GI (evolve)
The nurse is caring for a client after a gastrojejunostomy (Billroth II) procedure on review of the post-operative prescriptions which should the nurse clarify
Irrigating the nasal gastric tube
What color is stool when barium is still in the body
It's a light color in till barium is fully expelled
The nurse is reinforcing discharge instructions to a client after gastrectomy which measures should include the client teaching to prevent dumping syndrome
Limit the fluids taken with meals
What is not a sign of paralytic Ileus
Loss of sphincter control
A client has been diagnosed with acute gastroenteritis which diet should the nurse anticipate to prescribe for the patient
Low fiber
Patients with inflammatory bowel disease, ileostomy, colostomy, partial obstruction of intestinal tract, acute gastroenteritis, or diarrhea should be on what diet
Low fiber
A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid?
Lying recumbent after meals
Why put patient in high Fowler's position while insertion of a nasogastric tube
To reduce the risk of pulmonary aspiration if the client should vomit
If nausea persists the client will need to be assessed for
Fluid and electrolyte imbalance
Low purring diet 4 clients
Gout
The nurse is assisting with the insertion of a nasogastric tube into a client the nurse should place the client in which position for insertion
High Fowler's position
Gastrectomy patient should avoid
High carbohydrate Foods
Patient has asymptomatic diverticular disease what diet should nurse anticipate
High fiber diet
It is important to explain to the client that the majority of calories should be eaten
In morning hours because nausea most often occurs afternoon and evening
The nurse is caring for a client with acute pancreatitis and a history of alcoholism and is monitoring the client for complications which data should be indicated paralytic Ileus
Inability to pass flatus
The normal serum ammonia level is
10 - 80 mcg/dL
The nurse is checking a client for the correct placement of NG tube the nurse aspirates the clients stomach contents and checks its pH levels what is the pH level
3.5
Common risk factors for colorectal cancer include age over
40 years
Pain of duodenal ulcer occurs
90 minutes to 3 hours after eating and often awakens the client at night
polyp
Abnormal tissue growth on a mucous membrane
The nurse is reviewing prescriptions of a client admitted to the hospital with diagnosis of acute pancreatitis what interventions should the nurse expect
Administer antacids encourage coughing and deep breathing administer anti cholinergic
High iron diets are for patients with
Anemia to help make hemoglobin
High fiber diet is a choice for
Asymptomatic diverticular disease to help prevent straining from constipation
Bilirubin
Brownish yellow pigment of bile secreted by the liver in vertebrates which gives a solid waste poop characteristic color
A client is admitted to the hospital with viral hepatitis and is complaining of loss of appetite in order to provide adequate nutrition what action does the nurse and courage the client to take
Increase intake of fluids
Client has esophagogastroduodenoscopy the nurse places highest priority on which action has a part of clients care plan
Checking for return of gag reflex
The liver is usually enlarged in cases of
Cirrhosis or hepatitis
Patency of an NG tube is critical for preventing the retention of gastric secretions however you should never
Irrigate or reposition the gastric tube after gastric surgery unless specifically prescribed
The nurse is reviewing the record of a client with crohn's disease what's tool characteristics should the nurse expect to see documented in record
Diarrhea
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.
The nurse is collecting data from a client admitted to the hospital with a diagnosis of suspected gastric ulcer and is asking the client questions about pain what statement made by client supports diagnosis of gastric ulcer
My pain comes shortly after I eat maybe half an hour or so later
client with acute pancreatitis is normally placed on ____ to rest the pancreas and suppress GI secretions
NPO status
A client with viral hepatitis has no appetite and the food makes client nauseated which nursing intervention is appropriate
Offers small frequent meals
In inflammatory reactions such as acute pancreatitis can cause
Paralytic Ileus
One that acid secretion decreases the source of intrinsic factor is lost which is results inability to absorb vitamin B12 this leads to development of
Pernicious anemia
The nurse is participating in a health screening clinic and is preparing materials about colorectal cancer the nurse plans to include which risk factor for colorectal cancer
Personal history of ulcerative colitis or gastrointestinal polyps
A firm non-tender Mass palpable at lower right costal margin describes
Physical finding of liver enlargement
The nurse is reviewing the health care provider's prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription should the nurse verify if noted in the client's chart?
