GI test question

A nurse is assisting with the admission of a client who has a fulminant hepatic failure. which of the following procedures should the nurse expect for this client? A. Endoscopic sclerotherapy B. Liver lobectomy C. Liver transplant D. Transjugular intrahepatic portal-systemic shunt placement

C

A nurse is assisting with the admission of a client who has bleeding esophageal varices. the nurse should anticipate a prescription for which of the following medications? A. Famotidine B. Esomeprazole C. Vasopressin D. Omeprazole

C

A nurse is assisting with the plan of care for a client who has cholelithiasis. which of the following interventions should the nurse include in the plan? A. restrict the clients fluid intake B. restrict the clients calcium intake C. decrease the clients fat intake D. decrease the clients potassium intake

C

A nurse is caring for a client from the middle east who has celiac disease. which of the following actions should the nurse take regarding the client's diet? A. Provide foods prepared according to kosher dietary law B. Ask the kitchen to prepare grits to meet the clients dietary need for grains C. Determine the clients dietary preferences D. Prepare a diet tray that includes vegetable and barley soup

C

A nurse is caring for a client who has acute pancreatitis. Which of the following serum lab values should the nurse anticipate returning to the expected reference range within 72 hrs after treatment begins? A. Aldolase B. Lipase C. Amylase D. Lactic dehydrogenase

C

A nurse is caring for a client who has cholelithiasis and will undergo a cholecystectomy. the client says she does not understand how she will be alright without her gallbladder. the nurse should explain that which of the following is the main function of the gallbladder? A. Producing bile B. Adding digestive enzymes to bile C. Storing bile D. Eliminating bile

C

A nurse is caring for a client who is 2 days postoperative following gastric surgery and an NG tube inserted. Which of the following findings should the nurse report to the provider? A. Dryness of the mucous membranes B. Hypoactive bowel sounds in all quadrants C. 200 mL of bright red drainage from the NG D. Continuous low suction

C

A nurse is checking a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A. Elevated blood pressure B. Increased frequency and pitch of bowel sounds C. rigid abdomen D. Emesis of undigested food

C

A nurse is checking a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A. Elevated BP B. Increased frequency and pitch of bowel sounds C. Rigid abdomen D. Emesis of undigested food occurred

C

A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority? A. Dietary recommendations B. Incision care C. Coughing and deep breathing exercises D. pain management

C

A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurses priority? A. Dietary recommendations B. Incision care C. Coughing and deep breathing exercises D. Pain management

C

A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. The client ask the nurse about the difference between colostomies and ileostomies. which of the following response should the nurse offer? A. A colostomy drains stool and ileostomy drains urine. B. a colostomy is temporary and an ileostomy is permanent C. a colostomy is from the large intestine and an ileostomy is from the small intestine. D. an ileostomy requires dietary restrictions while a colostomy does not.

C

A nurse is assisting with the care of a client who is receiving TPN and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the clients TPN is turned off after restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis

D

A nurse is assisting with the planning of an in-service session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes has a role in the digestion of protein? A. Amylase B. Lipase C. Steapsin D. Pepsin

D

A nurse is caring for a client who has diverticulitis and a new prescription for a low-fiber diet. Which of the following food items should the nurse remove from the clients' meal tray? A. canned fruit B. White bread C. Broiled hamburger D. Coleslaw

D

A nurse is caring for a client who has gastrointestinal bleeding. The provider suspects a bleeding lesion in the colon. the nurse should anticipate that the most likely initial approach to treatment will involve which of the following procedures? A. Exploratory laparotomy B. Double contrast barium enema C magnetic resonance imaging D colonoscopy

D

A nurse is caring for a client who is 2 days postoperative following a gastric bypass. The nurse notes bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding? A. Vanilla pudding B. Apple juice C. Diet ginger ale D. Clear liquids

D

A nurse is caring for a client who is postoperative following a laparotomy. the client has an indwelling urinary catheter and a jackson pratt drain in place. Which of the following indicates that the client is developing postoperative complication? A. Pain scale score of 5 out of 10 B. urine output of 65 ml/hr C. 10 mL of bright red drainage from the drain D. pulse oximetry of 85%

D

A nurse is caring for a client with colitis who states that the stress at work increases exacerbations. Which of the following responses should the nurse offer? A. " i will contact the social worker so you can discuss career alternatives" B. 'have you thought about discussing the possibility of a part-time assignment with your employer?" C. " why dont you ask your employer to relieve you of some work until you are stronger?" D. " perhaps we should review your coping mechanisms and talk about alternatives?"

