GI week 11 practice

99. When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important?

Checking if the mucous membranes are dry

114. A client, who has occasional gastric symptoms, is receiving teaching on how to prevent gastroesophageal reflux disease (GERD). Which statement indicates the client understands the teaching?

"Eliminating bothersome foods will help."

73. A client with an ileostomy who has been discharged from the hospital calls the clinic and asks the nurse if he should take another one of his "potassium pills" because there is a waxy coating on the ileostomy from the pill. What is the best response by the nurse?

"Some medications like this leave a "ghost" of the wax matrix coating, but it doesn't mean the drug wasn't absorbed."

137. A client scheduled for a total colectomy has been taking the immunosuppressive agent, azathioprine. When should the client be told to discontinue the medication to prevent negative effects on tissue healing?

1 month before surgery

feedings. Which residual content. if obtained, would lead the nurse to delay the feeding? 27. The nurse is checking the residual content for a client who is receiving intermittent

120 mL

105. The nurse is admitting a client to their room at the hospital and observes that the client's skin and sclera are jaundice. What does the nurse expect the client's total bilirubin

3.0 mg/dL

7. The nurse fills a tube feeding bag with two 8-oz cans of commercially prepared formula. The client is to receive the formula at mL/hour via continuous gastrostomy feeding tube and pump. How many hours will this bag of formula run before becoming empty?

6 hours

125. What potentially life-threatening complication can the client have if corticosteroids are abruptly withdrawn or the client has significant stress due to the impending surgical procedure?

Adrenal crisis

154. The nurse is reviewing the results of a Hemoccult test wth the client. Which question, asked by the nurse, is important to screen for the potential of a false-positive result. Select all that apply.

Are you prescribed regular strength aspirin daily" Can you tell me the amount of alcohol that you drink on an average week?" When was the last time that you included red meat in your diet?"

15. A client with anorexia complains of constipation. Which of the following nursing measures would be most effective in helping the client reduce constipation?

Assist client to increase dietary fiber.

134. The nurse is accompanying the client to the diagnostic imaging unit for a magnetic resonance imaging (MRI). Which action, by the nurse, is most important prior to the test?

Calculate drop per minute for intravenous fluids and infuse by gravity.

69. A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which of the following would the nurse expect the physician to order most likely?

Cgastrostomy tube

104. Which of the following instructions should the nurse include in the teaching plan of a client who has undergone colostomy?

Chew food well.

35. The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids?

Esophagogastroduodenoscopy

24. The nurse is caring for a client following gastrointestinal diagnostic testing. The client verbalizes being ashamed because he is having frequent gas. Which nursing suggestion is best?

Having gas following the procedure is normal. Expel the gas to decrease discomfort."

100. A client with severe acute pancreatitis has a glucose level of 750 mg/dL. What does the nurse understand is the cause of this level of hyperglycemia?

Imbalance of glucagon, insulin, and somatostatin

23. The nurse is providing ostomy care to the client with an ileostomy. What can the nurse use to protect the skin and promote adhesion of the ostomy appliance?

Karaya gum

9. Which of the following would be most important to ensure that a client does not retain any barium after a barium swallow?

Monitoring the stool passage and its color

25. The nurse is caring for a client with intussusception of the bowel. What does the nurse understand that occurs with this disorder?

One part of the intestine telescopes into another portion of the intestine.

136. A client has had surgery to create an ileoanal reservoir surgery. Which instruction would the nurse give to reduce the risk for bowel incontinence?

Perform perineal exercises.

155. The nurse is assisting the physician in a percutaneous liver biopsy. In which position would the nurse assist the client to assume?

Supine position

49. A client has been discharged from the acute care facility with an ileostomy. The client comes to the clinic for a follow-up visit and informs the nurse that the wound has been draining and they are having abdominal pain and running a fever. What does the nurse suspect is occurring with the client?

The client has developed a wound infection.

150. The nurse is reviewing laboratory work that is consistent with a client being positive for hepatitis and in the incubation phase of the illness. What should the nurse be concerned with at this stage of the illness?

The client is infectious.

107. The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized?

The client will change positions frequently throughout the procedure.

45. A client realizes that regular use of laxatives has greatly improved his bowel pattern. However, the nurse cautions this client against the prolonged use of laxatives for which reason?

