gastrointestinal

Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which is the best rationale for checking gastric residual volume before administering the tube feeding? Confirm proper nasogastric tube placement. Observe the digestion of formula. Evaluate absorption of the last feeding. Check fluid and electrolyte status.

evaluate absorption of the last feeding

The client diagnosed with acute pancreatitis is experiencing severe pain from the disorder. The nurse should instruct the client to avoid which position that could aggravate the pain? Lying flat Flexing the left leg Sitting up Leaning forward

lying flat

A postoperative client requests medication for flatulence (gas pains). Which medication from the PRN list should the nurse administer to this client? Simethicone Acetaminophen Ondansetron Magnesium hydroxide

simethicone

The nurse notes that a client is taking lansoprazole. On data collection the nurse should ask the client which question to determine medication effectiveness? "Has your appetite increased?" "Are you experiencing any heartburn?" "Do you experience any leg pain when walking?" "Do you have any problems with vision?"

"Are you experiencing any heartburn?"

An adult client with hepatic encephalopathy has a serum ammonia level of 120 mcg/dL (72 mcmol/L) and receives treatment with lactulose syrup. The nurse determines that the client has the best response if the level changes to which after medication administration? 100 mcg/dL (60 mcmol/L) 70 mcg/dL (42 mcmol/L) 2 mcg/dL (1.2 mcmol/L) 5 mcg/dL (3 mcmol/L)

70 mcg/dL

The nurse is assisting in planning stress management strategies for the client diagnosed with irritable bowel syndrome. Which suggestion is most appropriate for the nurse to give to the client? Try to avoid every possible stressful situation. Learn measures such as biofeedback or progressive relaxation. Limit exercise to reduce bowel stimulation. Rest in bed as much as possible.

Learn measures such as biofeedback or progressive relaxation.

The nurse is providing care for a client suspected of having appendicitis. Which priority intervention should the nurse anticipate will be prescribed for this client? No oral intake of liquids or food Mechanical soft diet Clear liquid diet Full liquid diet

NPO

The nurse is participating in a health screening clinic and is preparing materials about colorectal cancer. The nurse should include which risk factor for colorectal cancer in the material? High-fiber, low-fat diet Personal history of ulcerative colitis or gastrointestinal (GI) polyps Age of 20 years Distant relative with colorectal cancer

Personal history of ulcerative colitis or gastrointestinal (GI) polyps

The primary health care provider has written a prescription for ranitidine, for a client with gastrointestinal reflux disease. The nurse is explaining how this medication works to treat this disease. Which explanation should the nurse give? The medication hastens gastric emptying time. The medication suppresses acid secretion by blocking H2 receptors. The medication suppresses secretion of gastric acid. The medication neutralizes stomach acid.

The medication suppresses acid secretion by blocking H2 receptors.

The client has an as-needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication? Hematest-positive nasogastric tube drainage An episode of diarrhea Constipation Abdominal pain

an episode of diarrhea

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record? Stool constantly oozing from the rectum Diarrhea Constipation Bloody stool

diarrhea

Metoclopramide four times daily has been prescribed for a client with a diagnosis of reflux esophagitis. The nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication? "I need to take the medication 30 minutes before meals and at bedtime." "I need to take the medication every 6 hours spaced evenly around the clock." "I need to take the medication with every meal and at bedtime." "I need to take the medication 1 hour after each meal and at bedtime."

"I need to take the medication 30 minutes before meals and at bedtime."

Psyllium is prescribed for the client diagnosed with a cardiac disorder to facilitate defecation and prevent straining with bowel movements. The nurse reinforces instructions to the client regarding administration of the medication. Which statement by the client indicates an understanding of the use of the medication? "I need to mix the medication with custard." "I need to decrease my fluid intake following administration of the medication." "I should mix the medication with a full glass of water." "I should decrease the amount of fiber in my diet when I take this medication."

"I should mix the medication with a full glass of water."

The nurse is collecting data from a client admitted to the hospital with a diagnosis of suspected gastric ulcer and is asking the client questions about pain. Which statement made by the client should the nurse recognize as best supporting the diagnosis of gastric ulcer? "The pain doesn't usually come right after I eat." "The pain gets so bad that it wakes me up at night." "The pain that I get is located on the right side of my chest." "My pain comes shortly after I eat, maybe a half hour or so later."

"My pain comes shortly after I eat, maybe a half hour or so later."

A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen? "These medications will coat the ulcer and decrease the acid production in my stomach." "The medications will kill the bacteria and stop the acid production." "My ulcer will heal because these medications will kill the bacteria." "These medications are only taken when I have pain from my ulcer."

"The medications will kill the bacteria and stop the acid production."

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure should the nurse include during client teaching to help prevent dumping syndrome? Limit the fluids taken with meals. Ambulate after a meal. Eat high-carbohydrate foods. Sit in a high-Fowler's position during meals.

limit fluids taken with meals

The nurse is reviewing the primary health care provider's (PHCP'S) prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription should the nurse verify if noted in the client's chart? Supine and flat client positioning Insertion of a nasogastric tube NPO status An anticholinergic medication`

supine and flat client positioning

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply. Ranitidine Lansoprazole Esomeprazole Cimetidine Nizatidine Famotidine

