most accurate reply?

One serving of this product provides 20% of the recommended daily intake of Vitamin A

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation would indicate that a prolapse has occurred?

Protruding and swollen

A patient who was admitted with severe abdominal pain is being evaluated for possible appendicitis. The physician should be notified immediately if the nurses assessment reveals which of the following?

Pts WBC is 15,000/mm^3 Palpation at McBurney's point causes pain The patient keeps both hips flexed The pts abdomen is rigid

The nurse is caring for patients with diseases that affect the stomach, small intestine, large intestine, and rectum. A disease of which of the following poses the greatest risk for problems with absorption of nutrients?

Small intestine

The nurse is asked to speak at a support group for people with ulcerative colitis. Which content should be included in the presentation? SATA

Stress management may help to control the symptoms Avoid caffeine and any food that causes symptoms Have regular colon screening exams Medications are needed only when acute symptoms occur

A patient who has had oral surgery c/o dry mouth. Your most appropriate action is to do which of the following?

Suction the mouth after giving the patient sips of water

The nurse is reviewing the primary health care provider's (PHCP'S) prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription would the nurse verify if noted in the client's chart?

Supine and flat client positioning

The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence?

Sweating and pallor

A client is taking a monoamine oxidase inhibitor (MAOI). The nurse plans care knowing which information?

Symptomatology of MAOI toxicity includes headache, hypertension, and nausea and vomiting.

As the nurse, you teach your pt with diverticulitis to? SATA

Use anticholinergic meds to prevent bowel spasms Get an annal colonoscopy to detect possible changes that may be cancerous Keep eating a high fiber diet and using bulk laxatives to increase fecal volume

Residents of an assisted living facility have asked how they can reduce the risk of colon cancer. The nurse should recommend a high intake of which of the following?

Vegetables Fruits Fiber Proteins

A patient with a diagnosis of chronic gastritis is at risk for developing which vitamin deficiency

Vitamin B12

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency?

Vitamin B12

Disulfiram is prescribed for a client and the nurse is collecting data on the client and is reinforcing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication?

When the last alcoholic drink was consumed

A hospitalized client is taking clozapine for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client would the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood count

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client would take which action to monitor the effectiveness of treatment?

Checking the frequency and consistency of bowel movements

A patient asks if surgery would cure her chrons disease. She states that her friends ulcerative colitis was cured with surgery. The nurse should explain that surgery is used to treat chrons disease less often than to treat ulcerative colitis for what reason?

Chrons disease usually returns near the site of the anastomosis

Which GI cancer has the highest rate of incidence and is responsible for the highest number of deaths?

Colectoral

What are s/s for lithium toxicity?

Confusion, blurred vision, diarrhea, tinnitus, slurred speech, coma, convulsions, excessive urination, excessive thirst, tremors/ataxia

For patients trying to lose weight, cognitive restructuring may be used to?

Correct negative thoughts

A patient with liver disease asks why his abdomen is swollen. When explaining the pathophysiology of liver disease, Which statement correctly describes the function of the portal vein?

Delivers blood from the intestines to the liver

The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder would the nurse suspect that this client may have based on the use of this medication?

Dementia

You are reviewing the admission papers for a new resident of a LTC facility. You note a medical diagnosis of achalasia. Which of the following should be included in the nursing care plan? SATA

Determine the best position for the patient during meals Be sure clothing is not restrictive

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic would the nurse expect to see documented in the record?

Diarrhea

The nurse is reviewing the record of a female client with Chrons disease. Which stool characteristics should the nurse expect to find in the patients Hx?

Diarrhea

Which of the following nutrients yields the highest number of kilocalories per gram?

Fat

Inspection of the month of an older adult reveals all of the data listed subsequently. Which findings should the nurse recognize as normal? SATA

Worn chewing surfaces on the teeth Recession of the gingiva (gums) Teeth appear darker and more transparent

The nurse has inserted a nasogastric (NG) tube in a client and is checking for the correct placement of an NG tube. Which is the most reliable data to ensure that the end of the tube is in the stomach?

placement verified on x-ray

A client arrives at the health care clinic and tells the nurse that they have been doubling their daily dosage of bupropion hydrochloride to help them get better faster. The nurse understands that the client is now at risk for which problem?

seizure activity

A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is checked as a part of the routine follow-up, and the level is 3.0 mEq/L (3.0 mmol/L). The nurse knows that this is which level?

toxic

When reinforcing dietary instructions to a client with irritable bowel syndrome whose primary symptom is alternating constipation and diarrhea, which foods would the nurse tell the client are best to include in the diet for this disorder? Select all that apply.

Apples Whole grain bread

The nurse is reinforcing medication discharge instructions for a client who has just begun taking isocarboxazid for depression and knows that the client needs further teaching after stating that which foods are safe to eat? Select all that apply.

Avocado Bologna

The 2015-2020 Dietary Guidelines for Americans recommends that which nutrients should be restricted to less than 10% of the daily calorie intake SATA

Added Sugars Saturated Fats

Neuroleptic malignant syndrome is suspected in a client who is taking chlorpromazine. Which medication would the nurse prepare in anticipation of the prescription to treat this adverse effect related to the use of chlorpromazine?

Bromocriptine

The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed? Select all that apply.

Administer anticholinergics, as prescribed Encourage coughing and deep breathing Administer antacids as prescribed

When a patient is receiving TPN the nurse must monitor for which of the following potential complications?

Air Embolism

Other than a radiograph, the most reliable way to assess placement of an NG tube is to do which of the following?

Examine and check pH of aspirated stomach contents

A 16 year old female presents to the camp clinic with abdominal pain in the right lower quadrant. She had a low grade fever. The camp nurse should suspect which of the following?

Appendicitis

The nurse is caring for a client who has been prescribed citalopram and checks the client for which signs/symptoms of serotonin syndrome? Select all that apply.

Diarrhea Abdominal pain Increased blood pressure

The nurse has inserted a feeding tube and started the first feeding after using a pump. After 20 minutes the patient c/o nausea and dizziness. She is sweating, and her pulse is rapid. The nurse should recognize that these are symptoms of which of the following?

Dumping syndrome

Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which is the best rationale for checking gastric residual volume before administering the tube feeding?

Evaluate absorption of the last feeding.

A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with removing a nasogastric (NG) tube from the client. Which interventions would be included in the procedure? Select all that apply.

Explain the procedure to the client Ask the client to take a deep breath and hold Pull the tube out in one continuous steady motion Remove the device or tape securing the tube from the nose