GI

A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which most frequently prescribed antidiarrheal drug does the nurse expect the health care provider to prescribe? 1.Bisacodyl (Dulcolax) 2.Psyllium (Metamucil) 3.Loperamide (Imodium) 4.Docusate sodium (Colace)

3.Loperamide (Imodium)

After abdominal surgery a client is to receive a progressive postsurgical diet. The nurse explains to the client that this diet is characterized by progressive alterations in the: 1.Caloric content of food 2.Nutritional value of food 3.Texture and digestibility of food 4.Variety of fluids and food

3.Texture and digestibility of food

A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to: 1.Augment the immune response." 2.Potentiate the effect of antacids." 3.Treat Helicobacter pylori infection." 4.Reduce hydrochloric acid secretion."

3.Treat Helicobacter pylori infection."

A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse encourages the client to lose weight safely by changing which dietary habits? 1.Decrease portion size and fat intake 2.Increase protein and vegetable intake 3.Decrease carbohydrate and fat intake 4.Increase fruits and limit fluid intake

1.Decrease portion size and fat intake

A nurse is concerned that a client with a diagnosis of cirrhosis of the liver may experience the complication of hepatic coma. For which clinical indicator should the nurse assess this client? 1.Icterus 2.Urticaria 3.Uremic frost 4.Hemangioma

1.Icterus

A client with a long history of alcohol abuse is admitted to the hospital with ascites and jaundice. A diagnosis of hepatic cirrhosis is made. A nursing priority is to: 1.Institute fall prevention/safety measures 2.Monitor respiratory status 3.Measure abdominal girth daily 4.Test stool specimens for blood

1.Institute fall prevention/safety measures

A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon cancer. The nurse explains to the client that the delay in instituting drug therapy is planned because the chemotherapy: 1.Interferes with cell growth and delays wound healing 2.Causes vomiting, which endangers the integrity of the incisional area 3.Decreases red blood cell production and the resultant anemia will add to postoperative fatigue 4.Increases edema in areas distal to the incision by blocking lymph channels with destroyed lymphocytes

1.Interferes with cell growth and delays wound healing

A nurse is caring for a client on the second day after an abdominoperineal resection. How does the nurse expect the stoma to appear? 1.Dry, pale pink, and flush with the skin 2.Moist, skin-colored, and flush with the skin 3.Moist, red, and raised above the skin surface 4.Dry, purple, and depressed below the skin surface

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

A nurse concludes that a client understands the teaching about limiting the discomfort associated with a hiatal hernia when the client states, "After meals I will: 1.Drink 8 oz of water." 2.Take a 10-minute walk." 3.Rest in a sitting position for one hour." 4.Lie down in bed for at least 20 minutes."

3.Rest in a sitting position for one hour."

An older adult is returned to the surgical unit after having a subtotal gastrectomy. Which dietary modification should the nurse anticipate that the health care provider will most likely prescribe? 1.Increase intake of dietary roughage slowly. 2.Avoid oral feedings for a prolonged period. 3.Resume small, easily digested feedings gradually. 4.Limit intake to self-selection of personally preferred foods.

3.Resume small, easily digested feedings gradually

Which medications are associated commonly with upper gastrointestinal (GI) bleeding? (Select all that apply.) 1.Acetylsalicylic acid (Aspirin) 2.Methylprednisolone (Solu-Medrol) 3.Acetaminophen (Tylenol) 4.Ibuprofen (Advil) 5.Ciprofloxacin (Cipro)

1.Acetylsalicylic acid (Aspirin) 2.Methylprednisolone (Solu-Medrol) 4.Ibuprofen (Advil)

A client who is receiving total parenteral nutrition (TPN) reports experiencing nausea, thirst, and a headache. Which clinical factor should the nurse monitor initially to further assess the client's status? 1.Blood glucose 2.Urinary output 3.Blood pressure 4.Oral temperature

1.Blood glucose

After surgery a client is started on a clear liquid diet. Which should the nurse offer the client? (Select all that apply.) 1.Jell-O 2.Broth 3.Sherbet 4.Ice milk 5.Ginger ale

1.Jell-O 2.Broth 5.Ginger ale

A client is scheduled for a colonoscopy, and the health care provider prescribes a tap water enema. In which position should the nurse place the client during the enema? 1.Left Sims 2.Back lying 3.Knee chest 4.Mid-Fowler

1.Left Sims

The nurse provides medication teaching to a client on diuretic therapy who receives a prescription for potassium supplements. The nurse concludes that the teaching was effective when the client states, "I should: 1.Report any abdominal distress." 2.Use salt substitutes to season food." 3.Take the drug on an empty stomach." 4.Increase the dosage if I have muscle cramps."

1.Report any abdominal distress."