***remember Nancy Ran For Cimet nizatidine ranitidine famotidine cimetidine

The client diagnosed with portosystemic encephalopathy is receiving oral lactulose daily. The nurse should check which to determine medication effectiveness? Blood pressure Lung sounds Serum potassium level Blood ammonia level

blood ammonia levels

A client has undergone esophagogastroduodenoscopy (EGD). The nurse should place highest priority on which action as part of the client's care plan? Monitoring for complaints of heartburn Giving warm gargles for a sore throat Monitoring the temperature Checking for return of a gag reflex

checking for return of gag reflex

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client should take which action to monitor the effectiveness of treatment? Monitoring the leukocyte count for 2 days after the infusion Checking the frequency and consistency of bowel movement Checking serum liver enzyme levels before and after the infusion Carrying out a Hematest on gastric fluids after the infusion is completed

checking with frequency and consistency of bowel movements

An older client has recently been taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication? Hallucination Tremors Confusion Dizziness

confusion

The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which should the nurse clarify? Early ambulation Irrigating NG tube Coughing and deep-breathing exercises Leg exercises

irrigating the NG Tube

A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? Taking histamine receptor antagonist medication, as prescribed Eating small, frequent, bland meals Lying recumbent after meals Raising the head of the bed on 6-inch block

lying recumbent after meals

The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication? Urinary retention Incisional pain Paralytic ileus Nausea and vomiting

nausea and vomitting

A client with a diagnosis of viral hepatitis has no appetite, and food makes the client nauseated. The nurse should conclude that which intervention is most appropriate? Explain that the majority of calories needs to be consumed in the evening hours. Explain that high-fat diets are usually better tolerated. Offer small, frequent meals. Encourage foods low in calories.

offer small, frequent meals

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred? Sunken and hidden - indicated a retracted stoma Dark and bluish - ischemia Protruding and swollen - indicate prolapse Narrowed and flattened - stenosed

protruding and swollen

The client is taking docusate sodium. The nurse should monitor which result to determine the client is having a therapeutic effect from this medication? Regular bowel movements Abdominal pain Hematest-negative stools Reduction in steatorrhea

regular bowel movements

The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to be prescribed? Select all that apply. Administer antacids, as prescribed Maintain the client in a supine and flat position. Encourage small, frequent, high-calorie feedings. Encourage coughing and deep breathing. Administer anticholinergics, as prescribed.

Encourage coughing and deep breathing. Administer anticholinergics, as prescribed. Administer antacids, as prescribed

A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with removing a nasogastric (NG) tube from the client. Which interventions should be included in the procedure? Select all that apply. Pull the tube out in one continuous steady motion. Remove the device or tape securing the tube from the nose. Explain the procedure to the client. Ask the client to take a deep breath and hold. Remove the air from the balloon.

Pull the tube out in one continuous steady motion. Remove the device or tape securing the tube from the nose. Explain the procedure to the client. Ask the client to take a deep breath and hold.

The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom? Diarrhea Heartburn Flatulence Constipation

heart-burn

Which infection control method should the nurse determine to be the priority to include in the plan of care to prevent hepatitis B in a client considered to be at high risk for exposure? Proper personal hygiene Correct hand-washing technique Use of immune globulin Hepatitis B vaccine

hep b vaccine

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing? Hepatitis D Hepatitis C Hepatitis A Hepatitis B

hepatitis A

A client has a diagnosis of asymptomatic diverticular disease. Which type of diet should the nurse anticipate being prescribed? Low-sodium diet High-iron diet High-fiber diet Low-purine diet

high fiber diet

The nurse is assisting with the insertion of a nasogastric tube into a client. The nurse should place the client in which position for insertion? Supine, with the head flat Low-Fowler's position Right side High-Fowler's position

high-fowler's position

The nurse caring for a client diagnosed with acute pancreatitis and has a history of alcoholism is monitoring the client for complications. The nurse determines that which data collected is most likely indicative of paralytic ileus? Firm, nontender mass palpable at the lower right costal margin Inability to pass flatus Loss of anal sphincter control Severe, constant pain with rapid onset

inability to pass gas

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse should schedule the medication to be administered at which times? With meals and at bedtime One hour before meals and at bedtime Every 6 hours around the clock One hour after meals and at bedtime

one hr before meals and at bedtime

The nurse observes that a client with a nasogastric tube connected to continuous gastric suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. When planning care, which nursing intervention would be best to maintain the integrity of this client's oral mucosa? Use lemon glycerin swabs to provide oral hygiene. Encourage the client to suck on sour, hard candy. Offer small sips of water frequently. Use diluted mouthwash and water to swab the mouth after brushing teeth.

use diluted mouthwash and water to swab the mouth after brushing teeth

A client who has undergone a colostomy several days ago is reluctant to leave the hospital and has not yet looked at the ostomy site. Which measures will most likely promote coping? Select all that apply. Ask the client to begin doing one part of the ostomy care each day and increase tasks daily. Remind the client frequently that he will be responsible for caring for the colostomy at home. Ask the enterostomal nurse specialist to consult with the client before discharge. Ask a member of the local ostomy club to visit with the client before discharge. Remind the client frequently that infection is a major complication of a colostomy.

Ask the enterostomal nurse specialist to consult with the client before discharge. Ask a member of the local ostomy club to visit with the client before discharge. ask the client to start doing one part of their ostomy care and increase task daily.

After a client undergoes a liver biopsy, the nurse places the client in the prescribed right-side lying position. The nurse understands that the purpose of this intervention is to accomplish which? Limit client discomfort Promote hepatic glucose storage Limit bleeding from the biopsy site Promote bile flow

Limit bleeding from biopsy site

The client who is scheduled for an intravenous pyelogram has been instructed to take liquid magnesium citrate on the day before the scheduled procedure. The client asks the nurse about the administration procedure for this medication. Which instruction should the nurse provide to the client? "Drink the medication at room temperature." "Mix the medication with apple juice only. "Take the medication on ice." "Mix the medication with a full glass of water."

take the medication on ice

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? Vitamin B12 Vitamin E Vitamin C Vitamin A

vitamin b12