MedSurg Ch 44

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."

a nurse is providing pre-procedure instructions to a client scheduled for a barium enema period which of the following statements indicates that the client understands the instructions?

"I can only have clear liquids the day before the test"

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

a client tells the nurse that the dye tablets needed to test the gallbladder causes the client to vomit. The nurse lets the client know that which of the following tests can be done as an alternative?

Cholangiography

A client scheduled for a colonoscopy has taken the oral preparations as ordered prior to the exam the next day period the client is now having liquid stools period what is the nurse's best action?

Explain that this is the expected response

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

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

Inspection

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

Liver function studies

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

the nurses conducting an abdominal assessment on a client period after inspecting the skin of the abdomen, which assessment is done next?

Observed abdomen's contour for shape and distension

A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte 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.

Which nursing action is most appropriate after a liver biopsy is done on a client with cirrhosis?

Positioning the client on the right side

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

Radiography of the gallbladder

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

Signs & symptoms of bleeding

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.

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

To cleanse the bowel to promote clear visualization of structures

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

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

Adbominal distention

The nurse, assessing a client's abdomen, does not hear any bowel sounds on the right lower quadrant for 5 minutes. Which action is best for the nurse to do next?

Auscultate and another quadrant for a minimum of three minutes

What instruction should the nurse give to a client scheduled for a gallbladder series test?

Do not eat or drink until the test is complete

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

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

the client with epigastric pain is scheduled for an x-ray of the upper gastrointestinal tract period after the nurse explains the procedure, which statement best indicates that the client understands what the procedure involves?

I will have to swallow a large amount of barium

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

Increase the amount of fluids

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

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

Supine position

Before administering the contrast substance (oral tablets taken the evening before the procedure) to a client scheduled for an oral cholecystography, which question is essential for the nurse to ask?

"is the client allergic to iodine?"

A client with a GI disorder has to undergo a barium swallow test period the nurse correctly states which of the following diet restrictions required for this client?

"You need to be NPO 8-12 hours before the test"

the nurse needs to assess a client's abdomen period to best accomplish this, the nurse directs the client to lie in which of the following positions?

Supine with knees flexed

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.

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.) A) Palpation B) Inspection C) Auscultation D) Percussion

A, B, C, D

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. A) Increased saliva causing drooling B) Decreased motility in the esophagus C) A weak gag reflex D) Increased amount of gastric secretions E) Decreased elasticity of the rectal wall

B, C, E

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

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

which of the following pretest evaluation measures should the nurse ensure before a client undergoes the gallbladder series test?

Determine whether the client is allergic to iodine

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

The nurse is 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

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

A client has to undergo a barium enema for a suspected GI disorder period during the test, the client experiences a strong urge to defecate and cease the nurses advice period which of the following should the nurse do?

Assure the client that most people can resist the urge

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 umbilicus

The nurse is reviewing the results of a Hemoccult test with the client. Which question, asked by the nurse, is important to screen for the potential of a false-positive result. Select all that apply. A) "Do you take an iron supplement on a daily basis?" B) "Does your diet include a moderate amount of vitamin C?" C) "Are you prescribed regular strength aspirin daily?" D) "Can you tell me the amount of alcohol that you drink on an average week?" E) "When was the last time that you included red meat in your diet?"

C, D, E

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.

What is most important for the nurse to assess for a client scheduled for a percutaneous liver biopsy?

Coagulation studies

A client complained of a sore throat after an egd. The nurse observed that the client's gag reflex has returned period what measure can the nurse take to relieve the client's discomfort?

Provide the client with ice chips

a client has a colonoscopy period while recovering, the nurse assesses the client's abdomen. Which sign indicates a potential complication of the colonoscopy?

Rebound tenderness

The nurse is assessing a client of color for jaundice. In which location would the nurse assess for discoloration? Select all that apply. A) The sclera B) The gums C) The hands D) The nails E) The hard palate F) The conjunctiva

A, B, E, F

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

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

Prothrombin time (PT)

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

The stools may be a white or clay colored.

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

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

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?

The small bowel