The client's natural bowel function may become sluggish.

135. After assessing a client with peritonitis, the nurse likely would document the client's bowel sounds as?

absent

57. A client has developed an anorectal abscess. Which client is at most risk for the development of this type of abscess?

client with Crohn disease

152. The nurse would instruct a client who has an appendectomy to avoid which of the following?

heavy lifting

131. When examining the abdomen of a client with complaints of nausea and vomiting, which of the following would the nurse do first?

inspection

70. A client is recently diagnosed with Crohn disease and is beginning treatment. What first-line treatment does the nurse expect that the client will be placed on to decrease the inflammatory response?

sulfasalazine

8. A client with Crohn disease informs the nurse that he is allergic to aspirin. What medication ordered for the treatment of Crohn disease does the nurse know is contraindicated when a client is allergic to aspirin?

sulfasalazine

149. A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Which of the following most likely would be ordered?

tacrolimus

94. A client is having a procedure that will remove the entire colon and rectum and will bring the end of the ileum through a separate area on the right lower quadrant of the abdomen. What type of procedure does the nurse understand this client will be having?

total colectomy

118. The nurse is preparing a client for surgery and observes on the operative permit that the client will be having a double-barrel colostomy. What portion of the large intestine is the nurse aware that this is performed?

transverse

87. A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery?

vitamin K

22. A nurse is preparing a presentation for a local community group of older adults about colon cancer. Which of the following would the nurse include as the primary characteristic associated with this disorder?

Achange in bowel habits

56. In addition to teaching a client with constipation to increase dietary fiber intake to 25 g/day, which of the following would the nurse include as important?

Adding fiber-rich foods to the diet gradually

43. The client expresses fears about looking at the stoma for the first time. What can the nurse inform the client will occur when he first views and touches the stoma?

An assigned staff nurse will be there when the stoma is exposed for view.

145. The nurse is preparing to measure the client's abdominal girth as part of the physical examination. At which location would the nurse most likely measure?

At the umbllicus

124. A client is being discharged from the outpatient care center after having an inguinal hernia reduced nonsurgically. What can the nurse instruct the client to do to decrease the incidence of recurrence? Select all that apply.

Avoid constipation. How to wear a truss. Avoid heavy lifting and strenuous exercise.

106. When assisting with preparing a client scheduled for a barium sweallow, which of the following would be appropriate to include?

Avoid smoking for at least 12 to 24 hours before the procedure.

3. A client is being evaluated for an esophageal tumor. Which nursing assessment finding presents the greatest concern?

Back pain

86. A client informs the nurse that he has been having abdominal pain that is relieved when having a bowel movement. The client states that the physician told him he has irritable bowel syndrome. What does the nurse recognize as characteristic of this disorder?

Chronic constipation with sporadic bouts of diarrhea

71. A client who will be having a portion of colon removed and colostomy created informs the nurse that he "will not be attractive any longer." The nurse determines the nursing diagnosis is Disturbed Body Image related to the stoma and altered bowel elimination. What expected outcome related to this diagnosis will the client have?

Client verbalizes what the changes will be and the benefits to future health.

123. A client is scheduled for an esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for which of the following while assessing the client during the procedure?

Client's tolerance for pain and discomfort

14. A client is having the first stage of an ileoanal anastomosis. What should the nurse inform the client they will experience?

Continuous discharge of mucus from the anus

50. The nurse is preparing a client for a test that involves inserting a thick barium paste into the rectum with radiographs taken as the client expels the barium. What test will the nurse prepare the client for?

Defecography

48. A client is scheduled to have a total colectomy due to a colon mass and is also taking prednisone for asthma. The physician has instructed the client to taper down on the prednisone and discontinue. What negative outcome does the nurse know may occur if the client does not adhere to the instructions?

Delayed or altered tissue healing

75. A client with an ileostomy tells the nurse that he Is having a lot of problems with the formation of gas. What can the nurse tell the client to help her with this common issue?

Eat slowly and chew food well with mouth closed.

60. A client is seeing the physician for a suspected tumor of the liver. What laboratory study results would indicate that the client may have a primary malignant liver tumor?

