GI/GU

A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine. Before the client is discharged, the nurse should provide which instruction? "Stop taking the drugs when your symptoms subside." "Avoid aspirin and products that contain aspirin." "Increase your intake of fluids containing caffeine." "Eat three balanced meals every day."

"Avoid aspirin and products that contain aspirin."

A client reports having red stools lately. What will the nurse ask during assessment questioning? "Have you been taking an iron supplement?" "Have you been eating spinach?" "Have you been drinking grape juice?" "Have you been eating beets?"

"Have you been eating beets?"

A patient has been diagnosed with acute gastritis and asks the nurse what could have caused it. What is the best response by the nurse? (Select all that apply.) "Is it possible that you are overusing aspirin." "You may have ingested some irritating foods." "It is probably your nerves." "It is a hereditary disease." "It can be caused by ingestion of strong acids."

"Is it possible that you are overusing aspirin." "You may have ingested some irritating foods." "It can be caused by ingestion of strong acids."

When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain in the right shoulder. What is the intial appropriate action by the nurse? Notify the health care provider. Assess the client's abdomen and vital signs. Irrigate the client's NG tube. Place the client in the high-Fowler's position.

Assess the client's abdomen and vital signs.

The nurse is assessing a client with a bleeding gastric ulcer. When examining the client's stool, which characteristic would the nurse be most likely to find? Green color and texture Black and tarry appearance Clay-like quality Bright red blood in stool

Black and tarry appearance

A client comes into the emergency department with reports of abdominal pain. What should the nurse ask first? Characteristics and duration of pain Concerns about impending hospital stay Medications taken in the last 8 hours Family history of ruptured appendix

Characteristics and duration of pain

The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids? Peritoneoscopy Colonoscopy Esophagogastroduodenoscopy Sigmoidoscopy

Esophagogastroduodenoscopy

The nurse teaches a client scheduled for a colonoscopy. Which instruction should be included as part of the preparation for the procedure? Spray or gargle with a local anesthetic. Do not void for at least 30 minutes before the test. Follow the dietary and fluid restrictions and bowel preparation procedures. Consume at least 3 quarts of water 30 minutes before the test.

Follow the dietary and fluid restrictions and bowel preparation procedures.

A client is complaining of problems with constipation. What dietary suggestion can the nurse inform the client may help facilitate the passage of stool? Increase dietary protein such as lean meats. Increase the carbohydrate content of the diet. Increase dietary fat consumption. Increase dietary fiber.

Increase dietary fiber.

Crohn's disease is a condition of malabsorption caused by which pathophysiological process? Inflammation of all layers of intestinal mucosa Infectious disease Disaccharidase deficiency Gastric resection

Inflammation of all layers of intestinal mucosa

A client with a recent history of rectal bleeding is being prepared for a colonoscopy. Initially, how should the nurse position the client for this test? Prone with the torso elevated Bent over with hands touching the floor Lying on the right side with legs straight Lying on the left side with knees bent

Lying on the left side with knees bent

The nurse is admitting a client with a diagnosis of diverticulitis and assesses that the client has a boardlike abdomen, no bowel sounds, and reports of severe abdominal pain. What is the nurse's first action? Administer an opioid analgesic. Administer a retention enema. Notify the health care provider. Start an IV with lactated Ringer's solution.

Notify the health care provider.

Peptic ulcer disease occurs more frequently in people with which blood type? O AB A B

O

Which of the following medications is classified as a proton pump inhibitor (PPI)? Ranitidine Famotidine Cimetidine Omeprazole

Omeprazole

A client is in the hospital for the treatment of peptic ulcer disease. The client reports vomiting and a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate? A reaction to the medication given for the ulcer Gastric penetration Perforation of the peptic ulcer Ineffective treatment for the peptic ulcer

Perforation of the peptic ulcer

It is important for the nurse to monitor serum electrolytes in a patient with acute diarrhea. Select the electrolyte result that should be immediately reported. Sodium of 136 mEq/L Potassium of 2.8 mEq/L Calcium of 9 mg/dL Chloride of 100 mEq/L

Potassium of 2.8 mEq/L

Which of the following are signs/symptoms of perforation? Sudden, severe upper abdominal pain Soft abdomen Bradycardia Hypertension

Sudden, severe upper abdominal pain

The nurse is collecting a stool specimen from a patient. What characteristic of the stool indicates to the nurse that the patient may have an upper GI bleed? Greasy and foamy Clay-colored Threaded with mucus Tarry and black

