ATI Learning System RN 3.0 GI Dynamic Quiz

A nurse is assessing a client who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings indicates that a possible bowel perforation has occurred?

Rigid abdomen

A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of the following food selections by the client indicates an understanding of the teaching?

Roast chicken and white rice

A nurse is providing preop teaching to a client who will undergo surgery to create temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which of the following responses should the nurse make?

"A colostomy is from the large intestine, and an ileostomy is from the small intestine."

A nurse is preparing a community education program about hepatitis B. Which of the following statements should the nurse include in the teaching?

"A hepatitis B immunization is given to infants and children."

A nurse is caring for a client who has colitis and reported increased exacerbations due to stress at work. Which of the following responses should the nurse make?

"Perhaps we should review your coping mechanisms and talk about other alternatives."

A nurse is teaching a client with Barrett's esophagus who is scheduled to undergo an EGD. Which of the following statements should the nurse include in the teaching?

"This procedure can determine how well the lower part of you esophagus works"

A nurse is providing postop teaching about the management of dumping syndrome to a client who had a partial gastrectomy. Which of the following instructions should the nurse include in the teaching?

"eat protein with each meal"

A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the client's condition?

Alcohol use

A nurse is caring for a client who has acute pancreatitis. Which of the following serum lab values should return to the expected range within 72 hr of treatment beginning?

Amylase

A nurse is assessing a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect?

Anorexia

A nurse is assisting a provider with performing a paracentesis on a client. Which of the following actions should the nurse take?

Ask the client to empty his bladder before the procedure

A nurse is developing a plan of care for a client who has GERD. The nurse should plan to monitor the client for which of the following complications?

Aspiration

A nurse is caring for a client who has recovered from acute diverticulitis. The nurse should instruct the client to increase his intake of which of the following foods when the inflammation subsides?

Cabbage and peaches

A community health nurse is planning an educational program about hepatitis A. When preparing the materials, the nurse should identify that which of the following groups is most at risk for developing hepatitis A?

Children

A nurse is caring for a client who is 2 days postop following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding?

Clear liquids

A nurse is planning discharge teaching for a client who is postop following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority?

Coughing and deep breathing exercises

A nurse is caring for a client who is 3 days postop following abdominal surgery. The client states, "Something just popped when I coughed." Which of the following actions should the nurse take first?

Cover the client's wound with a sterile, moist dressing

A nurse is planning care for a client who has cholelithiasis. Which of the following interventions should the nurse include in the plan of care?

Decrease the client's fat intake

A nurse is admitting a client who has cirrhosis. Which of the following prescriptions should the nurse anticipate?

Obtain the client's PT and INR measurements Administer lactulose 30 mL PO 4 times daily Obtain daily weight and abdominal girth measurements Administer a daily multivitamin

A nurse is performing discharge teaching about ostomy care while at home for a client who has a newly placed ileostomy. Which of the following instructions should the nurse include in the teaching?

"Empty your ostomy pouch when it becomes half full."

A nurse is providing discharge teaching to the partner of a client who has a new diagnosis of hepatitis A. Which of the following instructions should the nurse include in the teaching?

"Encourage her to eat foods that are high in carbohydrates."

A nurse is providing teaching to 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?

"I'll have to consume a soft diet after surgery."

A nurse is caring for a client who is 4 hr postop following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect?

Right shoulder pain

A nurse is caring for a client who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks the nurse why he has to stay in bed, which of the following responses should the nurse provide?

"Lying quietly in bed helps slow down the activity in your intestines."

A nurse is caring for a client who is 2 days postop following gastric surgery and has an NG tube inserted. Which of the following findings should the nurse report to the provider?

200 mL of bright red drainage from the NG tube

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 client's meal tray?

Coleslaw

A nurse is presenting an inservice training session about nutrition. How many of the amino acids must be obtained from dietary intake?

9

A nurse is caring for a client who has GI bleeding. The provider suspects a bleeding lesion in the colon. The initial approach to treatment likely will involve which of the following procedures?

Colonoscopy

A nurse in a provider's office is assessing a client who has GERD. When documenting the client's history, the nurse should expect the client to report that symptoms worsen with which of the following actions?

Bending over

A nurse is obtaining a guaiac test from a client. This test is performed to detect which of the following?

Blood in stool

A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse expect?

Blumberg's sign

A nurse is assessing a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect?

Boardlike abdomen

A nurse is caring for a client who has fulminant hepatic failure. Which of the following procedures should the nurse anticipate for this client?

Liver transplant

A nurse is teaching a client who has cirrhosis of the liver and a history of alcohol consumption. The nurse should explain that alcohol can cause liver cirrhosis through which of the following actions?

Destroying liver cells that are later replaced with scar tissue

A nurse is caring for a child who had her spleen removed following a bicycle accident. The child's parent asks the nurse about the role of the spleen in the body. The nurse should explain that the spleen performs which of the following functions?