Elevated alpha-fetoprotein

in the elderly. Which of the following lifestyle modifications should be included in the 138. The nurse is holding a teaching workshop on managing the symptoms of hiatal hernia presentation?

Eliminating tobacco use

33. What test should the nurse prepare the client for that will locate stones that have collected in the common bile duct?

Endoscopic retrograde cholangiopancreatography (ERCP)

122. The nurse is preparing to irrigate a client's single-barrel colostomy after surgery. The nurse would expect an order from the healthcare provider to irrigate the colostomy on what day after surgery?

Fourth or fifth postoperative day

28. A client with esophageal cancer has difficulty in swallowing. Which of the following would be appropriate to help the client achieve improved nutrition?

Give high-protein, semiliquid foods.

5. A client is preparing to have colorectal surgery and will have a colostomy created temporarily in hopes that he may be able to have it reversed in 6 months. The client is very concerned about the care of the colostomy. What preoperative interaction would the client benefit from?

Going Meeting with an enterostomal therapist

2. The nurse is assessing a client who is stating gastrointestinal upset and a feeling of bloating. Which type of meal would the nurse anticipate causing these types of symptoms?

Hamburger and French fries

96. A nurse is preparing a presentation for a local community group about hepatitis. Which of the following would the nurse include?

Hepatitis C increases a person's risk for liver cancer.

142. An elderly client presents with a complaint of 10-lb weight loss over the past month. Which assessment finding is most important in determining the care of this client?

History of COPD

119. A client is to undergo surgery for the creatilon of a continent leostomy. Which statement by the client indicates successful teaching?

I need to lean how to empty the reservoir several times a day.

148. A client is complaining of problems with constipation. What dietary suggestion can the nurse inform the client may help facilitate the passage of stool?

Increase dietary fiber.

31. Which of the following symptoms would indicate that a client with chronic pancreatitis has developed secondary diabetes?

Increased appetite and thirst

132. Which of the following interventions would be most appropriate for client with a hiatal hernia and nursing diagnosis of Acute Pain related to reflux of gastric secretions?

Inform the client to remain upright for at least 2 hours after meals.

30. A client will be having a total colectomy in 4 days. The client does not have an obstruction. What does the nurse anticipate instructing the client about doing prior to the surgery to prepare the bowel?

Instructing the client about dietary restrictions and lavage agents

98. A client who is recovering from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which of the following measures will help ease the client's discomfort?

Keeping the head of the bed elevated

92. In caring for a client immediately following gastric cancer surgery, which nursing assessment finding would reguire priority attention?

Levine tube set to high continuous suction

37. The nurse is caring for a geriatric client and notices polypharmacy. Which diagnostic studies are anticipated?

Liver function studies

62. A male client will be having an ileoanal anastomosis for the treatment of chronic ulcerative colitis. What is the benefit to this client of having this procedure rather than a total colectomy? Select all that apply.

Maintains bowel continence Unlikely to experience infertility Unlikely to experience bladder dysfunction Unlikely to experience erectile dysfunction

147. When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which of the following interventions should the nurse consider?

Measure abdominal girth according to a set routine.

4. Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

Measure pH of aspirates

139. Which intervention would be most appropriate for a client who has undergone colostomy surgery?

Monitoring the volume of gastric secretions.

61. The nurse is evaluating the medication list of a client with acute gastritis. Which medication would create the most concern?

Nonsteroidal anti-inflammatory

65. A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycolelectrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered?

Permit the client to drink only clear liquids.

91. Which of the following interventions would be appropriate for a client who has undergone surgery for a liver disorder and has started shivering?

Place the client on a hypothermia blanket.

110. A client with a history of peptic ulcer disease is admitted for hematemesis associated with gastric bleeding. Which is the most appropriate action of the nurse?

Prepare for nasogastric irrigations.

67. When the nurse is teaching the client about attachment of the faceplate around the stoma, what measure will ensure secure attachment of the pouch to the peristomal skin?

Press the adhesive faceplate around the stoma for about 30 seconds.

32. A nurse is preparing to administer the prescribed vitamin B12 to a client who has had most of his ileum removed. The nurse understands that this is necessary for which reason?

Prevents deficiencies

146. The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?

Prothrombin time (PT)

11. The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first?

Radiography of the gallbladder

121. A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide?

Reduce fluid accumulation and venous pressure.