D

A nurse is collecting data from a client who has a complete intestinal obstruction. which of the following findings should the nurse expect? A. Absence of bowel sounds in all four quadrants. B. passage of blood-tinged liquid stool C. presence of flatus D. Hyperactive bowel sounds above the obstruction

D

A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. which of the following manifestations should the nurse expect? A. Decreased HR B. Yellowing of the skin C. Increased BP D. Board like abdomen

D

A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with colostomy. Which of the following statements by the client indicates a need for further teaching? A. Because most of my colon is still intact and functioning my stool will be formed B. My stoma will appear larger at first, but it will shrink over time C. My colostomy will begin to function 2-6 days after surgery D. My diet will have to change a soft diet after surgery.

D

A community health nurse is planning an educational program about Hep A. When preparing the materials, the nurse should identify which of the following groups is most at risk of developing Hep A? A. Children and young adults B. Older adults C. Women who are pregnant D. Middle-aged men

A

A nurse assists a provider with performing a paracentesis on a client. Which of the following actions should the nurse take? A. Ask the client to empty his bladder before the procedure B. Place the client forward over the bedside table for the procedure C. inform the client he will be sedated during the procedure D. Instruct the client to fast for 6 hrs prior to the procedure

A

A nurse is caring for a client who has abdominal pain and possibly pancreatitis. Which of the following laboratory results should the nurse identify as an indication of pancreatitis? A. Decreased WBC count B. Increased albumin level C. Increase serum lipase level D. Decreased blood glucose level

C

A nurse is assisting with the care of a client who has a history of cirrhosis and was recently admitted with manifestations of hepatic encephalopathy. the nurse should anticipate a prescription for which of the following lab test to determine the possibility of recent excessive alcohol use? A. Gamma- glutamyl transferase (GGT) B. alkaline phosphatase (ALP) C. Serum bilirubin D. ALanine aminotransferase (ALT

A

A nurse is caring for a client who had a gastric resection to treat adenocarcinoma of the stomach. the client tells the nurse in the pacu that he does not remember why the surgeon said he had to have a tube in his nose. the nurse should explain that the NG tube serves which of the following purposes? A. preventing excessive pressure on suture lines B. allowing gastric lavage after surgery C. allowing early postoperative feeding D. obtaining gastric specimens for testing.

A

A nurse is caring for a client who has an acute exacerbation of Crohns disease, Which of the following should the nurse take? A. Ensure bowel rest B. Offer sparkling water frequently C. Administer a stool softener D. Offer plain, warm tea frequently

A

A nurse is caring for a client who is 4 hrs postoperative following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect? A. Right shoulder pain B. Urine output 20 mL/hr C. Temp 101.1 F D. Oxygen saturation 92%

A

A nurse is caring for a client who is NPO and has an NG tube to suction. The client reports nausea. Which of the following actions should the nurse take? A. irrigate the tube with a normal saline solution B. Provide oral hygiene C. Clamp the tube for 30 minutes D. Increase the amount of suction

A

A nurse is caring for a client who is scheduled to undergo a liver biopsy for suspected malignancy. Which of the following lab findings should the nurse monitor prior to the procedure? A. Prothrombin time B. Serum lipase C. bilirubin D. calcium

A

A nurse is collecting data from a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect? A. Emesis with a coffee ground appearance B. Increased BP C. Decreased HR D. Bright green stools

A

A nurse is collecting data from a client who has cholecystitis. Which of the following findings should the nurse expect? A. blumbergs sign B. ascites C. GI bleed D. Kehrs sign

A

A nurse is helping develop a plan of care for a client who has GERD. The nurse should suggest monitoring the client for which of the following complications? A. Aspiration B. Infection C. Anemia D. Weight loss

A

A nurse is recommending dietary modifications for a client who has GERD. the nurse should suggest eliminating which of the following foods from the clients diet A. oranges and tomatoes B. carrots and bananas C. potatoes and squash D. whole grains and beans

