Gastrointestinal-NCLEX

It has been determined that a client with hepatitis has contracted the infection from contaminated food. What type of hepatitis is this client most likely experiencing? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis D

1. Hepatitis A

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record? 1. diarrhea 2. constipation 3. bloody stools 4. stool constantly oozing from the rectum

1. diarrhea

The nurse is reinforcing teaching to client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure? 1. left sims position 2. lithotomy position 3. knee-chest position 4. right sims position

1. left sims position

A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? 1. lying recumbent after meals 2. eating small, frequent, bland meals 3. raising the head of the bed on 6 inch blocks 4. taking histamine receptor antagonist medication, as prescribed

1. lying recumbent after meals

The nurse is monitoring a client for the EARLY signs and symptoms of dumping syndrome. Which indicates this occurrence? 1. sweating and pallor 2. dry skin and stomach pain 3. bradycardia and indigestion 4. double vision and chest pain

1. sweating and pallor

A client with Chron's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client should take which action to monitor the effectiveness of treatment ? 1. monitoring the leukocyte count for 2 days after the infusion 2. checking the frequency and consistency of bowl movements 3. checking serum liver enzyme levels before and after infusion

2. checking the frequency and consistency of bowl movements

The client has been taking omeprazole for 4 weeks. The nurse evaluates. The nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? 1. diarrhea 2. heartburn 3. flatulence 4. constipation

2. heartburn

Then nurse is preparing to perform an abdominal examination. Which step should be taken FIRST? 1. palpitation 2. inspection 3. percussion 4. auscultation

2. inspection

The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which is noted? 1. resolved diarrhea 2. relief of epigastric pain 3. decreased platelet count 4. decreased WBC count

2. relief of epigastric pain

A client with ascites is scheduled for a paracentesis. The nurse is assisting the health care provider in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure? 1. flat 2. upright 3. left side lying 4. right side lying

2. upright

The client has an as needed prescription for loperamide hydrochloride. For condition should the nurse administer this medication? 1. constipation 2. abdominal pain 3. an episode of diarrhea 4. hematest-positive nasogastric tube drainage

3. an episode of diarrhea

An older client has recently been taking cimetidine. The nurse should monitor the client for which MOST frequent central nervous system side effect of this medication? 1. tremors 2. dizziness 3. confusion 4. hallucinations

3. confusion

The nurse is caring for a client after Billroth 11 (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which should the nurse clarify? 1. leg exercises 2. early ambulation 3. irrigating the NG tube 4. coughing and deep breathing exercises

3. irrigating the NG tube

The nurse reinforces postoperative liver biopsy instruction to a client. Which should the nurse tell the client? 1. avoid alcohol for 8 hours 2. remain NPO for 24 hours 3. lie on the right side for 2 hours 4. save all stools to be checked for blood

3. lie on the right side for 2 hours

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure should the nurse include during client teaching to help prevent dumping syndrome? 1. ambulate after a meal 2. eat high carbohydrate foods 3. limit the fluids taken with meals 4. sit in a high fowlers position during meals

3. limit the fluids taken with meals

The nurse is reviewing the primary health care providers prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription should the nurse verify if noted in the clients chart ? 1. NPO status 2. an anticholinergics medication 3. position the client supine and flat 4. prepare to insert a nasogastric tube

3. position the client supine and flat

The client has begun medication therapy with pancrelipase. The nurse evaluates that that the medication is having the optimal intended benefit if which effect is observed? 1. weight loss 2. relief of heartburn 3. reduction of steatorrhea 4. absence of abdominal pain

3. reduction of steatorrhea

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the BEST understanding of the medication regimen? 1. my ulcer will heal bc these medications will kill the bacteria 2. these medications are only taken when I have pain from my ulcer 3. the medication will kill the bacteria and stop the acid production

3. the medication will kill the bacteria and stop the acid production

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. The nurse explains to the client that this test? 1. the test is uncomfortable 2. the test requires that the client ne NPO 3. the test requires the client to lie or short intervals 4. the test is preceded by the administration of oral tables

3. the test requires the client to lie or short intervals

The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication? 1. paralytic ileus 2. incisional pain 3. urinary retention 4. nausea and vomiting

4. nausea and vomiting

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse should schedule the medication to be administered at which times? 1. with meals and at bed time 2. every 6 hours around the clock 3. one hour after meals and at bed time 4. one hour before meals and at bedtime

4. one hour before meals and at bedtime

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred? 1. dark and bluish 2. sunken and hidden 3. narrowed and flattened 4. protruding and swollen

4. protruding and swollen

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? 1. vitamin A 2. vitamin C 3. vitamin E 4. vitamin B12

4. vitamin B12