Gastrointestinal AI

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 Client with this disease are restricted to a low fiber diet, which omits whole grains and raw fruits and vegetables.

A nurse is providing Teach into 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 will have to consume a soft diet after surgery" After surgery the client quickly returned to a regular diet and there are no food restrictions

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 clients condition?

Alcohol use

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 This will prevent injury to the bladder

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

Blood in stool

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

Clear liquids

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

Decrease the clients fat intake This will reduce the occurrence of biliary colic

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 went half full of urine

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

Diaphoresis, palpitations, shakiness

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 This will be delayed gastric emptying

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

Hyper active bowel sounds above the obstruction This is because the intestinal peristalsis above the obstruction attempt to push the obstruction through the intestines

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

Increase prothrombin time

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

Liver transplant Fulminate hepatic failure, most often caused by viral hepatitis, is characterized by the development of hepatic and cephalopathy within weeks of the onset of the disease

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

Oranges and tomatoes

This is caring for a client who had a gastric resection to treat adenocarcinoma of the stomach. The client tells the nurse in the PAC you 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?

Prevent excessive pressure on suture lines

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

Prothrombin time

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

Pulse oximetry of 85% This indicates hypoxemia and requires immediate intervention

A nurse in a providers office is assessing a client who has GERD. The nurse should expect the client report which of the following manifestations

Regurgitation, nausea, belching, heartburn

A nurse is caring for a client who is four hours post operative following a laparoscopic cholecystectomy. Which of the following findings should the nurse expect?

Right shoulder pain This is due to gas injected into the abdominal cavity during the procedure which can irritate the diaphragm and cause referred pain in the shoulder area.

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

The client will be placed on a mechanical ventilation prior to this procedure This will protect the airway

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

The head of the bed is elevated to 20°. It should be at 30

A nurse is caring for a client who is scheduled to undergo and esophagogastroduodenoscopy (ENG). The nurse should identify that this procedure is for which of the following reasons?

To detect an ulcer ration in the stomach

And there's enters a clients room I 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 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 Because of the acute inflammation of diverticulitis, the client should maintain a diet very low in fiber.

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

"this procedure can determine how well the lower part of your esophagus works"

A nurse is providing preoperative teaching to a client who is about to undergo surgery to create a temporary colostomy. The client asked 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 performing discharge teaching about ostomy care while at home for a client who has a newly placed ileostomy. Which of the following instructions to the nurse include in the teaching?

"empty your ostomy pouch when it becomes half full"

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

"encourage her to eat foods that are high in carbohydrates"

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

"lying quietly in bed help slow down the activity in your intestines"

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

"protein builds and repairs body tissue"

A nurse is presenting an in-service 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 a cute pancreatitis. Which of the following serum laboratory value should return to the expected reference range within 72 hours of treatment beginning?

Amylase Pancreatitis is the most common diagnosis for marked elevations in serum amylase.

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 clients meal tray?

Coleslaw Clients following a low fiber diet should avoid most raw vegetables because they contain high fiber

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 has gastrointestinal bleeding. The provider suspects a bleeding lesion in the colon. Do you initial approach to treatment likely will involve which of the following procedures?

Colonoscopy It can provide direct visualization of the inside of the colon and helps the provider identify the exact cause and location of bleeding

A nurse is caring for a client who is three days post operative following abdominal surgery. The client states, something just popped when I coughed. Which of the following actions should the nurse take first?

Cover the clients wound with a sterile, moist dressing The greatest risk for this client is an injury from infection due to wound exposure

Just caring for a child who had her spleen removed following a bicycle accident. The child's parent ask the nurse about the role of the spleen in the body. The nurse should explain that this plane for forms which of the following functions?

Destroys old blood cells

Just teaching a client who has a colostomy about ways to reduce flatus an odor. Which of the following strategies should the nurse include

Eat crackers and yogurt regularly

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

Eat yogurt with live cultures

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?

Ensured bowel rest These patients usually require NPO and bowel rest and promote healing and recovery

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 from which of the following lab tests to determine the possibility of recent excessive alcohol use?

Gamma-glutamyl transferase (GGT)

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 a colonoscopy screening starting at the age of 50 years old This is a form of secondary prevention which promotes early detection of disease

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

Indwelling catheter output of 25 mL/hour The nurse should report a urinary output of less than 30 mL/hour to the provider as this can indicate hypovolemia or renal complication

A nurse is planning an in-service training session regarding nutrition. Which of the following minerals sure the nearest identify as involved in oxygen transportation?

Iron Iron transports oxygen by means of hemoglobin and myoglobin

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 This will determine patency. If the tube is not patent, gastric pressure cannot decrease, and the steady or increasing pressure can cause nausea

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

Maintain a supine position after meals This will help to slow the rabbit emptying of food into the small intestine. A client who has dumping syndrome should decrease the amount of food eaten at once, eat small meals more frequently, and illuminate fluids at meal time.

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

Obtain the PT and INR measurements Administer lactulose 30ml PO 4 times daily Obtain daily weight and abdominal girth measurements Administer a daily multivitamin

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

Pepsin

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

Wheat toast This disease is an auto immune disorder characterized by a permanent intolerance to wheat, barley, and rye