GI Pretest

The client is admitted with a diagnosis of diverticulitis and a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO. The nurse should evaluate its effectiveness by questioning the patient as to whether which symptom has been resolved? Diarrhea Lower abdominal pain Constipation Heartburn

Heartburn

What information would have the highest priority to be included in preoperative teaching for a client scheduled for a colectomy? Which medications will be used during surgery How to deep breathe and cough The frequency of pain medications The location and care of drains after surgery

How to deep breathe and cough

Which statement indicates to the emergency department nurse that the client diagnoses with acute gastroenteritis understands the discharge teaching? "I should decrease my fluid intake until the diarrhea subsides." "I will probably have some leg cramps while I have gastroenteritis." "I should only drink bottled water until the abdominal cramping stops." "I should reintroduce solid foods very slowly back into my diet."

"I should reintroduce solid foods very slowly back into my diet."

The nurse is caring for a postoperative client with a colostomy. The nurse is preparing to administer a dose of famotidine when the client asks why the medication was ordered since the client does not have a history of heartburn or gastroesophageal reflux disease (GERD). What response by the nurse would be the most appropriate? "The stress of surgery is likely to cause stomach bleeding if you do not receive it." "This will reduce the amount of HCl in the stomach until the nasogastric tube is removed and you can eat a regular diet again." "This will prevent air from accumulating in the stomach, causing gas pains." "This will prevent the heartburn that occurs as a side effect of general anesthesia."

"The stress of surgery is likely to cause stomach bleeding if you do not receive it."

A health care provider has ordered atropine 0.6 mg intramuscularly. The pharmacy has provided 1.5 mg in 2 mL. The nurse would correctly administer how many mL? (Please round to the nearest tenth.) _______________________mL

0.8

A client is admitted with bleeding hemorrhoids. The health care provider has ordered 2 liters 0.9% saline to infuse over 12 hours. The nurse would set the infusion pump to what rate. (Please round to the nearest whole number) ____________________________mL/hr

167

A client is ordered 1 gram neomycin orally prior to a hemicolectomy. The pharmacy has provided neomycin 400 mg scored tablets. The nurse would administer how many tablets? (Please round to the nearest tenth) _________________________tablets

2.5

A nurse has received report on the following clients. Which client would the nurse assess first? A 29 year old with gastroenteritis and vomited twice last shift A 48 year old with peptic ulcer disease with three melanic stools A 65 year old with diverticulitis and a firm rigid abdomen A 36 year old with a bowel obstruction and a temperature of 37.6 (99.8)

A 65 year old with diverticulitis and a firm rigid abdomen

A health care provider has ordered 1 liter D51/2 Normal Saline to infuse over 8 hours. The nurse cannot find an infusion pump. The intravenous tubing is marked 15 gtt/mL. The nurse would infuse how many drops per minute? (Please round to the nearest whole number) _______________gtt/min

31

A nurse is preparing to administer 250 mL of linezolid to a client with diverticulitis.The medication must be infused over 1 hour. An intravenous (IV) pump is not available. The tubing states " 10 gtts/mL" At what rate would the nurse administer the medication? (Please round to the nearest whole number.) ________________________gtt/min

42

A nurse has received report on the following four clients. Which client would the nurse see first? A 46 year old client with a nasogastric tube complaining of nausea and vomiting A 65 year old client with a rectal fistula complaining of constipation A 59 year old client with an illeostomy and liquid green stool A 54 year old client with peptic ulcer disease vomiting bright red blood

A 54 year old client with peptic ulcer disease vomiting bright red blood

A nurse has received report on the following four clients. Which client would the nurse see first? A 59 year old client with an illeostomy and liquid green stool A 65 year old client with a rectal fistula complaining of constipation A 54 year old client with peptic ulcer disease vomiting bright red blood A 46 year old client with a nasogastric tube complaining of nausea and vomiting

A 54 year old client with peptic ulcer disease vomiting bright red blood

A client with a small bowel obstruction has a nasogastric (NG) tube draining green liquid. Which intervention should the nurse implement? Insert the NG tube 2 more inches Determine the client's last bowel movement Document the finding as normal Assess the client's bowel sounds

Document the finding as normal

Which clinical manifestations of inflammatory bowel disease are common to both patients with ulcerative colitis (UC) and Crohn's disease (select all that apply)? A)Bloody, diarrhea stools B)Restricted to rectum C)Strictures are common D)Cramping abdominal pain E)Lesions penetrate intestine.

