Ch 48 &49

A client is scheduled for a colonoscopy and the nurse has provided instructions on the bowel cleansing regimen. What statement by the client indicates a need for further teaching?

"It's a good thing I love orange and cherry gelatin."

The nurse is caring for a client with sialadenitis. What comfort measures are appropriate for this client? (Select all that apply.)

Applying warm compresses Offering fluids every hour

A client is recovering from an esophagogastroduodenoscopy (EGD) and requests something to drink. What action by the nurse is appropriate?

Assess the clients gag reflex

The nurse is teaching a client about the risk of uncontrolled or untreated the client's gastroesophageal reflux disease (GERD). What complication(s) may occur if the GERD is not successfully managed? (Select all that apply.)

Asthma Laryngitis Dental caries Cardiac disease Cancer

The nurse is caring for a client who had an open traditional esophagectomy. Which assessment findings would the nurse report immediately to the primary health care provider? (Select all that apply.)

Wound dehiscence Fever Tachycardia

The primary health care provider documents that a client has a bruit over the abdominal aorta. What teaching will the nurse provide for assistive personnel (AP) based on this assessment finding?

"Avoid washing the client's abdomen too aggressively."

The nurse is teaching a client about the use of viscous lidocaine for oral pain. What health teaching would the nurse include?

"Be sure to check food temperatures before eating."

An older adult has had an instance of drug toxicity and asks why this happens, since the client has been on this medication for years at the same dose. What response by the nurse is best?

"Changes in your liver cause drugs to be metabolized differently."

The nursing is teaching a client diagnosed with gastroesophageal reflux disease (GERD) who is planning to have an endoscopic radiofrequency (Stretta) procedure

"Contact the primary health care provider after the procedure if you have increased pain." "You will need a nasogastric tube for a few days after the procedure."

The nurse is teaching a client diagnosed with stomatitis about special mouth care. Which statement by the client indicates a need for further teaching?

"I will use a more firm toothbrush to keep my mouth clean."

The nurse working with clients who have gastrointestinal problems knows that which laboratory values are related to which organ functions or dysfunctions? (Select all that apply.)

Ammonia: liver Lipase: pancreas

A client is admitted with a large oral tumor. What assessment by the nurse takes priority?

Airway

The nurse is teaching a client about risk factors for esophageal cancer. Which risk factors would the nurse include? (Select all that apply.)

Alcohol intake Obesity Smoking Lack of fresh fruits and vegetables Untreated GERD

A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse teaches the client and family about the signs of potential complications which include what problems? (Select all that apply.)

Cholangitis Pancreatitis Perforation Sepsis

A nurse participates in a community screening event for oral cancer. What client is the highest priority for referral to a primary health care provider?

Client who smokes and drinks daily.

A nurse knows that job-related risks for developing oral cancer include which occupations? (Select all that apply.)

Coal miner Metal worker Plumber Textile worker

The nurse is aware of the most recent American Cancer Society Screening Guidelines for colon cancer, which include which accepted testing modalities for people over the age of 50? (Select all that apply.)

Colonoscopy every 10 years Computed tomography (CT) colonography every 5 years Flexible sigmoidoscopy every 5 years

The nurse working with older clients understands age-related changes in the gastrointestinal system. Which changes does this include? (Select all that apply.)

Decreased hydrochloric acid production Diminished sensation that can lead to constipation Fat not digested as well in older adults Pancreatic vessels become calcified

The nurse is caring for a client diagnosed with probable gastroesophageal reflux disease (GERD). What assessment finding(s) would the nurse expect? (Select all that apply.)

Dyspepsia Regurgitation Belching Coughing Chest discomfort Dysphagia

The nurse notes that the primary health care provider documented the presence of mucosal erythroplasia in a client. What does the nurse understand that this most likely means for this client?

Early sign of oral cancer

The nurse is interviewing a client who reports having abdominal cramping, bloating, and diarrhea after drinking milk or ingesting other dairy products. What health problem does the client most likely have?

Lactose intolerance

To promote comfort and the passage of flatus after a colonoscopy, in what position does the nurse place the client?

Left lateral

A nurse is assessing a client reporting right upper quadrant (RUQ) abdominal pain. What technique would the nurse use to assess this client's abdomen?

Lightly palpate the RUQ last.

The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ?

Liver

A nurse cares for a client who is recovering from a colonoscopy. Which actions would the nurse take? (Select all that apply.)

Obtain vital signs every 15 to 30 minutes until alert. Assess the client for rectal bleeding and severe pain. Confirm the client has a ride home and plans to rest.

Which of these client assessment findings is typically associated with oral cancer?

Painless red or raised lesion

The nurse is caring for a client diagnosed with oral cancer. What is the nurse's priority for client care?

Place the client on Aspiration Precautions.

A client has an open traditional hiatal hernia repair this morning. What is the nurse's priority for client care at this time?

Preventing respiratory complications

A client is having an esophagogastroduodenoscopy (EGD) and has been given midazolam hydrochloride. The client's respiratory rate is 8 breaths/min. What action by the nurse is appropriate?

Provide physical stimulation.

A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to report a spot of bright red blood on the toilet paper today. What response by the nurse is appropriate?

Remind the client that a small amount of bleeding is possible.

The assistive personnel note that a client had a dark stool. What stool test would the nurse obtain for this client?

occult blood test