Destroys old blood cells

A nurse is caring for a client from the Middle East who has celiac disease. Which of the following actions should the nurse perform regarding the client''s diet?

Determine the client's dietary preferences

A nurse is caring for a client receiving TPN therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings?

Diaphoresis

A nurse is teaching a client who has DM about hypoglycemia. Which of the following manifestations should the nurse include?

Diaphoresis Palpitations Shakiness

A nurse is teaching 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?

Digesting fats

A nurse is updating the plan of care for a client who has dumping syndrome. Which of the following instructions should the nurse include?

Eat a source of protein with each meal

A nurse is teaching a client who has a colonostomy about ways to reduce flatus and odor. Which of the following strategies should the nurse include?

Eat crackers and yogurt regularly

A nurse is providing teaching to a client who has constipation. Which of the following instructions should the nurse include?

Eat yogurt with live cultures

A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect?

Emesis with a coffee-ground appearance

A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse teach the client to perform?

Empty the bag when it is one third to one half full Cut the skin barrier opening a little larger than the ostomy Wash the periostomal skin with mild soap and water

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

Empty the drainage bag when half full of urine

A nurse is caring for a client who has an acute exacerbation of Crohn's disease. Which of the following actions should the nurse take?

Ensure bowel rest

A nurse is providing dietary teaching to a client who has diverticulitis about preventing acute attacks. Which of the following foods should the nurse recommend?

Foods high in fiber

A nurse is caring for a client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following lab tests to determine the possibility of recent excessive alcohol use?

Gamma-glutamyl transferase (GGT)

A nurse is teaching dietary modification strategies to a client who has been newly diagnosed with cirrhosis. Which of the following foods should the nurse recommend?

Grilled chicken

A nurse is assessing a client who has complete intestinal obstruction. Which of the following findings should the nurse expect?

Hyperactive bowel sounds above the obstruction

A nurse is teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. Which of the following topics should the nurse include?

Importance of colonoscopy screening starting at age 50 years old

A nurse is monitoring the lab results of a client who has end stage liver failure. Which of the following results should the nurse expect?

Increased prothrombin time

A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the following lab results should the nurse identify as an indication of pancreatitis?

Increased serum lipase level

A nurse is assessing a client who is 12 hr postop following an open cholecystectomy. Which of the following findings should the nurse report to the provider?

Indwelling urinary catheter output of 25 mL/hr

A nurse is planning an inservice training session regarding nutrition. Which of the following minerals should the nurse identify as involved in oxygen transportation?

Iron

A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports nausea, which of the following actions should the nurse take?

Irrigate the tube with normal saline solution

A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching?

Maintain a supine position after meals

A nurse is recommending dietary modifications for a client who has GERD. The nurse should suggest eliminating which of the following foods from the client's diet?

Oranges and tomatoes

A nurse is planning an inservice training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in the digestion of protein?

Pepsin

A nurse is caring for a client who has a PEG tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first?

Place the client in the semi-Fowler's position

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?

Prevents excessive pressure on suture lines

A nurse is providing teaching about nutrients to a client. Which of the following statements should the nurse include?

Protein builds and repairs body tissue

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following findings should the nurse monitor prior to the procedure?

Prothrombin time

A nurse is caring for a client who is postop following a laparotomy. The client has an indwelling urinary catheter and a Jackson-Pratt drain in place. Which of the following findings indicates that the client is developing a postop complication?

Pulse oximetry of 85%

A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the client to report which of the following manifestations?

Regurgitation Nausea Belching Heartburn

A nurse is caring for a client who has cholelithiasis and will undergo a cholecystectomy. The client states she does not understand how she will be alright without her gallbladder. The nurse should explain to the client that which of the following is the main function of the gallbladder?

Storing bile

A nurse is performing a gastrointestinal assessment of a client who has liver cirrhosis with abdominal distention. Which of the following actions should the nurse take to assess for changes in the client's abdominal distention?

Take serial measurements of the abdomen with a tape measure

A nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an esophagogastric balloon tamponade tube to treat bleeding esophageal varices. Which of the following pieces of info should the nurse include in the teaching?

The client will be placed on mechanical ventilation prior to this procedure

A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the following findings requires intervention?

The head of the bed is elevated to 20 degrees

A nurse is caring for a client who is scheduled to undergo an EGD. The nurse should identify that this procedure is for which of the following reasons?

To detect an ulceration in the stomach

A nurse enters a client's room and notes smoke coming from a wastebasket in the adjacent bathroom. Which of the following actions should the nurse take first?

Transport the client to an area away from the smoke

A nurse in the ED is caring for a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Vasopressin

A nurse is providing teaching to the guardian of a child who has celiac disease. Which of the following foods should the nurse instruct the guardian to omit from the child's diet?

Wheat bread

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray?

Wheat toast

A nurse is caring for a client who has acute diverticulitis. While the client has active inflammation, the nurse should instruct the client to include which of the following foods in her diet?

White bread and plain yogurt