GI Review Nclex

A client with pancreatitis has been receiving total parenteral nutrition (TPN) for the past week. Which nursing intervention helps determine if TPN is providing adequate nutrition?

3. Monitoring the client's weight every day

A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects this client's stools to be:

3. black and tarry.

The nurse is providing dietary instructions to a client with a history of pancreatitis. Which instruction is correct?

3. "Maintain a high-carbohydrate, low-fat diet."

A client, age 82, is admitted to an acute care facility for treatment of an acute flare-up of a chronic GI condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the GI tract. Which age-related change increases the risk of anemia?

1. Atrophy of the gastric mucosa

Which nursing intervention should the nurse perform for a client receiving enteral feedings through a gastrostomy tube?

1. Change the tube feeding solutions and tubing at least every 24 hours.

A client undergoes total gastrectomy. Several hours after surgery, the nurse notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond?

1. Notify the physician.

Why are antacids administered regularly, rather than as needed, to treat peptic ulcer disease?

1. To keep gastric pH at 3.0 to 3.5

While preparing a client for cholecystectomy, the nurse explains that incentive spirometry will be used after surgery primarily to:

1. increase respiratory effectiveness.

A client undergoes a barium swallow fluoroscopy that confirms gastroesophageal reflux disease (GERD). Based on this diagnosis, the client should be instructed to take which action?

2. Avoid caffeine and carbonated beverages., 4. Stop smoking., 5.Take antacids 1 hour and 3 hours after meals.

After undergoing a liver biopsy, the client should be placed in which position?

2. Right lateral decubitus position

A client with recent onset of epigastric discomfort is scheduled for an upper GI series (barium swallow). When teaching the client how to prepare for the test, which instruction should the nurse provide?

4. "Avoid eating or drinking anything for 6 to 8 hours before the test."

A physician asks a nurse to witness an informed consent of a client scheduled for gastric bypass surgery. What should the nurse do?

4. Sign the consent only if she sees the client sign it.

After taking an antacid, the client asks the nurse where antacids act in the body. How should the nurse respond?

4. Stomach

The nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:

4. alcohol abuse and smoking.

A client takes 30 ml of magnesium hydroxide and aluminum hydroxide with simethicone (Maalox TC) by mouth 1 hour and 3 hours after each meal and at bedtime for treatment of a duodenal ulcer. Why does the client take this antacid so frequently?

2. It has a short duration of action.

The nurse is teaching a client about malabsorption syndrome and its treatment. The client asks which part of the GI tract absorbs food. The nurse tells the client that products of digestion are absorbed mainly in the:

2. small intestine.

The physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains the stool specimen should:

3. collect the specimen in a sterile container.