GI / GU
A client is scheduled to have surgery to relieve an intestinal obstruction. Prior to surgery, the nurse should verify that the client has followed which preoperative instructions?
discontinued use of blood thinners
The nurse finds the client who has had an ileostomy crying. The client explains to the nurse, "I'm upset because I know I won't be able to have children now that I have an ileostomy." Which response by the nurse is best?
"Having an ileostomy doesn't necessarily mean that you can't have children. Let's talk about your concerns."
A client refuses to look at or care for their colostomy. Which statement by the nurse would be most appropriate?
"I can see that you are upset. Would you like to share your concerns with me?"
A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which statement, if made by a group member, would indicate understanding of the teaching?
"I should notify the physician if urinary urgency, burning, frequency, or difficulty urinating occurs."
The nurse is evaluating the lifestyle modifications a client has made to prevent gastroesophageal reflux. Which statement indicates that the client understands how to prevent reflux?
"I try to eat smaller amounts of food more often throughout the day."
A nurse is teaching a client with constipation about management of the problem. Which statement by the client indicates understanding?
"I'll consume foods high in fiber."
A client with benign prostatic hypertrophy is being transferred from the emergency department to a surgery unit. Which information should be included in the report from the nurse in the emergency department to the nurse responsible for admitting the client?
"The client was catheterized, and 1100 mL of urine was obtained. The urine appeared cloudy, and a specimen was sent to the laboratory."
The nurse is preparing a client for surgery tomorrow at 0800. The client will receive general anesthesia. What should the nurse tell the client to explain why they should not have anything to eat or drink 8 hours before the surgery?
"There is a risk for vomiting and possible aspiration of vomitus during surgery if your stomach is full."
The nurse is inserting a urinary catheter. Which is the correct order, from first to last, for proper placement of a urinary catheter? All options must be used.
- Prepare a sterile field. - Lubricate the catheter adequately with a water-soluble lubricant. - Insert the catheter far enough into the bladder to prevent trauma to the urethral tissue. - Ensure free flow of urine.
The nurse is instructing the unlicensed assistive personnel (UAP) about the correct technique for obtaining a clean-catch urine culture from a female client. Which statement indicates that the UAP has understood the instructions? "I will:
ask the client to clean their labia, void into the toilet, and then into the specimen cup."
Eight hours after an abdominal hysterectomy, the client has not voided and says to the nurse, "I don't think I can urinate. "What should the nurse do first?
Assess the client's bladder.
A client with stress incontinence asks the nurse what kind of diet to follow at home. Which should the nurse recommend?
Avoid alcohol and caffeine.
A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding?
Blood supply to the stoma has been interrupted.
A nurse is assessing a client in the recovery room who has had a vaginal hysterectomy. Which assessment finding should the nurse bring to the healthcare provider's immediate attention?
Foley catheter draining urine at 10 mL/hour
The nurse is assessing a client's abdominal incision 48 hours after surgery. Which finding indicates that the wound is inflamed?
Localized warmth is felt over the incisional area.
A client is scheduled for an intravenous pyelogram. Before the procedure, the nurse learns that the client has a sensitivity to shellfish. What should the nurse do next?
Notify the health care provider.
The nurse is irrigating a client's colostomy. The client has abdominal cramping after receiving about 100 mL of the irrigating solution. What should the nurse do first?
Stop the flow of solution.
The nurse is assessing a client who has benign prostatic hypertrophy (BPH). The nurse should determine if the client has which symptom?
difficulty starting the urinary stream
When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches the client how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?
The client keeps the drainage bag below the bladder at all times.
When the nurse is assessing the client's abdomen, which finding best indicates that a client's peristaltic activity is returning to normal after surgery?
The client passes flatus.
Three weeks after the client has had an ileostomy, the nurse is following up with instructions on using a skin barrier around the stoma. How will the nurse determine that the client has been applying the skin barrier correctly?
There is no skin irritation around the stoma.
A registered nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which client's care will the nurse safely delegate to the UAP?
a client diagnosed with renal calculi who is encouraged to ambulate four times daily
The nurse is instructing a group of older adult clients about the risk for urinary tract infection. Which client is at highest risk for developing a urinary tract infection?
a man with an indwelling urinary catheter
The nurse is planning care for a client who had surgery 24 hours ago to create an ileostomy. Which goal has the highest priority?
maintaining fluid and electrolyte balance
The nurse is taking care of a client immediately following an endoscopy of the upper gastrointestinal tract. What should the nurse assess to determine whether the client is recovering from anesthesia?
return of the gag reflex
