Kaplan focused review Gastrointestinal B

the nurse instructs a client how to limit calories in the diet. The nurse determines teaching is effective if the client chooses which menu items?

1. grilled fish, green salad, unsweetened tea 2. broiled chicken, broccoli with lemon

the home health care nurse makes a visit to a client receiving enteral feeding throughout a gastrostomy tube. The client's adult caregiver reports the client has frequent loose stools. Which statement made by the adult caregiver needs further investigation by the nurse?

I am able to give liquid medicines through the tube

the nurse prepares a client for a sigmoidoscopy. the nurse recognizes a need to intervene if the client makes which statement?

I hope this is easier than the barium enema I had two days ago.

the nurse provides discharge teaching to a client who has undergone a laparoscopic cholecystectomy. The nurse determines additional teaching is needed if the client makes which statement?

I need to limit any lifting to no more than 10 pounds for the first few days

the home health nurse visits a client diagnosed with hepatitis. It is most important for the nurse to intervene if the client makes which statement?

I take acetaminophen when I get a headache

the home health care nurse visits a client diagnosed with diverticulitis. The client is prescribed a clear liquid diet, and the nurse instructs the family about the appropriate foods. The nurse intervenes if the client's family makes which statement?

My grandparent can have a daily glass of prune juice.

an older adult client is diagnosed with osteoporosis and encouraged to take a calcium supplement containing vitamin D3. What information is correct for the nurse to give the client about vitamin D3?

Vitamin D3 is also known as cholecalciferol and is purchased as an over the counter medication

the nurse performs discharge teaching for a client with a diagnosis of hepatitis B. Which precaution is included in the teaching?

abstain from unprotected sexual intercourse

a client has a gastroscopy performed and a gastric aspirate is taken for analysis. the nurse understands the purpose of a gastric aspirate includes which reason?

assess acid secretion and bacterial activity in the stomach.

the nurse instructs a client with a sigmoid colostomy how to irrigate the colostomy. Which action does the nurse include in the teaching

dilate the stoma gently with gloved finger

the nurse instructs the family of a client diagnosed with hepatitis A how to prevent the spread of the disease. It is MOST important for the nurse to include which instruction?

family members should use separate eating utensils and drinking glasses.

the clinic nurse monitors a client recovering from hepatitis A. The nurse understand that hepatitis A is transmitted through which route?

fecal-oral

the nurse assesses a client in the outpatient clinic with a diagnosis of ulcerative colitis. While obtaining the client's Hx, the nurse expects the client to make which statement?

i feel an intermittent cramping pain in my lower abdomen

the nurse in the same day surgery prepares a client for discharge after conventional herniorrhaphy. The nurse intervenes if the client makes which statement?

i should cough and deep breathe every 2 hours

the nurse instructs a client about the bowel preparation required prior to a sigmoidoscopy. The nurse identifies teaching is successful if the client makes which statement

i will have an enema the morning of the test

the nurse provides care for a client after an appendectomy. The day after surgery, the client has severe abdominal pain, a temperature of 101 (38.3), and a rigid abdomen. The nurse suspects the client is experiencing which complication?

infection of the peritoneal sac.

the prepare a client for a paracentesis, it is essential for the nurse to take which action?

instruct the client to empty the bladder

the nurse provides care for clients in the outpatient clinic. The nurse obtains a Hx on a client reporting diarrhea. It is most important for the nurse to follow up on which client statement?

ive been taking cephalexin for the last week.

a nurse on the surgical unit cares for the client after an ileostomy procedure. Which action does the nurse take first?

measure the output and document it in the medical record.

the nurse monitors a client recovering from hepatitis B. The nurse understands this client has developed which type of immunity to hepatitis B?

natural active acquired immunity

a client is returned to the unit following a total gastrectomy for stomach cancer. The client pulls the nasogastric tube out. Which action should the nurse perform immediately?

notify the health care provider (HCP)

following a hemicolectomy, the client tolerated a clear diet, then progressed to a full liquid diet. The client develops abdominal pain and vomiting after consuming the full liquid diet. Which is the most appropriate action for the nurse to take?

return to providing the client sips of clear liquids

the nurse reviews the records of a client diagnosed with laennec cirrhosis. The nurse expects to find which lab value?

serum alanine aminotransaminase (ALT, SGPT) 600 U/L (10.02 ukat/L)

the nurse assess the frequency and characteristics of the bowel movements of an older adult client diagnosed with constipation. Which nursing intervention is most effective to promote normal bowel elimination?

teach the client to respond to the urge to defecate

the nurse provides care for a client admitted with a diagnosis of acute pancreatitis. The nurse administers morphine sulfate intravenously for reports of pain. Which client behavior indicates to the nurse the medication is effective?

the client sleeps for one hour.

the nurse provides care for an older adult client admitted with a diagnosis of hepatitis A. The client is anorexic, reports weakness, and is incontinent of urine and stool. The nurse determines that care is appropriate if which observation is made?

the nurse places the client on contact precautions

a client is being taught how to care for an ileostomy appliance. Which information does the nurse emphasize as most important when applying a new bag?

the wafer should be cut or molded to fit snugly around the stoma.

the nurse cares for a client diagnosed with a bowel obstruction who has been receiving PN. The nurse reviews the client's medical record and notes the pN rate is to be slowly decreased until the PN infusion is discontinued. Why must the rate be tapered before the infusion is discontinued?

to avoid hypoglycemia

the nurse provides care for a client with a diagnosis of pancreatitis. The client has been able to tolerate clear fluids, and a full liquid diet is prescribed. The nurse determines the client's lunch tray is appropriate if it includes which food?

vanilla ice cream

the nurse cares for a client with a diagnosis of ulcerative colitis. When reviewing the client's record, the nurse expects to find which lab value?

white blood cell count (WBC) 15,000/mm3 (15x10^9/L)