128. A client with peptic ulcer disease is scheduled for a partial gastrectomy and vagotomy. The nurse understands the surgery will accomplish which of the following physiologic effects?

Remove source of acid secretion.

36. The nurse observes the physician palpating the abdomen of a client that is suspected of having acute appendicitis. When the abdomen is pressed in the left lower quadrant the client complains of pain on the right side. What does the nurse understand this assessment technique is referred to?

Rovsing sign

59. The nurse is asking the client with acute pancreatitis to describe the pain. What pain symptoms does the client describe related to acute pancreatitis?

Severe midabdominal to upper abdominal pain radiating to both sides and to the back

95. The nurse is providing care to a client who has had a percutaneous liver blopsy. The nurse would monitor the client for which of the following?

Signs and symptoms of bleeding

54. A client tells the nurse, "I am not having normal bowel movements." When differentiating between what are normal and abnormal bowel habits, what indicators are the most important?

The consistency of stool and comfort when passing stool

80. A client with cirrhosis is complaining to the nurse of itching. The client asks the nurse if the itching is because he has been taking warm baths. What is the best response by the nurse?

The itching is caused by the accumulation of bile salts."

83. A client informs the nurse that he is taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about the taking a stimulant laxative?

They can be habit forming and will require increasing doses to be effective.

108. The nurse would expect to observe which of the following when assessing a client with cholelithiasis?

Urine that appears dark brown

53. A female client with chronic hepatitis B has been prescribed recombinant interferon alpha-2b in combination with ribavirin. Which of the following instructions should a nurse provide this client?

Use strict birth control methods.

41. A client with a hernia decides to manage the herniation with a truss. The nurse would emphasize which of the following?

Using cornstarch to absorb moisture in the area

97. The nurse is caring for a client following a colonoscopy. During the procedure, two medium-sized polyps were removed. Which nursing assessment in the recovery area is a priority?

Vital signs

76. A client has undergone a total gastrectomy for refractory ulcers. The nurse would explain the need for lifelong treatment with which of the following?

Vitamin B12 replacement

19. A client is prescribed a magnesium and aluminum hydroxde antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following?

Watch for possible antacid-related diarrhea.

89. Which of the following assessment findings would be most important for indicating dumping syndrome in a postgastrectomy client?

Weakness, diaphoresis., diarrhea 90 minutes after eating

34. The nurse is caring for a client recovering from an esophagogastroduodenoscopy (EGD). Which of the following client symptoms would require further nursing assessment?

abdominal distention

79. The nurse is assisting the physician with a procedure to remove ascitic fluid from a client with cirrhosis. What procedure does the nurse ensure the client understands will be performed?

abdominal paracentesis

77. When assessing a client with cirrhosis of the liver, which of the following stool characteristics is the client likely to report?

clay-colored or whitish

29. The nurse is instructing a client prior to a colonoscopy. The client states, "Why do I have to drink this disgusting liquid?" The nurse is most correct to verbalize the goal of the oral preparation as which of the following?

cleanse the bowel to promote clear visualization of structures"

133. A client with a colostomy is concerned with the odor that is left on the ostomy appliance and believes it may be caused by some of the medication that they take. What suggestion should the nurse provide to the client to determine if her medication is causing this problem?

client can obtain a list of drugs from an ostomy association or appliance manufacturers.

10. The nurse is caring for a client in the immediate postoperative phase after having a colostomy created. What type of appliance should the nurse use at this time?

disposable or temporary appliance should be used.

112. The nurse is caring for a client who has had diarrhea for 3 days. What major problems associated with severe or prolonged diarrhea should the nurse monitor for when caring for this client? Select all that apply.

electrolyte imbalances dehydration vitamin deficiency

103. The nurse is providing community education at the mall. The nurse is instructing on the muscular tube that connects the mouth to the stomach. The nurse outlines this structure on a drawing and labels it with which of the following?

esophagus

18. The nurse is assessing a client of color for jaundice. In which location would the nurse assess for discoloration? Select all that apply.

gums sclera hard palate conjunctiva

46. The nurse is administering medications to a client that has elevated ammonia due to cirrhosis of the liver. What medication will the nurse give to detoxify ammonium and to act as an osmotic agent?

lactulose

16. The client is having a total colectomy with an leostomy created. What does the nurse explain to the client that the stool consistency will be?

liquid or mushy

63. A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis?

liver biopsy

151. After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?

loperamide

58. A client who is scheduled for an ileostomy surgery says to the nurse, "I'm afraid I won't be able to look at that stoma." Which response by the nurse would be most therapeutic?

make sure there is a familiar nurse here with you the first time."