A)Bloody, diarrhea stools B)Restricted to rectum D)Cramping abdominal pain

The client with chronic gastritis is being put on a combination of medications to eradicate H. pylori. Which drugs does the nurse know will probably be used for this client? Antibiotic(s), antacid, and corticosteroid Antibiotic(s) and nonsteroidal antiinflammatory drugs (NSAIDs) Antibiotic(s), aspirin, and antiulcer/protectant Antibiotic(s), proton pump inhibitor, and bismuth

Antibiotic(s), proton pump inhibitor, and bismuth

A client has an penetrating abdominal wound. Which intervention should the nurse implement? Apply sterile normal saline dressing. Place the client in reverse Trendelenberg position Administer intravenous antibiotics STAT. Use sterile gloves to replace protruding parts.

Apply sterile normal saline dressing.

A client is an 85 y/o female who has been admitted to the floor with a diagnosis of malnutrition following a cerebral vascular accident (CVA) which left her unable to swallow without choking. The health care provider has ordered the placement of a feeding tube for enteral supplementation. What is the priority intervention for this client with regard to the enteral nutrition ? Offer cool drink of water prior to tube placement to assess actual difficulty swallowing Anti‐anxiety medication to be given prior to tube placement Arrange for a bedside CXR following placement before the tube feeding is started Elevate the head of the bed to 15 degrees for client comfort

Arrange for a bedside CXR following placement before the tube feeding is started

A client diagnosed with diverticulitis is complaining of severe pain in the left lower quadrant and has an oral temperature of 100.6 F (38.1). Which intervention should the nurse implement first? Notify the health care provider. Administer oral antipyretic. Assess the client's abdomen. Document findings in chart.

Assess the client's abdomen.

A nurse is planning care of a client with an abdominal perineal resection for cancer of the colon. Which interventions should the nurse implement? A)Assess flank incision B)Position the client semirecumbent C)Maintain indwelling catheter D)Irrigate theJackson-Pratt drain each shift E)Provide meticulous skin care to the stoma.

B)Position the client semi recumbent C)Maintain indwelling catheter E)Provide meticulous skin care to the stoma.

A nurse are caring for a client with peptic ulcer disease. Which assessment finding by a nurse is the most serious? Coffee-ground emesis Burning sensation 2 hours after eating Boardlike abdomen with shoulder pain Projectile vomiting

Boardlike abdomen with shoulder pain

A nurse is teaching a class on diverticulosis. Which interventions should the nurse discuss when teaching ways to prevent an acute exacerbation? (Select all that apply) A)Elevate the head of the bed after eating B)Eat a high fiber diet C)Walk 30 minutes a day E)Take an antacid after each meal

C)Walk 30 minutes a day D)Increase fluid intake

A client has been on the floor for colon resection due to colon cancer. As the nurse is preparing the client for discharge the nurse is reviewing the need for ongoing monitoring for disease recurrence through lab testing. Which of the following tests would a nurse to expect as part of the client's follow‐up? Thyroid stimulating hormone Total iron binding capacity Carcinoembryonic antigen Amino acid analysis

Carcinoembryonic antigen

After the nurse teaches a client with gastroesophageal reflux disease (GERD) about recommended dietary modifications, which diet choice for a snack 2 hours before bedtime indicates that the teaching has been effective? Glass of low-fat milk Cherry gelatin and fruit Chocolate pudding Peanut butter sandwich

Cherry gelatin and fruit

The client is admitted with a diagnosis of diverticulitis and a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO. The nurse should evaluate its effectiveness by questioning the patient as to whether which symptom has been resolved? Lower abdominal pain Constipation Diarrhea Heartburn

Constipation

The nurse is admitting a client with severe dehydration and frequent watery diarrhea. He just completed a 10-day outpatient course of antibiotic therapy for bacterial pneumonia. It is most important for the nurse to take which action? Don gloves and gown before entering the patient's room. Wipe equipment with ammonia-based disinfectant. Wear a mask to prevent transmission of infection. Instruct visitors to use the alcohol-based hand sanitizer.