A nurse is providing dietary teaching for a client with celiac disease. Which foods should the nurse teach the client to avoid when following a gluten-free diet? (Select all that apply.) 1.Rye 2.Oats 3.Rice 4.Corn 5 .Wheat

1.Rye 2.Oats 5 .Wheat

A client with cholecystitis is placed on a low fat, high protein diet. What nutrient should the nurse teach the client is included with this diet? 1.Skim milk 2.Boiled beef 3.Poached eggs 4.Steamed broccoli

1.Skim milk

The mother of a large family asks the home health nurse for inexpensive sources of B vitamins. What suggestion should the nurse make? 1."Eat more red meat." 2."Bake with whole-wheat flour." 3."Include more eggs in the diet." 4."Sprinkle wheat germ on casseroles."

2."Bake with whole-wheat flour."

A nurse provides a list of suggested food choices to a client who has peptic ulcer disease. What foods should be included on the list? 1.Orange juice, fried eggs, and sausage 2.Applesauce, cream of wheat, and milk 3.Tomato juice, raisin bran cereal, and tea 4.Sliced oranges, pancakes with syrup, and coffee

2.Applesauce, cream of wheat, and milk

A client is diagnosed as having colitis. Which clinical findings should the nurse expect the client to report? (Select all that apply.) 1.Fever 2.Diarrhea 3.Gain in weight 4.Spitting up blood 5.Abdominal cramps

2.Diarrhea 5.Abdominal cramps

A nurse obtains daily stool specimens for a client with chronic bowel inflammation. The nurse concludes that these stool examinations were prescribed to determine: 1.Fat content. 2.Occult blood. 3.Ova and parasites. 4.Culture and sensitivity

2.Occult blood.

After a subtotal gastrectomy a client is returned to the surgical unit. Which is the best nursing action to prevent pulmonary complications? 1.Ambulating the client to increase respiratory exchange 2.Promoting frequent turning and deep breathing to mobilize secretions 3.Maintaining a consistent oxygen flow rate to increase oxygen saturation 4.Keeping a plastic airway in place to ensure patency of the client's airway

2.Promoting frequent turning and deep breathing to mobilize secretions

A client had surgery for a perforated appendix with localized peritonitis. In which position should the nurse place this client? 1.Sims 2.Semi-Fowler 3.Trendelenburg 4.Dorsal recumbent

2.Semi-Fowler

An older female client with diarrhea is admitted to the hospital from a nursing home. A stool specimen confirms a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The daughter of the client asks why her mother has been placed in a room with another client who is on isolation. How should the nurse respond? 1."The other person's infection is not contagious." 2."This is the usual practice when antibiotic therapy is started." 3."It is safe to place people with the same infection in one room." 4."As soon as a private room becomes available we will move her."

3."It is safe to place people with the same infection in one room."

A client with a recent colostomy expresses concern about the inability to control the passage of gas. The nurse should teach the client to: 1.Eliminate foods high in cellulose 2.Decrease fluid intake at mealtimes 3.Avoid foods that in the past caused flatus 4.Adhere to a bland diet before social events

3.Avoid foods that in the past caused flatus

A client is admitted with a diagnosis of duodenal ulcer. Which location is most commonly indicated by the client as being painful when the nurse assesses for the presence of referred pain? 1.A (Red) 2.B (Purple) 3.C (Brown) 4.D (pink)

3.C Site C is associated most commonly with pain of a duodenal ulcer, cholecystitis, and pancreatitis

A client asks the nurse to review a list of the foods the client has been choosing to combat constipation. Upon review, the nurse identifies that the food item that has the least amount of fiber content is: 1.Stewed prunes 2.Whole-bran cereal 3.Grapefruit sections 4.Cream of wheat cereal

4.Cream of wheat cereal

A health care provider prescribes a sigmoidoscopy for one client and a barium enema for another client. What is a nursing responsibility common to preparing both of these clients for these procedures? 1.Withholding food for several hours 2.Giving castor oil the afternoon before 3.Administering soapsuds enemas until clear 4.Ensuring an understanding of the procedure

4.Ensuring an understanding of the procedure

A client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client's care? 1.Empty feeding bag stays attached to the tubing. 2.Tube is flushed with air after medication is given. 3.Replacement of the tube is done on a weekly basis. 4.Head of the bed remains elevated after the feeding

4.Head of the bed remains elevated after the feeding

A client is admitted with a diagnosis of cancer of the colon. What information about malignant tumors of the colon should the nurse consider when caring for this client? 1.They are detected easily. 2.They usually are localized. 3.Women are more at risk than men. 4.Intestinal obstructions usually are malignant

4.Intestinal obstructions usually are malignant

A nurse administers several vitamins as part of a client's medical regimen. Which prescribed vitamin is essential for the synthesis of prothrombin by the liver? 1.B12 2.C 3.D 4.K

4.K

A client is admitted to the hospital for surgery for a total abdominoperineal resection. What position should the nurse encourage the client to maintain when in bed to promote perineal wound healing after surgery? 1.Knee-chest 2.Dorsal recumbent 3.Left or right Sims 4.Left or right side-lying

4.Left or right side-lying

A nurse is assessing a client who has possible appendicitis. The nurse assesses the client for rebound tenderness. Mark where the client is expected to report pain.

Right lower quad