Quiz 4 GI

In completing a history on a patient diagnosed with gastroenteritis caused by Salmonella, which recently ingested food does the nurse recognize as the most likely cause of this diagnosis?' a. Undercooked eggs b. Undercooked pork c. Steamed shrimp d. Grilled beef

a

The nurse conducts a health history of a patient's gastrointestinal system. Which question does the nurse ask when assessing preventive health? a. "What are your exercise habits?" b. "Do you use food to treat illnesses?" c. "Are you experiencing increased thirst?" d. "When was your last bowel movement?"

a

The nurse monitors for which clinical manifestations in the patient diagnosed with grade 1 stomatitis? a. Redness of mucosa b. Patchy oral ulceration c. Oral ulcerations that bleed with minor trauma d. Tissue necrosis with significant bleeding noted

a

Which statement by the patient using complementary and alternative therapy for the management of irritable bowel syndrome (IBS) requires follow-up by the nurse? a."I use different types of herbal teas and elixirs to manage my IBS." b. "I use hypnosis to help manage my IBS." c. "I use relaxation exercises to manage my IBS." d. "I use acupuncture to manage my IBS."

a

The nurse correlates which risk factors to the development of hiatal hernia? Select all that apply. a. Obesity b. Pregnancy c. Tobacco use d. Oral sex e. Alcohol abuse

a,b,c

The nurse monitors for which clinical manifestations of Crohn's Disease in the patient admitted for the treatment of irritable bowel disease (IBD)? Select all that apply. a. Fistulas b. Weight loss c. skip lesions d. Intermittent fever e. loose, semi-formed stools

a,b,c,e

Which statements by the patient diagnosed with celiac disease indicate the need for further teaching? Select all that apply. a. "I am glad this can be cured with surgery." b. "I cannot have any gluten in my diet." c. "I wash all my dishes with only water." d. "I may become anemic because of this disease." e. "I am at risk of for osteoporosis."

a,c

The nurse monitors for which clinical manifestations in the patient diagnosed with ulcerative colitis? Select all that apply. a. Frequent, watery stools with mucus b. Fistulas commonly develop c. Nutritional deficiencies d. Five to six loose stools per day e. Hemorrhage

a,c,e

Which medication prescription should the nurse anticipate for a patient, diagnosed with hemorrhoids, to form a physical barrier on the skin to prevent irritation? a. Zinc oxide b. Benzocaine c. Witch hazel d. Hydrocortisone

a.

A patient is admitted to the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale and diagnosed with gastroesophageal reflux disorder (GERD) secondary to hiatal hernia. Based on this data, what is the priority nursing diagnosis? a. Fluid Volume Deficit (FVD) b. Acute Pain c. Ineffective Health Maintenance d. Dysfunctional Gastrointestinal Motility

b

Based on age-related changes in the gastrointestinal system, the nurse correlates decreased bile synthesis to which structure? a. Gallbladder b. Liver c. Pancreas d. Stomach

b

In performing a gastrointestinal assessment, the nurse correlates which measurement as the normal liver span? a. 4 to 8 cm b. 6 to 12 cm c. 10 to 14 cm d. 12 to 16 cm

b

The advanced practice nurse uses which assessment approach to best determine a patient's liver span? a. Deep palpation b. Hooking technique c. Light palpation d. Percussion

b

The nurse conducts an assessment for a patient who is admitted for the treatment of gastroesophageal reflux disease (GERD). Which assessment finding requires an immediate intervention by the nurse? a. Bloating b. Wheezing c. Flatulence d. Eructation

b

The nurse correlates which organ as the main site for metabolizing medications? a. Stomach b. Liver c. Spleen d. Large intestine

b

The nurse is caring for a patient admitted with severe dehydration secondary to gastroenteritis. Which item on the patient's meal tray does the nurse question? a. Apple juice b. Coffee c. Broth d. Caffeine-free soda

b

The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of H. pylori. Which medications does the nurse educate this patient about based on this data? a. Proton pump inhibitor, levofloxacin, and amoxicillin b. Proton pump inhibitor, amoxicillin, and clarithromycin c. Proton pump inhibitor, clarithromycin, and metronidazole d. Proton pump inhibitor, bismuth subsalicylate, metronidazole, and tetracycline

b

Which prescribed medication does the nurse administer to act as a physical barrier to the patient diagnosed with gastritis? a. Maalox b. Mylanta c. Pepcid d. Carafate

D.

