GI Review Questions Exam Seven

A patient has been told that she has elevated liver enzymes caused by nonalcoholic fatty liver disease. The nursing teaching plan should include A.Having genetic testing done B.Recommending a heart-healthy diet C.The necessity to reduce weight rapidly D.Avoiding alcohol until liver enzymes return to normal

B.Recommending a heart-healthy diet

Teaching in relation to home management after a laparoscopic cholecystectomy should include: A.Keeping the bandages on the puncture site for 72 hours B.Reporting any bile-colored or purulent drainage from the incision C.Using over-the-counter antiemetics if nausea and vomiting occur D.Discontinuing the T-tube at home on day 3 post-op

B.Reporting any bile-colored or purulent drainage from the incision T-tube placed after

The healthcare provider has determined that a client has contracted Hepatitis A based on flulike symptoms and jaundice. Which statement made by the client supports this medical diagnosis? A."I have had unprotected sex with multiple partners" B."I was an intravenous drug abuser in the past" C."I ate shellfish about 2 weeks ago at a local restaurant" D."I had a blood transfusion 30 years ago after a car accident"

C."I ate shellfish about 2 weeks ago at a local restaurant"

The nursing management of the patient with cholecystitis secondary to cholelithiasis is based on the knowledge that A.Shock-wave therapy should be tried initially B.Once gallstones are removed, they tend not to recur C.The disorder can be successfully treated with oral medications D.Laparoscopic cholecystectomy is the treatment of choice for most patients who are symptomatic

D.Laparoscopic cholecystectomy is the treatment of choice for most patients who are symptomatic

The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which sign(s)/symptoms(s) of duodenal ulcer? a. Weight loss b. Nausea and Vomiting c. Pain radiating to the umbilical area d. Pain relieved by food intake

d. Pain relieved by food intake

The nurse is monitoring a client with diagnosis of peptic ulcer disease. Which assessment finding would most likely indicate perforation of the ulcer? a. Bradycardia b. Numbness in the legs c. Nausea and Vomiting d. Sudden, severe abdominal pain

d. Sudden, severe abdominal pain

A client has undergone esophagogastroduodenoscopy (EGD). The nurse should place highest priority on which item as part of the client's care plan? a. Monitoring the temperature b. Monitoring complaints of heartburn c. Giving warm gargles for sore throat d. Assessing for the return of the gag reflex

d. assessing for the return of the gag reflex

The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about substances to avoid. Which items should the nurse include on this list? Select all that apply. a. coffee b. chocolate c. Peppermint d. Non-fat milk e. Fried chicken f. scrambled egg whites

a b e Avoid alcohol, smoking, caffeine Low fat, low acid diet

The client is admitted with acute pancreatitis. Which interventions would the nurse expect to be prescribed for the client? Select all that apply a. Maintain NPO status b. Encourage cough/deep breathe c. Give small frequent high-fat feedings d. Maintain the client in a supine, flat position e. Give hydromorphone intravenously as prescribed for pain f. Maintain a saline lock

a b e f

The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement, if made by the client, indicates a need for further teaching? a. "I should increase the fiber in my diet, especially during an exacerbation" b. "I will need to avoid caffeinated beverages" c. "I'm going to learn some stress reduction techniques" d. "I can have exacerbations and remissions with Crohn's disease"

a. "I should increase the fiber in my diet, especially during an exacerbation"

A client has developed Hepatitis A after eating contaminated oysters. The nurse assesses the client for which expected abnormal finding? a. Malaise b. Dark stools c. Weight gain d. Left upper quadrant discomfort

a. malaise

The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which findings indicate this occurrence? a. Sweating and pallor b. Bradycardia and indigestion c. Double vision and chest pain d. Abdominal cramping and pain

a. sweating and pallor SNS

A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my taste for food". What instruction should the nurse give the client to provide adequate nutrition? a. Select foods high in fat b. Increase intake of fluids including juices c. Eat a good supper when anorexia is not as severe d. Eat less often, preferably only three large meals daily

b. increase intake of fluids including juices

The nurse is providing discharge instructions to a client following a RYGB. The nurse should instruct the client to take which measure to assist in preventing dumping syndrome? a. Ambulate following each meal b. Eat high-carbohydrate food c. Limit the fluids taken with meals d. Sit in a high Fowler's position during meals

c. Limit the fluids taken with meals

The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there is documentation of the presence of asterixis. How should the nurse assess for its presence? a. Dorsiflex the client's foot b. Measure the abdominal girth c. Ask the client to extend the arms d. Instruct the client to lean forward

c. ask the client to extend the arms sign of hepatic encepholaphy

The nurse is reviewing the laboratory results for a client with cirrhosis and notes that the ammonia level is 85 mcg/dL. Which dietary selection does the nurse suggest to the client? a. roast pork b. cheese omelet c. pasta with red sauce d. tuna fish sandwhiches

c. pasta with red sauce ammonia is produced via breakdown of protein so need to avoid these foods