Tarry and black

A client was diagnosed with pernicious anemia. Which vitamin cannot be absorbed without an intrinsic factor? Vitamin D Vitamin A Vitamin B12 Vitamin C

Vitamin B12

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: a sedentary lifestyle and smoking. alcohol abuse and a history of acute renal failure. a history of hemorrhoids and smoking. alcohol abuse and smoking.

alcohol abuse and smoking

The nurse assesses bowel sounds and hears one to two bowel sounds in 2 minutes. How should the nurse document the bowel sounds? normal absent hypoactive hyperactive

hypoactive

What is the recommended order for performing an abdominal examination? inspection, percussion, palpation, auscultation inspection, auscultation, percussion, palpation inspection, palpation, auscultation, percussion inspection, percussion, auscultation, palpation

inspection, auscultation, percussion, palpation

The client is on a continuous tube feeding. The nurse determines the tube placement should be checked every 12 hours. 24 hours. hour. shift.

shift

The most significant complication related to continuous tube feedings is a disturbance of intestinal and hepatic metabolism. the increased potential for aspiration. an interruption in fat metabolism and lipoprotein synthesis. the interruption of GI integrity.

the increased potential for aspiration.

The nurse is conducting a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which disease/condition? Colostomy Systemic infection Peptic ulcers Pernicious anemia

Peptic ulcers

A patient taking metronidazole (Flagyl) for the treatment of H. pylori states that the medication is causing nausea. What suggestion can the nurse provide to the patient to alleviate this problem? Crush the medication and put it in applesauce. Tell the patient to ask the physician to prescribe another type of antibiotic. Discontinue the use of the medication. Take the medication with meals to decrease the nausea.

Take the medication with meals to decrease the nausea.

Which outcome indicates effective client teaching to prevent constipation? The client limits water intake to three glasses per day. The client verbalizes consumption of low-fiber foods. The client reports engaging in a regular exercise regimen. The client maintains a sedentary lifestyle.

The client reports engaging in a regular exercise regimen.

A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. Which nursing intervention is advised for this patient? The client should be monitored for cramping or abdominal distention. The client should not be given any food and fluids until the gag reflex returns. The client's fluid output should be measured for at least 24 hours after the procedure. The client should be monitored for any breathing-related disorder or discomforts.

The client should not be given any food and fluids until the gag reflex returns.

A client realizes that regular use of laxatives has greatly improved bowel patterns. However, the nurse cautions this client against the prolonged use of laxatives for which reason? The client's natural bowel function may become sluggish. The client may develop inflammatory bowel disease. The client may develop arthritis or arthralgia. The client may lose his or her appetite.

The client's natural bowel function may become sluggish.

Before inserting a gastric or enteric tube, the nurse determines the length of tubing that will be needed to reach the stomach or small intestine. The Levin tube, a commonly used nasogastric tube, has circular markings at specific points. This tube should be inserted to 6 to 10 cm beyond what length? The distance determined by measuring from the tragus of the ear to the xiphoid process The distance measured from the tip of the nose (N) to the earlobe (E) and from the earlobe to the xiphoid (X) process A point that equals the distance from the nose to the xiphoid process A length of 50 cm (20 in)

The distance measured from the tip of the nose (N) to the earlobe (E) and from the earlobe to the xiphoid (X) process

A client presents to the emergency department with complaints of acute GI distress, bloody diarrhea, weight loss, and fever. Which condition in the family history is most pertinent to the client's current health problem? Gastroesophageal reflux disease Appendicitis Hypertension Ulcerative colitis

Ulcerative colitis

A client receives tube feedings after an oral surgery. The nurse manages tube feedings to minimize the risk of aspiration. Which measure should the nurse include in the care plan to reduce the risk of aspiration? Use semi-Fowler position during, and 60 minutes after, an intermittent feeding. Avoid cessation of feedings and adjust patient head of bed. Change the tube feeding container ,tubing, and adjust patient head of bed . Administer 15 to 30 mL of water before and after medications and feedings.

Use semi-Fowler position during, and 60 minutes after, an intermittent feeding.

A nurse is caring for a client who is undergoing a diagnostic workup for a suspected gastrointestinal problem. The client reports gnawing epigastric pain following meals and heartburn. What would the nurse suspect this client has? diverticulitis appendicitis peptic ulcer disease ulcerative colitis

peptic ulcer disease