Position the client supine and flat.
The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred?
Protruding and swollen
After a liver biopsy the nurse should place the client in which position
Right side lying position with small pillow or folded towel under the puncture site
The nurse is monitoring a client for early signs and symptoms of dumping syndrome what indicates this occurrence
Syncope. vertigo. tachycardia sweating. pallor. palpitation. desire to lie down.
Duodenal ulcer pain is usually located
The right of epigastrium
pancreatitis client is susceptible to respiratory infections because the retroperitoneal fluid raises the diaphragm, which causes the client to take shallow, guarded abdominal breaths.
Therefore, measures such as turning, coughing, and deep breathing are instituted. Antacids and anticholinergics may be prescribed to suppress GI secretions.
A low fiber diet places less strain on the intestines because
This type of diet is easier to digest
The nurse is evaluating the effect of dietary counseling on the client with cholecystitis. The nurse determines that the client understands the instructions given if the client states that which food item is acceptable to include in the diet?
Turkey and lettuce sandwich
Gastric ulcer pain often occurs in the
Upper epigastrium with localization to the left of the midline
The nurse observes that a client with a nasogastric tube connected to continuous gastric suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. In planning care, which nursing intervention would be best to maintain the integrity of this client's oral mucosa?
Use diluted mouthwash and water to rinse the mouth after brushing teeth
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
stoma retraction
characterized by sinking of the stoma.
Spider angiomas—small, dilated blood vessels—are commonly seen in
cirrhosis of liver
Dumping syndrome
condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight
The client is anorexic and finds food ___
distasteful
hiatal hernia Relief is obtained by
eating small, frequent, and bland meals; histamine antagonists and antacids; and elevation of the thorax after meals and during sleep.
acute viral hepatitis; causes urine darkens because of excess bilirubin being ____
excreted by the kidney
Some clients with pancreatitis experience lessened pain by assuming positions
flex the trunk and draw the knees up to the chest. A side-lying position with the head elevated 45 degrees decreases tension on the abdomen and may also help ease the pain
Which infection control method should be the priority to include in the plan of care to prevent hepatitis B in a client considered to be at high risk for exposure?
hep B vaccine is the most effective way to prevent it
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
Hepatitis B, C, and D are most commonly transmitted via
infected blood or body fluids
prolapsed stoma
is one in which bowel protrudes through the stoma, with an elongated and swollen appearance.
gastrectomy patient should assume low Fowler's position during meals then?
lie down for 30 minutes to delay gastric emptying. take antispasmodic
A client with acute pancreatitis is experiencing severe pain from the disorder. The nurse tells the client to avoid which position that could aggravate the pain?
lying flat
Nurse caring for patient suspected having appendicitis what should the nurse anticipate
no oral intake liquids or food
The client with cholecystitis should decrease __
overall intake of dietary fat
administration of a tube feeding. A full stomach could result in __
overdistention, thus predisposing the client to regurgitation and possible aspiration
Because abdominal pain is a prominent symptom of pancreatitis,
pain medication will be prescribed
whipple procedure
pancreaticoduodenectomy involves removal of the "head" (wide part) of the pancreas next to the first part of the small intestine (duodenum). It also involves removal of the duodenum, a portion of the common bile duct, gallbladder, and sometimes part of the stomach
Hiatal hernia is caused by ___
protrusion of a portion of the stomach above the diaphragm, where the esophagus usually is positioned
The pain associated with acute pancreatitis is aggravated when the client lies in a ___
supine and flat position
Hepatitis A is transmitted by
the fecal-oral route via contaminated food or infected food handlers.
Common signs of acute viral hepatitis include
weight loss, dark urine, and fatigue
Ischemia of the stoma
would be associated with dusky or bluish color. A stoma with a narrowed opening, either at the level of the skin or fascia, is said to be stenosed.