47. A client has a blockage of the passage of bile from a stone in the common bile duct. What type of jaundice does the nurse suspect this client has?

obstructive jaundice

93. A client is admitted to the hospital with acute hemorrhage from esophageal varices. What medication should the nurse anticipate administering that will reduce pressure in the portal venous system and control esophageal bleeding?

octreotide

52. The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?

pancreas

156. A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike. What complication does the nurse determine may be occurring at this time?

peritonitis

6. A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which of the following would the nurse expect the physician to order most likely?

prochlorperazine

102. The nurse is administering furosemide to promote urinary excretion of excess fluids for a client with cirrhosis. When administering furosemide to this client, what should the nurse closely monitor?

sodium level

26. After teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders, the instructor determines that the teaching was successful when the students identify which of the following structures as possibly being affected?

stomach

90. The nurse is caring for a geriatric client at a long-term care facility. When administering the client's medications, which age-related changes of the client are anticipated? Select all that apply.

weak gag reflex Decreased elasticity of the rectal wall Decreased motility in the esophagus

68. The nurse is instructing a client with an ileostomy on appliance use and changing it. What statement made by the client demonstrates the client understands of using a new appliance for the first time?

will patch test it first on nonirritated skin at the inner aspect of my forearm."

84. A client who had a total colectomy with an ileostomy has rectal packing in place to absorb drainage and promote healing. When does the nurse know that the rectal packing will be removed?

within 1 week

113. A male client, age 32 years, was recently married, and he and his wife would like to have children. The client is scheduled to have a total colectomy and is concerned with being able to have children. What is the best answer given by the nurse related to the client's concern?

"You may want to consider collection and storing of sperm for later use if you are planning to have children."

129. The nurse is talking with a group of clients that are older than age 50 years about the recognition of colon cancer to access early intervention. What should the nurse inform the clients to report immediately to their primary care provider?

Change in bowel habits

109. An elderly client seeks medical attention for a vague complaint of difficulty swallowing. Which of the following assessment findings is most significant as related to this symptom?

Esophageal tumor

153. A client with esophageal varices is scheduled to undergo injection sclerotherapy. Which of the following client's statements indicate that the teaching was successful?

I might need to have this procedure done again."

13. When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the physician?

I really don't like to be in small, enclosed spaces."

82. A client had an open cholecystectomy with a T-tube insertion, and the nurse is measuring the bile drainage every 8 hours. When should the nurse notify the physician?

If more than 500 mL of bile drainage is present in 24 hours

117. A client, who is recovering from bariatric surgery, is returning from the postanesthesia care unit. Which nursing assessment is of greatest concern in the immediate postoperative period for this client?

Impaired Gas Exchange

17. The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon returning to the nursing unit, what does the nurse identify as the client goal?

Increase in the amount of fluids

12. A client is to have a total colectomy and has been on prednisone 3 months ago for the treatment of Crohn's disease. What medication does the nurse anticipate administering in the preoperative phase to prevent adrenal crisis?

Intravenous hydrocortisone

116. A client is scheduled to have a laparoscopic cholecystectomy as an outpatient. The client asks the nurse when he will be able to resume normal activities. What information should the nurse provide? •

Normal activities may be resumed in 1 week.

127. A client comes to the clinic complaining of not having a bowel movement in several days, abdominal cramping, and nausea. When the nurse puts the client on the stretcher, he vomits a large amount of fecal material. What should the first action by the nurse be?

Notify the physician.

88. The nurse instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?

Serum antibodies for H. pylori

avoid certain medications that may pass through without being absorbed. What medications 141. The nurse is discussing care of the client's ileostomy and is instructing the client to should the nurse instruct the client to avoid? Select all that apply.

