GI Disorders test

Prednisone (Meticorten) is prescribed for a client with an exacerbation of colitis. Before administering the first dose, what does the nurse teach the client?

Although the medication decreases intestinal inflammation, it will not cure the colitis

Three days after admission to the hospital for a brain attack (cerebrovascular accident [CVA]), a client has a nasogastric tube inserted and is receiving continuous tube feedings. What should the nurse do to best evaluate whether the feeding is being absorbed?

Aspirate for a residual volume.

A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon cancer. The nurse explains to the client that the delay in instituting drug therapy is planned because the chemotherapy does what?

Interferes with cell growth and delays wound healing

On the second day after an abdominoperineal resection, how does the nurse anticipate that the colostomy stoma will appear?

Moist, red, and raised above the skin surface

A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse encourage the client to add to the diet to help normalize bowel function after surgery?

Whole bran

A client describes abdominal discomfort following ingestion of milk. Which enzyme, as a result of a genetic deficiency, should the nurse consider to be the cause of the client's discomfort?

lactase

A client is scheduled for a colonoscopy, and the health care provider prescribes a tap water enema. In which position should the nurse place the client during the enema?

left sims

What is the result of increased dental caries in an older adult?

Decreased nutritional status

After surgery for creation of an ileostomy, a client is to be discharged. Before discharge, what is the primary nursing intervention?

Evaluating the client's ability to care for the ileostomy

A client complains of pain four hours after a liver biopsy. The nurse identifies that there is a leakage of a large amount of bile on the dressing over the biopsy site. What should the nurse do first?

Notify the client's health care provider immediately.

A nurse provides education to a client about how to prevent constipation. The nurse concludes that the teaching has been understood when the client makes what statements? Select all that apply.

"I should drink eight glasses of water every day." "I can include bran muffins in my breakfast daily." "I will walk every day as part of my exercise regimen."

The nurse is developing a list of appropriate foods for a client who has been prescribed a low sodium diet. The nurse reviews the list with the client. The nurse evaluates that the teaching is understood when the client makes which statement?

"It is okay for me to eat shredded wheat cereal."

Neomycin 1 gram is prescribed preoperatively for a client with cancer of the colon. The client asks why this is necessary. How should the nurse respond?

"It will kill the bacteria in your bowel and decrease the risk for infection after surgery."

A client newly diagnosed with cancer of the pancreas is scheduled for surgery. The client says to the nurse, "Wouldn't I be better off with some other treatment instead of surgery?" What is the nurse's best response?

"Surgery is the recommended approach. Why don't you discuss this further with the health care provider?"

The nurse provides discharge teaching to a client related to management of the client's new colostomy. The client states, "I hope I can handle all of this at home; it's a lot to remember." What is the nurse's best response?

"You seem to be nervous about going home."

A client who was admitted to the hospital with metastatic cancer has a temperature of 100.4º F, a distended abdomen, and abdominal pain. The client asks the nurse, "Do you think that I'm going to have surgery?" How should the nurse respond?

"You seem concerned about having surgery."

A nurse teaches a client with calcium-based renal calculi about foods that can be eaten on a low-calcium diet. The nurse concludes that the teaching is effective when the client selects which food items from the menu? Select all that apply.

Baked chicken and Roast beef with mashed potatoes

A nurse is reviewing a newly admitted client's medication administration record (MAR). The nurse identifies that it is incomplete when the record is lacking regarding what information?

The client's allergies

A client was diagnosed with cancer of the head of the pancreas two months ago. The client is admitted to the hospital with weight loss, severe epigastric pain, and jaundice. When performing the client's assessment, the nurse expects the client's stool to be what color?

Clay-colored

Immediately after a liver biopsy, a client is placed onto the right side. The nurse explains that the rationale for this positioning is to do what?

Compress blood vessels to prevent bleeding

A nurse provides a list of suggested food choices to a client who has peptic ulcer disease. What foods should be included on the list?

Applesauce, cream of wheat, and milk

The postoperative prescriptions for a client who had repair of an inguinal hernia include docusate sodium (Colace) daily. Before discharge, what does the nurse teach the client that an intermittent side effect of this medication may be?

Mild abdominal cramping

A nurse is caring for a client on the second day after an abdominoperineal resection. How does the nurse expect the stoma to appear?

Moist, red, and raised above the skin surface

A nurse is caring for a postoperative client who has a nasogastric tube attached to low continuous suction. What clinical findings indicate that the client may be experiencing hypokalemia?

Muscle weakness and cardiac dysrhythmias

A client with colitis has had a hemicolectomy. Three days after surgery the nurse identifies that the client has abdominal distention and absent bowel sounds, and has vomited 300 mL of dark green viscous fluid. The nurse contacts the primary healthcare provider and recommends which intervention?

Nasogastric tube for decompression

A client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client's care?

Head of the bed remains elevated after the feeding

A client is returned to the surgical unit after an abdominal cholecystectomy. What is the main reason why the nurse should assess for clinical indicators of respiratory complications?

Incision is in close proximity to the client's diaphragm.

A nurse is teaching a client who has pancreatitis about dietary restrictions. What should the education include?