A

A nurse is reinforcing discharge teaching with a client who has a newly placed ileostomy about ostomy care while at home. Which of the following instructions should the nurse include in the teaching? A. Empty your ostomy pouch when it gets half full B. Place an aspirin in the ostomy pouch to eliminate odor C. Change the ostomy appliance every week D. Cleanse the site around the stoma with hydrogen peroxide and water

A

A nurse is reinforcing teaching with a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile? A. Digest fats B. Produce chyme C. Stimulate gastric acid secretion D. provide energy

A

A nurse in a providers office is collecting data from a client who has GERD. The client should expect the client to report which of the following manifestations? (select all that apply) A. Regurgitation B. Nausea C. Belching D. Heartburn E. Weight loss

A,B,C,D

A nurse in a providers office is collecting data from a client who has GERD. The nurse should expect the client to report which of the following manifestations? select all that apply A. Regurgitation B. Nausea C. Belching D. Heartburn E. Weight loss

A,B,C,D

A nurse in a providers office is collecting data from a client who has GERD. When documenting the clients history, the nurse should expect the client to report symptoms worsen with which of the following actions? A. Stair climbing B. Bending over C. Sitting D. Walking

B

A nurse is assisting with data collection from a client who is 12 hrs postoperative following an open cholecystectomy. which of the following findings should the nurse report to the charge nurse? A. hypoactive bowel sounds B. indwelling urinary catheter output of 25 mL/hr C. Heart rate of 96/min D. serous drainage at the surgical incision site

B

A nurse is assisting with the planning of an in-service training session regarding nutrition. Which of the following minerals should the nurse include as a factor in oxygen transportation? A. Zinc B. Iron C. Phosphorus D. Magnesium

B

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. prior to initiating the feeding which of the following actions should the nurse take first? A. Flush the tube with water B. Place the client in a semi-fowlers position C. Cleanse the skin around the tube site D. Aspirate the tube prior to each feeding

B

A nurse is caring for a client who has an indwelling urinary catheter. which of the following actions should the nurse take? A. Place the drainage bag on the clients abdomen when transferring from the bed to a cart B. Empty the drainage bag when it is half full of urine C. Rest the drainage bad on the floor when closing the drainage spigot D. Disconnect the drainage bag when obtaining a urine specimen

B

A nurse is collecting data from a client who is in the early stages of Hep A. Which of the following manifestations should the nurse expect? A. Jaundice B. Anorexia C. Dark urine D. Pale feces

B

A nurse is reinforcing dietary teaching with a client who has ulcerative colitis. which of the following food selections by the client indicates an understanding of the teaching? A. Raw vegetable salad with low fat dressing B. Roasted chicken and white rice C. Fresh fruit salad and milk D. Peanut butter on whole wheat bread

B

A nurse is reinforcing teaching with a group of community residents about hepatitis B. Which of the following statements should the nurse include in the teaching? A. A hepatitis B immunization is recommended for those who travel, especially military personnel B. A hep B Immunization is given to children and infants C. Hep B is acquired by eating foods that are contaminated during handling. D. Hep B can be prevented by using good personal hygiene habits and proper sanitation

B

A nurse is reinforcing teaching about hypoglycemia with a client who has diabetes mellitus. Which of the following manifestations should the nurse include? (select all that apply) A. Bradycardia B. Diaphoresis C. Deep, rapid, respirations D. Palpitations E. Shakiness

B, D, E

A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse instruct the client to perform? Select all that apply A. Use antimicrobial ointment on the peristomal skin B. Empty the bag when it is one-third to one-half full C. Cut the skin barrier opening a little larger than the ostomy D. Wash the peristomal skin with mild soap and water E. Apply the skin barrier while the skin is slightly most

B,C,D

A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. the nurse finds the clients wound has eviscerated. Which of the following actions should the nurse take? Select all that apply. A. Carefully reinsert the intestine through the opening in the wound B. Place the client in a supine position with hips and knees flexed C. Leave the room to call the surgeon D. Cover the wound and intestine with a sterile dressing E. Monitor the client for manifestations of shock

B,C,D,E