Slow-release beads Layered tablets Enteric-coated products

130. A client is preparing for discharge to home, following a partial gastrectomy and vagotomy. Which is the best rationale for the client being taught to lie down for 30 minutes after each meal?

Slows gastric emptying

85. The nurse is reviewing the laboratory test results of a client with Crohn disease. Which of the following would the nurse most likely find?

Stool cultures negative for microorganisms or parasite

157. Which nursing instruction is correct to provide the client following a barium enema?

The stools may be a white or clay colored.

120. A client who is scheduled for an ileostomy surgery and been taking corticosteroids is instructed to taper the drug, eventually discontinuing it. The nurse would monitor this client for which of the following?

adrenal insufficiency

115. The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply.

asterixis positive Babinski reflex fetor heapticus

144. When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. The nurse documents this finding as which of the following?

caput medusae

101. A client comes to the clinic and informs the nurse that he is there to see the physician for right upper abdominal discomfort, nausea, and frequent belching especially after eating a meal high in fat. What disorder do these symptoms correlate with?

cholelithiasis

140. A client has developed drug-induced hepatitis from a drug reaction to antidepressants. What treatment does the nurse anticipate the client will receive to treat the reaction?

high-dose corticosteroids

143. When interviewing a client with internal hemorrhoids, which of the following would the nurse expect the client to report?

rectal bleeding

78. The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?

semiliquid

111. The nurse is assessing the abdomen of the client with an undiagnosed disorder. In which sequence would the nurse conduct the abdominal assessment? (Use all options.)

2,3,4,1

1. The nurse is preparing discharge instructions for the client with diverticulosis. When instructing the client to increase dietary fiber, what should the nurse inform the client is the amount that should be taken in daily?

20 to 35

126. A nurse is employed as a gastroenterologist's office nurse. When assessing the client, which objective data would provide useful information for diagnosis?

22-lb weight loss in 2 months

39. The nurse is caring for four clients with diarrhea. Which client is most likely to be diagnosed with Crohn disease?

24 year-old Caucasian eastern European Jewish female

view. 44. The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?

A warm sensation

55. A client with cirrhosis is complaining of severe pruritus related to the accumulation of bile salts. What can be prescribed for the client to relieve the itching?

cholestyramine

74. A client is diagnosed with colon cancer, located in the lower third of the rectum. What does the nurse understand will be the surgical treatment option for this client?

abdominoperineal resection

72. The nurse is caring for a young woman who is struggling with weight loss issues, without apparent physical cause. Which is the most likely nursing assessment for this nutritional disorder in which normal body weight is not maintained?

anorexia nervosa

40. A client with gallstones tells the nurse, "The doctor has to do something. Isn't there something he can give me to dissolve them?" What medication does the nurse know may help dissolve the gallstones?

chenodiol

81. The nurse is following an order to collect a stool specimen from a client who is having diarrhea for ova and parasites. What does the nurse understand may be required when obtaining this specimen?

The nurse may have to obtain several samples.

38. After teaching a group of students about intestinal obstruction, the instructor determines that the teaching was effective when the students identify which of the following as a cause of a functional obstruction?

abdominal surgery

66. A client at a long-term care facility informs the nurse that he is having cramping when trying to have a bowel movement, and all that is coming out is liquid. When the nurse reviews the client's last bowel movement history, it is determined that the client has not had a bowel movement in 7 days. What does the nurse understand is most likely occurring with this client?

encopresis

64. After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?

need to drink 8 oz of water before eating."

20. The nurse is admitting a client to the acute care facility with abdominal pain related to an umbilical hernia. The nurse is palpating the protrusion, and the client states that it suddenly feels better. What type of hernia does the nurse understand this client has?

reducible

21. The nurse is assessing a client for fecal impaction, and when inserting a lubricated, gloved finger, the stool feels like small rocks. What does the nurse document this finding as?

scybala

51. The nurse is answering questions regarding fecal matter for a client who is scheduled for a colon resection. The client is asking questions regarding the composition of the fecal matter and when it becomes a formed mass. The nurse is most correct to state at which location?

sigmoid colon

42. The nurse is caring for a geriatric client experiencing diarrhea. When instructing on the body site where water and electrolytes are absorbed, the nurse is most correct to instruct on which location?

small bowel