Eat small meals frequently

When assessing a client's abdomen, the nurse palpates the area directly above the umbilicus. What is this area known as?

Epigastric area

A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which drug does the nurse expect the health care provider to prescribe?

Loperamide

A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which most frequently prescribed antidiarrheal drug does the nurse expect the health care provider to prescribe?

Loperamide (Imodium)

A client who has had right upper quadrant pain for several months now experiences clay-colored stools. Laboratory results reveal elevated liver enzymes, and a needle biopsy of the liver is scheduled. What should the nurse include in the client's teaching about the procedure?

Lying on the right side after the procedure is required because it will decrease the risk of hemorrhage.

A client has a hiatal hernia. The client is 5 feet 3 inches tall (163 cm) and weighs 160 pounds (72.6 kg). Which information should the nurse include when discussing prevention of esophageal reflux?

Reduce your caloric intake to foster weight reduction.

A nurse is caring for a client who is scheduled for a gastric bypass to treat morbid obesity. Which diet should the nurse teach the client to maintain because it will help minimize clinical manifestations of dumping syndrome?

Small, frequent feeding schedule

After abdominal surgery a client is to receive a progressive postsurgical diet. The nurse explains to the client that this diet is characterized by progressive alterations in what?

Texture and digestibility of food

A client with gastric ulcer disease asks the nurse why the health care provider has prescribed metronidazole. What purpose does the nurse provide?

To treat Helicobacter pylori infection

Which recommendation is most important for the nurse to include in a teaching program for a client who has been placed on a 2-g sodium diet?

Use lemon juice to season meat

For the last three days, the client has expressed a complete lack of hunger or interest in food. How should the nurse document this in the client's record?

anorexia

The nurse has taught a client about a low-sodium diet. Which food choice by the client indicates successful learning?

banana

After taking spironolactone (Aldactone), a potassium-sparing diuretic, the client inquires about foods and fluids that are low in potassium. Which juice should the nurse teach the client contains the least amount of potassium?

cranberry juice

A client is admitted to the hospital with suspected liver disease, and a needle biopsy of the liver is performed. After the procedure, the nurse should maintain the client in what position?

right side lying

A client who is suspected of having salmonellosis asks the nurse how the diagnosis is confirmed. The nurse responds that the medical diagnosis is established by what?

stool culture

A nurse is caring for a client with a history of gastrointestinal (GI) irritability. What should the nurse advise the client to avoid to limit GI irritability?

Cola drinks

Which statement is true regarding ulcerative colitis?

Ulcerative colitis may cause rectal bleeding and abdominal cramping.

The nurse provides education to a client with cancer of the tongue who will begin gastrostomy feedings at home. The nurse concludes that the teaching was effective when the client makes which statement?

"Before I start the procedure, I will measure the residual volume."

A client had surgery for a ruptured appendix. Postoperatively, the health care provider prescribes an antibiotic to be administered intravenously twice a day. The nurse administers the prescribed antibiotic via a secondary line into the primary infusion of 0.9% sodium chloride. During the administration of the antibiotic, the client becomes restless and flushed, and begins to wheeze. What should the nurse do after stopping the antibiotic infusion?

Assess the client's respiratory status

A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client reports frequent nausea, pain that increases after meals, and black tarry stools. The client recently joined Alcoholics Anonymous. The nurse should give priority to which patient history item?

Black tarry stools

A client with advanced bone cancer is experiencing cachexia. The nurse discusses the nutritional aspect of palliative care with the family. What is the importance of the nurse explaining these nutritional interventions to the family?

Enhances the quality of the client's life

Which client responses does the nurse determine represent the highest risk for the development of pressure ulcers?

Incontinence and inability to move independently

Which drugs are contraindicated in a patient with infectious diarrhea? Select all that apply.

Loperamide and Diphenoxylate with atropine

A client is admitted to the hospital with the diagnosis of intestinal obstruction and has an intestinal tube inserted. The plan of care includes a prescription to instill 30 mL of normal saline into the tube as needed to maintain patency. When considering the normal saline that is instilled, what should the nurse do?

Record the 30 mL on the intake and output record

When caring for a client in the early postoperative period after a hemorrhoidectomy, to ensure the client's safety, the nurse would place the client in which position?

Side-lying

A nurse provides dietary teaching about a low-sodium diet for a client with hypertension. Which nutrient selected by the client indicates an understanding about foods that are low in natural sodium?

fruits

A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which component of a therapeutic diet should the nurse encourage the client to consume?

high protein diet

A nurse is reviewing discharge plans with a client who is hospitalized with hepatitis A. The nurse concludes that the client understands preventive measures to reduce the risk for spreading the disease when the client makes which statement?

i should wash hands frequently

The nurse is caring for a client one hour after the client had esophageal surgery. What is the assessment that is the priority for this client?

respiratory assessment

When teaching a client how to prevent constipation, the nurse evaluates that the dietary teaching is understood when the client states that what is the preferred breakfast cereal?

shredded wheat

A nurse administers several vitamins as part of a client's medical regimen. Which prescribed vitamin is essential for the synthesis of prothrombin by the liver?

vitamin K