The nurse is providing care to several patients in an outpatient clinic. Which patient is at highest risk of developing gastroesophageal reflux disorder (GERD)? a. A patient who is 6 weeks pregnant b. A patient who is morbidly obese c. A patient who follows a strict vegetarian diet d. A patient who drinks one glass of wine monthly

b

The nurse monitors for which clinical manifestations in the patient diagnosed with acute gastritis? a. Eructation b. Epigastric pain c. Constipation d. Peripheral edema

b

The nurse monitors for which clinical manifestations in the patient diagnosed with grade 2 stomatitis? a. Redness of mucosa b. Patchy oral ulceration c. Oral ulcerations that bleed with minor trauma d. Tissue necrosis with significant bleeding noted

b

In providing discharge teaching to a patient after a laparoscopic Nissen fundoplication, the nurse instructs the patient to seek emergent care if which clinical manifestations develop? Select all that apply. a. Feeling full, with increased burping b. Thick drainage with a foul odor from incision site c. Difficulty swallowing d. Coffee ground emesis e. Watery stool

b,c,d

The nurse is providing care to a patient who is diagnosed with gastritis secondary to Helicobacter pylori. When planning care, the nurse correlates which medications as first-line triple dose therapy for a patient who is allergic to penicillin? Select all that apply. a. Amoxicillin b. Metronidazole c. Clarithromycin d. Bismuth subsalicylate e. Proton pump inhibitor

b,c,e

Which does the nurse include in the education of a patient who is being discharged after a laparoscopic Nissen fundoplication? Select all that apply. a. Follow a soft diet for 2 weeks. b. Avoid foods that are not easy to swallow. c. Lie down immediately after eating meals. d. Avoid carbonated beverages. e. No heavy lifting until cleared by surgeon.

b,d,e

In caring for the patient diagnosed with stomatitis, which observation of the patient requires an intervention? a. Complete mouth care after each meal b. Uses alcohol-based mouth rinses c. Uses a soft-bristle toothbrush d. Has regular dental checkups

b.

The nurse administers which prescribed medication to treat diarrhea in the patient diagnosed with irritable bowel syndrome (IBS)? a. Tegaserod b. Loperamide c. Dicyclomine d. Amitriptyline

b.

The nurse is caring for a patient admitted with dysphagia and epigastric pain. Which diagnostic study provides the most definitive data regarding these complaints? a. Endoscopic retrograde cholangiopan-creatography b. Esophagogastroduodenoscopy (EGD) c. Barium swallow d. Abdominal x-ray

b.

Which medication prescribed to the patient diagnosed with hemorrhoids does the nurse correlate to the treatment of pain? a. Zinc oxide b. Benzocaine c. Witch hazel d. Hydrocortisone

b.

The nurse correlates an increased risk of gastroenteritis in the patient taking which medication? a. Antacids b. NSAIDs c. Proton pump inhibitors (PPIs) d. Steroids

c

The nurse correlates the secretion of which substance to the release of sodium bicarbonate from the liver and pancreas? a. Cholecystokinin b. Intrinsic factor c. Secretin d. Somatostatin

c

The nurse has implemented a care plan for an adult patient with gastroesophageal reflux disorder (GERD). On the next clinic visit, which statement by the patient indicates adherence to the plan of care? a. "I still like wearing my Spandex camisoles." b. "I have switched from margaritas to wine." c. "I've lost 6 pounds because I eat every 3 hours and never before bed." d. "I lay down flat after eating to promote digestion."

c

The nurse is monitors for which clinical manifestations of perforation in the patient hospitalized for complications associated with peptic ulcer disease? a. Tarry stools b. Pain in the right arm c. Absent bowel sounds d. Emesis of undigested food

c

The nurse provides discharge instructions to a patient who is postoperative for an appendectomy. Which patient statement indicates a need for additional teaching? a. "I can go home as soon as I am able to urinate." b. "I will get up and walk around as much as I can." c. "I will take the antibiotics until I no longer have a fever." d. "I will use the incentive spirometer 10 times an hour while awake."

