Chapter 44 (NCLEX Review Questions/PrepU)
A client has come to the outpatient radiology department for diagnostic testing that will allow the care team to evaluate and remove polyps. The nurse should prepare the client for what procedure?
Colonoscopy
A female client has presented to the emergency department with right upper quadrant pain; the health care provider has ordered abdominal ultrasound to rule out cholecystitis. The client expresses concern to the nurse about the safety of this diagnostic procedure. How should the nurse best respond?
"Abdominal ultrasound poses no known safety risks of any kind."
A client is scheduled for magnetic resonance imaging (MRI). During the client teaching, what will the nurse discuss?
"Do you experience any claustrophobia?"
Before administering the contrast substance (oral tablets taken the evening before the procedure) to a client scheduled for an oral cholecystography, which question is essential for the nurse to ask?
"Is the client allergic to iodine?"
A client has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The client is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?
"Your appendix doesn't play a major role, so you won't notice any difference after your recovery from surgery."
Which of the following digestive enzymes aids in the digesting of starch?
Amylase
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?
Fluids must be increased to facilitate the evacuation of the stool.
A client who has been experiencing changes in his bowel function is scheduled for a barium enema. What instruction should the nurse provide for postprocedure recovery?
Increase fluid intake to evacuate the barium.
Which term describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?
Intrinsic factor
Which nursing action is most appropriate after a liver biopsy is done on a client with cirrhosis?
Positioning the client on the right side
A client has a colonoscopy. While recovering, the nurse assesses the client's abdomen. Which sign indicates a potential complication of the colonoscopy?
Rebound tenderness
A nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. The client asks which part of the GI tract absorbs food. What is the nurse's best response?
Small intestine
The nurse needs to assess a client's abdomen. To best accomplish this, the nurse directs the client to lie in which of the following positions?
Supine with knees flexed
When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are
normal
A nurse is providing preprocedure instructions to a client scheduled for a barium enema. Which of the following statements indicates that the client understands the instructions?
"I can only have clear liquids the day before the test."
The nurse, assessing a client's abdomen, does not hear any bowel sounds in the right lower quadrant (RLQ) for 5 minutes. Which action is best for the nurse to do next?
Auscultate in another quadrant for a minimum of 3 minutes.
During a colonoscopy with moderate sedation, the patient groans with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring?
Bowel perforation
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 clinic client has described recent dark-colored stools and the nurse recognizes the need for fecal occult blood testing (FOBT). What aspect of the client's current health status would contraindicate FOBT?
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
The nurse is caring for a client who has a diagnosis of AIDS. Inspection of the client's mouth reveals the new presence of white lesions on the client's oral mucosa. What is the nurse's mostappropriate response?
Inform the primary provider of this finding.
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The health care provider begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption?
Intrinsic factor
A nurse is caring for a client admitted with a suspected malabsorption disorder. The nurse knows that one of the accessory organs of the digestive system is the pancreas. What digestive enzymes does the pancreas secrete? Select all that apply.
Lipase Amylase Trypsin
A client with diabetes begins to have digestive problems and is told by the physician that they are a complication of the diabetes. Which of the following explanations from the nurse is most accurate?
The pancreas secretes digestive enzymes.
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 client describes a test previously completed to detect a small bowel obstruction prior to admission to the hospital. The client states that the test involved insertion of a tube through the nose and lasted over 6 hours. The nurse determines which test name should be documented?
upper GI enteroclysis