Review GI

You are reinforcing teaching to a client who has GERD about minimizing the effects of reflux during sleep. Which of the following clients statement indicates the prevention of getting the reflux?

"I should elevate the head of the bed"

You are the nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric reception. Which of the following client statements indicates an understanding of pain regimen?

"I will call for pain medication before the previous dose wears off"

You are the nurse reinforcing teaching to a client about to how to perform fecal occult blood testing for screening colorectal cancer. Which of the following statements by the client indicates a need for further teaching?

"I will continue my low dose of aspirin

You are the nurse reinforcing preoperative teaching with a client who is to undergo a bowel resection at 1300, next week. Which of the following statements client indicates to the nurse a need for further teaching?

"I will take the warfarin with a glass of water"

You are then nurse caring a young adult client who has ulcerative colitis and is scheduled for surgery for ileostomy. After speaking with the provider the client says "How will I ever be able to have bowel movements?"

"Tell me how you think having ileostomy affect you"

You are the nurse contributing plan of care for a client who has cirrhosis in the liver. Which of the following interventions should the nurse include in the plan? (SATA)

* Implement fall precautions * initiate a low sodium diet * measure abdominal girth daily

You are the nurse planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 mg administered twice daily. Which of the following times should the nurse plan to administer the medication?

1 hour before breakfast and the evening meal

You are the nurse caring a client who has cirrhosis. When delivering the clients lunch tray, which of the following food selection requires intervention by the nurse?

1 slice of ham with whole wheat bread

Liquid famotidine 20 mg PO every 6 hr Available: 40mg/5mL. How many mL's should the nurse administer?

2.5

You are the nurse collecting data from a client who has a gastric ulcer. Which of the following should the nurse identify as a priority finding and notify the provider?

Abdominal pain radiating to the shoulder

You are the nurse reinforcing discharge instruction with a client to avoid doing when having Hepatitis A?

Abstain sexual intercourse

You are the nurse assisting with the development of a community education course about physical complications related substance used disorder? What substance disorder should be including in your education?

Alcohol

You are the nurse contributing a teaching plan about the prevention of Hepatitis A. What is one way preventing contracting Hepatitis A?

Avoid eating uncooked foods

You are the nurse reinforcing teaching with a client who has GERD. Which of the following statements should the nurse include in the teaching?

Avoid wearing constricted clothing

You are the nurse caring a client with cirrhosis and prescription for lactulose following of administration. The nurse should monitor for which of the following adverse effect?

Diarrhea

The nurse have given a Hepatitis C vaccine to the patient. How to discard the needle?

Dispose needle container

You are the nurse reinforcing teaching with a client who has ulcerative colitis and requires a low fiber diet. The nurse should instruct the client to avoid which of the following foods?

Dried apricots

You are the nurse collecting data from a client who has GERD and reports having heartburn every night. Which of the following actions should the nurse identify as a contributory factor to it?

Drinking orange juice regularly

You are the nurse is caring a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

Evaluate fluid and electrolyte levels

You are the nurse reviewing laboratory results for a client who has cirrhosis. Which of the following result should the nurse expect for this client?

Prolonged prothrombin time and increased INR

You are assisting with a plan of care with a client who has viral hepatitis. What should be added in the plan of care?

Provided periods of rest

A nurse is assessing who has advanced cirrhosis. Which of the following manifestations should the nurse expect to find?

Spidertelagenasis

You are the nurse caring for a client who has Hepatitis A. The client asks the nurse how he might contracted the virus. Before responding which of the following question should the nurse first ask?

"Have you eaten shellfish lately?"

You are the nurse collecting data from a client in a health clinic who has epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with the complain?

"I feel so much better after eating"

You are the nurse reinforcing teaching about esophagogastroduodenoscopy with a client who has upper gastric pain. Which of the following statements should the nurse include in the teaching?

"You will remain NPO for 8 hours before the procedure"

You are the nurse reinforcing teaching with a client about dietary choices for celiac disease. Which of the following menu choices selected by the client indicates and understanding of the teaching?

Baked chicken and potato chips

You are the nurse reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

Baked turkey breast

You are the assisting menu selections for a client who has recovered from acute phase of diverticulitis. Which of the following foods should the nurse recommend?

