Week 8 Prep Quiz

The nurse provides client education to a client about to undergo Urea breath testing. The nurse evaluates that the client understands the test when the client makes which statement? A. First, I will drink a cherry flavored liquid." B. "The test will detect the presence of staph." C. "I should avoid antibiotics for 1 month before the test." D. "The test will detect the presence of oral cancer."

C. "I should avoid antibiotics for 1 month before the test."

An adult client is scheduled for an upper GI series that will use a barium swallow. What teaching should the nurse include when the client has completed the test? A. Stool will be yellow for the first 24 hours postprocedure. B. The barium may cause diarrhea for the next 24 hours. C. Fluids must be increased to facilitate the evacuation of the stool. D. Slight anal bleeding may be noted as the barium is passed.

C. Fluids must be increased to facilitate the evacuation of the stool.

The nurse is caring for a client with a duodenal ulcer and is relating the client's symptoms to the physiologic functions of the small intestine. What do these functions include? Select all that apply. A. Secretion of hydrochloric acid (HCl) B. Reabsorption of water C. Secretion of mucus D. Absorption of nutrients E. Movement of nutrients into the bloodstream

C. Secretion of mucus D. Absorption of nutrients E. Movement of nutrients into the bloodstream

A nurse is caring for a client who is scheduled for a colonoscopy and whose preparation will include polyethylene glycol electrolyte lavage prior to the procedure. The presence of what health problem would contraindicate the use of this form of bowel preparation? A. Colon cancer B. Diverticulitis C. Intestinal polyps D. Inflammatory bowel disease

D. Inflammatory bowel disease

A client with a recent history of intermittent bleeding is undergoing capsule endoscopy to determine the source of the bleeding. When explaining this diagnostic test to the client, what advantage should the nurse describe? A. The test allows visualization of the entire peritoneal cavity. B. The test allows for painless biopsy collection. C. The test does not require fasting. D. The test is noninvasive.

D. The test is noninvasive.

A client asks the nursing assistant for a bedpan. When the client is finished, the nursing assistant notifies the nurse that the client has bright red streaking of blood in the stool. The nurse's assessment should focus on what potential cause?

Hemorrhoids

A nurse has auscultated a client's abdomen and noted one or two bowel sounds in a 2-minute period of time. How should the nurse document the client's bowel sounds?

Hypoactive

A nurse is caring for a newly admitted client with a suspected GI bleed. The nurse assesses the client's stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?

Upper GI Tract

The nurse is preparing to perform a client's abdominal assessment. What examination sequence should the nurse follow? A. Inspection, auscultation, percussion, and palpation B. Inspection, palpation, auscultation, and percussion C. Inspection, percussion, palpation, and auscultation D. Inspection, palpation, percussion, and auscultation

A. Inspection, auscultation, percussion, and palpation

A client has sought care because of recent dark-colored stools. As a result, a fecal occult blood test has been ordered. The nurse should give what instructions to the client? A. Take no NSAIDs within 48 hours of the test B. Take prescribed medications as usual C. Avoid over-the-counter (OTC) vitamin C supplements D. Do not use fiber supplements before the test

A. Take no NSAIDs within 48 hours of the test

A client will be undergoing abdominal computed tomography (CT) with contrast. The nurse has administered IV sodium bicarbonate and oral acetylcysteine (Mucomyst) before the study, as prescribed. What would indicate that these medications have had the desired therapeutic effect? A. The client's BUN and creatinine levels are within reference range following the CT. B. The CT yields high-quality images. C. The client's electrolytes are stable in the 48 hours following the CT. D. The client's intake and output are in balance on the day after the CT.

A. The client's BUN and creatinine levels are within reference range following the CT.

A client receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. The nurse determines which nursing intervention is advised for this client? A. monitor for any breathing-related disorder or discomforts B. do not give any food and fluids until the gag reflex returns C. monitor for cramping or abdominal distention D. measure fluid output for at least 24 hours after the procedure

A. monitor for any breathing-related disorder or discomforts

A nurse is providing preprocedure education for a client who will undergo a lower GI tract study the following week. What should the nurse teach the client about bowel preparation? A. "For 24 hours before the test, insert a glycerin suppository every 4 hours." B. "You'll need to have enemas the day before the test." C. "Starting today, take over-the-counter (OTC) stool softeners twice daily." D. "You'll need to fast for at least 18 hours prior to your test."

B. "You'll need to have enemas the day before the test."