c

Which data collected by the nurse during the physical assessment indicate the patient is experiencing grade 3 stomatitis? a. Redness of mucosa b. Patchy oral ulceration c. Oral ulcerations that bleed with minor trauma d. Tissue necrosis with significant bleeding noted

c

Which is the correct sequence for the abdominal exam? a. Inspection, palpation, percussion, and auscultation b. Inspection, percussion, palpation, and auscultation c. Inspection, auscultation, percussion, and palpation d. Inspection, auscultation, palpation, and percussion

c

Which principal risk factor does the nurse assess for during the health history in a patient who is suspected of having peptic ulcer disease? a. Stress b. Anxiety c. Helicobacter pylori infection d. Use of acetaminophen

c

Which sound would the nurse expect to elicit when percussing the liver? a. Drum-like sound b. Bruits c. Dullness d. Tympany

c

Which statement by the patient recently diagnosed with irritable bowel syndrome indicates the need for further teaching? a. "I need to drink more water every day." b. "I need to avoid trigger foods, such as beans." c. "I can use nicotine gum to help my stop smoking." d. "I can use ginger to help control the nausea that I am experiencing."

c

In providing care to the patient admitted for gastritis, which clinical manifestation requires immediate notification of the healthcare provider? a. Nausea b. Anorexia c. Hematemesis d. Epigastric pain

c.

In reviewing the emergency records of a patient admitted to the unit for appendicitis, the nurse notes that there is documentation the patient complained of pain in the right lower quadrant when the left lower quadrant was palpated. The nurse correlates this finding to which diagnostic sign? a. Cullen's b. McBurney's c. Rovsing's d. Turner's

c.

The nurse monitors for which assessment data that indicates active bleeding in the patient diagnosed with peptic ulcer disease? a. Absent bowel sounds b. Coffee-ground emesis c. Bright red blood in emesis d. Black tarry stools with a foul odor

c.

In collecting a health history, the nurse correlates which risk factor to the development of peptic ulcer disease? a. Acetaminophen use for pain b. Hypoparathyroidism c. Social drinking d. Sarcoidosis

d

In providing care to a patient admitted with oral trauma, which arterial blood gas results does the nurse recognize as most indicative of respiratory compromise? a. pH 7.32 PaCO2 30 mm Hg PaO2 70 mm Hg b. pH 7.47 PaCO2 48 mm Hg PaO2 65 mm Hg c. pH 7.45 PaCO2 43 mm Hg PaO2 80 mm Hg d. pH 7.30 PaCO2 50 mm Hg PaO2 50 mm Hg

d

The nurse correlates a prolonged prothrombin time (PT) to a disorder of which organ? a. Pancreas b. Gallbladder c. Stomach d. Liver

d

Which data collected by the nurse during the physical assessment indicate the patient is experiencing grade 4 stomatitis? a. Redness of mucosa b. Patchy oral ulceration c. Oral ulcerations that bleed with minor trauma d. Tissue necrosis with significant bleeding noted

d

Which statement by the patient scheduled for an ileal pouch-anal anastomosis (IPAA) procedure for treatment of ulcerative colitis indicates the teaching was effective? a. "My colon and rectum will be removed, and my anus will be closed." b. "My colon will be removed, and my ileum is sutured to the anal canal." c. "My colon will be removed while the distal portion of my ileum is used to create a pouch." d. "My colon and rectal mucosa will be removed and a reservoir created using a portion of my ileum."

d

The nurse is developing an educational session regarding hernias for a staff development program, and includes which data about this health problem? Select all that apply. a. Abdominal distention is a common clinical manifestation. b. Femoral hernias are more common in males than females. c. Inguinal hernias occur only in males d. Previous abdominal surgery increases the risk of ventral hernias. e. Umbilical hernias occur more often in females than males.

d , e

The nurse correlates decreased absorption of carbohydrates, fats, and proteins to damage to which organ? a. Gallbladder b. Liver c. Large intestine d. Small intestine

d.

The nurse is providing care to a patient who is diagnosed with irritable bowel syndrome (IBS). Which medication prescription should the nurse anticipate to provide pain relief? a. Tegaserod b. Loperamide c. Linaclotide d. Amitriptyline

d.

The nurse monitors for vitamin B12 deficiency in the patient with a disorder of which organ? a. Gallbladder b. Pancreas c. Small intestine d. Stomach

d.