Don gloves and gown before entering the patient's room

The nurse is caring for a client treated with IV fluid therapy for severe vomiting. As the client recovers and begins to tolerate oral intake, which food choice does the nurse understand would be most appropriate? Iced tea Dry toast plain hamburger Hot coffee

Dry toast

The nurse is caring for a client treated with IV fluid therapy for severe vomiting. As the client recovers and begins to tolerate oral intake, which food choice does the nurse understand would be most appropriate? Iced tea plain hamburger Dry toast Hot coffee

Dry toast

The client is having a gastroduodenostomy (Billroth I operation) for stomach cancer. What long-term complication is occurring when the client reports generalized weakness, sweating, palpitations, and dizziness 15 to 30 minutes after eating? Postprandial hypoglycemia Bile reflux gastritis Malnutrition Dumping syndrome

Dumping syndrome

A client is seeking emergency care after choking on a piece of steak. The nursing assessment reveals a history of alcoholism, cigarette smoking, and hemoptysis. Which diagnostic study is most likely to be performed on this client? Endoscopic ultrasonography Barium swallow Endoscopic biopsy Capsule endoscopy

Endoscopic biopsy

Which information is most significant when assessing a client suspected of having a peptic ulcer? Frequent use of aspirin or products containing aspirin History of cigarette smoking and/or current cigarette smoking Daily consumption of coffee or other caffeinated drinks Amount of stress at work and in personal life

Frequent use of aspirin or products containing aspirin

A client had abdominal surgery for diverticulosis and the nurse suspects the client has peritonitis. Which of the following would the nurse use to support the diagnosis? Profuse diarrhea and a stool specimen shows E. coli Abdominal cramping and a hemoglobin of 14 g/dL Absent bowel sounds and a potassium of 3.5 mEq/L Hard rigid abdomen and a WBC of 22,000 mm3

Hard rigid abdomen and a WBC of 22,000 mm3

An 80 y/o man states that although he adds a lot of salt to his food it still does not have much taste. The nurse's response is based on the knowledge that the older adult Has a loss of taste buds, especially for sweet and salty Loses the sense of taste because the ability to smell is decreased Should not experience changes in taste Has some loss of taste but no difficulty chewing food

Has a loss of taste buds, especially for sweet and salty

An 80 y/o man states that although he adds a lot of salt to his food it still does not have much taste. The nurse's response is based on the knowledge that the older adult Loses the sense of taste because the ability to smell is decreased Has some loss of taste but no difficulty chewing food Has a loss of taste buds, especially for sweet and salty Should not experience changes in taste

Has a loss of taste buds, especially for sweet and salty

A client has a sliding hiatal hernia. What nursing interventions will prevent the symptoms of heartburn and dyspepsia that the client is experiencing? Give various antacids to determine which one works for the client. Keep the client NPO. Put the bed in the Trendelenberg position. Have the client eat 4 to 6 smaller meals each day.

Have the client eat 4 to 6 smaller meals each day.

A client is to have a nasogastric tube inserted. Which of the following actions by the nurse demonstrates appropriate technique for insertion of the tube? Lubricate the tube with petroleum based lubricant Asking client not breathe while the tube is inserted into the nares. Placing the client in a supine position Having the client flex the head while the tube is advanced past the nasopharynx.

Having the client flex the head while the tube is advanced past the nasopharynx.

A client who has undergone esophagectomy for esophageal cancer develops increasing pain, fever and dyspnea when a full liquid diet is started. The nurse recognizes that these symptoms are most indicative of Extension of the tumor into the aorta An intolerance to feedings Esophageal perforation with fistula formation into the lung Leakage of fluid or food into the mediastinum

Leakage of fluid or food into the mediastinum

What specific information will the nurse include in client teaching for an overweight client who is starting a weight loss plan? Start dieting with a 600- to 800-calorie diet for rapid weight loss. Low carbohydrate diets lead to rapid weight loss but are difficult to maintain. Weighing all foods on a scale is necessary to choose appropriate portion sizes. Weigh yourself at the same time every morning.

Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.

The nurse is conducting discharge teaching for a client with metastatic lung cancer who was admitted with a bowel impaction. Which instructions would be most helpful to prevent further episodes of constipation? Sit upright during meals to increase bowel motility by gravity. Reduce intake of medications causing constipation. Eat several small meals per day to maintain bowel motility. Maintain a high intake of fluid and fiber in the diet.

Maintain a high intake of fluid and fiber in the diet.

After the nurse has provided client teaching about recommended dietary choices for a patient with an acute exacerbation of inflammatory bowel disease (IBD), which diet choice by the client indicates a need for more teaching? Scrambled eggs White toast and jam Pancakes with syrup Oatmeal with cream

Oatmeal with cream

The nurse is evaluating the nutritional status of a 55-year-old man who is undergoing radiation treatment for oropharyngeal cancer. Which laboratory test would be the best indicator to determine if the client has protein-calorie malnutrition? Serum albumin Alanine transaminase (ALT) Serum transferrin C-reactive protein

Serum albumin

The client with an abdominal perineal resection and colostomy had a nasogastric tube placed during surgery. The NG tube will most likely be removed when the client demonstrates the which of the following? Passage of flatus from the colostomy Less than 200 mL of gastric drainage in 24 hours A flat, soft abdomen upon palpation Decrease in nausea and vomiting

Passage of flatus from the colostomy

The health care provider sees a client at 1000 and writes an order for esophagogastroduodenoscopy (EGD) as soon as possible. Which of these actions that are included in the agency policy for EGD should the nurse take first? Explain the procedure to the client Ensure the consent form is signed. Administer sedative medications. Place the client on NPO status.

Place the client on NPO status.

The health care provider sees a client at 1000 and writes an order for esophagogastroduodenoscopy (EGD) as soon as possible. Which of these actions that are included in the agency policy for EGD should the nurse take first? Explain the procedure to the client Place the client on NPO status. Ensure the consent form is signed. Administer sedative medications.

Place the client on NPO status.

A home health nurse is caring for a 72-year-old client who has a nursing diagnosis of Impaired Skin Integrity related to poor nutrition, bowel incontinence, and immobility. Which nursing actions should the nurse delegate to a nursing assistant? Reminding the family to help the client to the commode every 2 hours during the day Telling the client and family to apply the skin barrier cream in a smooth, even layer Completing a diet assessment and suggesting changes in diet to improve the client's nutrition Evaluating the client for improvement in documented areas of skin breakdown or damage

Reminding the family to help the client to the commode every 2 hours during the day

The client with Chron's disease has a serum potassium level of 3.2 mEq/L. Which action should the nurse implement first? Notify the health care provider. Request telemetry for the client. Prepare to administer potassium IV push. Assess the client for muscle weakness.

Request telemetry for the client.

A client is brought to the hospital vomiting bright red blood, and is admitted to the ED with a bleeding duodenal ulcer. Which of the following is an important indicator of early shock? Loss of consciousness Increased urine output Tachycardia Dry, flushed skin

Tachycardia

A client has returned from a colonoscopy. Which of the following assessments requires immediate intervention by the nurse? soft, nontender abdomen hyperactive bowel sounds VS: P 110 RR 28 BP 96/40 complaints of "gas pains"

VS: P 110 RR 28 BP 96/40

A client with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. The nurse will teach the client about the effects of corticosteroid use on immune function. about fistula formation between the bowel and bladder. to empty the bladder before and after sexual intercourse. to clean the perianal area carefully after any stools.

about fistula formation between the bowel and bladder.

When admitting a client with a stroke who is unconscious and unresponsive to stimuli, the nurse learns from the client's family that the client has a history of gastroesophageal reflux disease (GERD). The nurse will plan to do frequent assessments of the client's breath sounds. bowel sounds. abdominal girth. apical pulse.

breath sounds