Bean soup with steam broccoli

You are the charge nurse reinforcing teaching with a newly licensed nurse about the common link with ulcerative colitis and Crohn's disease. Which of the following statement by the newly license nurse indicates knowledge?

Both illnesses are inflammatory in nature

You are the nurse reinforcing discharge teaching with a client who has a new diagnosis of GERD. Which of the following food should the nurse include in the list that the client would not eat?

Chocolate

You are the nurse caring a client who has history a of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of anemia?

Chronic blood loss

A nurse in a provider's office is caring for a client who has gastric ulcer caused by helicobacter pylori. The nurse should anticipate that an addition that ranitidine,sucralfate the provider will provide what kind of antibiotic?

Clarithromycin

You are the nurse reinforcing discharge teaching with a client who has acute gastritis. Which of the following instructions should the nurse include in the teaching?

Consume a glucose electrolyte solution

You are the nurse reviewing the plan of care for a client experiencing an acute exacerbation of ulcerative colitis. Which of the following treatments should the nurse expect to administer?

Corticosteroid medication

You are the nurse collecting data from a client with acute pancreatitis. Which of the following factors should the nurse anticipate in the client's history?

Gallstones

You are the nurse reinforcing teaching with a client who has Crohn's disease about foods to include with her diet? Which of the following foods should the nurse include in the teaching?

Grilled chicken breast

You are the nurse reviewing medical record of a client who has peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

History of ibuprofen use

You are the nurse reinforcing discharge teaching for a client who has chronic pancreatitis. Which of the following statements by the nurse is appropriate?

Increase daily intake of protein

You are the nurse collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Increased WBC

You are the nurse caring for a client who has cirrhosis of the liver with ascites. Which of the following findings should the nurse take?

Increased daily calorie intake

You are collecting data from a client who african american who has cholecystitis. Which of the following areas should the nurse expect to monitor for the presence of jaundice?

Sclera

You are the nurse caring a client who has a bowel obstruction and a new prescription for insertion of NG tube. Which of the following interventions should the nurse take while inserting NG tube?

Instruct the client to place his chin to his chest and swallow

You are preparing a client who has advanced cirrhosis for abdominal paracentesis. Which of the actions should the nurse take?

Instruct to empty bladder

You are the nurse is reinforcing dietary instructions with a client who has episodes biliary colic from chronic cholecystitis . Which of the following diet should the nurse reinforce in the teaching plan?

Low fat diet

A nurse is contributing to the plan of care for a client who has acute pancreatitis.Which of the following interventions should the nurse include?

Maintain NPO status

You are the nurse contributing plan of care for a client intestinal obstruction and is receiving continuous gastrointestinal compression using NG tube. Which of the following should the patient be position?

Maintain the client in high fowlers

You are the assisting care of a client who has cirrhosis which of the following actions should the nurse take?

Measure abdominal girth every 8 hours

A nurse is preparing to administer hepatitis B vaccine. Which of the following is the proper way to determine the deltoid muscle?

Place 1 finger across the acromion process measure 3 fingers below to the midpoint and center of the lateral aspect of the upper arm

You are the nurse reviewing the laboratory findings of a client who has liver failure with ascites.The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

Potassium level lowers

What other ways can you contract hepatitis C?

Presence of multiple tattoos

You are the nurse preparing a presentation for co workers about baruous herbal remedies clients might report using. Which of the following should she include as a herbal supplement the client might use?

Probiotics

You are the nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain for McBurney's point?

Right lower spot (Hot spot)

You are the nurse collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

Severe upper abdominal pain

You are the nurse reinforcing teaching a client who has peptic ulcer disease and starting therapy with sucralfate. Which of the following instructions should the nurse include in the teaching?

Take the medication 1 hour before meals

. You are reinforcing discharge teaching with a client with acute pancreatitis with a prescription of fat soluble vitamin supplements? What is a fat soluble vitamin supplement?

Vitamin A

You are the nurse reinforcing teaching about cimetidine with client who has peptic ulcer disease. Which of the following information should the nurse include in the teaching?

Wait at least 1 hour after taking the medication before taking an antacid

You are the nurse contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a NG tube to through low intermittent suction and closed suction. What position?

high fowler's

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Decrease the client's fluid intake