Timby Ch 44 (odd numbers)

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? A) Esophagogastroduodenoscopy B) Sigmoidoscopy C) Peritoneoscopy D) Colonoscopy

A) Esophagogastroduodenoscopy

The nurse is scheduling gastrointestinal (GI) diagnostic testing for a client. Which GI test should be scheduled first? A) Radiography of the gallbladder B) Barium enema C) Small bowel series D) Barium swallow

A) Radiography of the gallbladder

When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the physician? A) "I haven't had anything to eat or drink since midnight last night." B) "I really don't like to be in small, enclosed spaces." C) "I left all my jewelry and my watch at home." D) "I brought earphones to shut out the loud noise."

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

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) Light-headedness B) A warm sensation C) Heart palpitations D) Chills

B) A warm sensation

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) Decreased motility in the esophagus C) A weak gag reflex E) Decreased elasticity of the rectal wall

When examining the abdomen of a client with complaints of nausea and vomiting, which of the following would the nurse do first? A) Palpation B) Inspection C) Auscultation D) Percussion

B) Inspection

Which of the following would be most important to ensure that a client does not retain any barium after a barium swallow? A) Placing any stool passed in a specific preservative B) Monitoring the stool passage and its color C) Observing the color of urine D) Monitoring the volume of urine

B) Monitoring the stool passage and its color

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? A) Gallbladder B) Pancreas C) Stomach D) Liver

B) Pancreas

The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior? A) Complete blood count (CBC) B) Prothrombin time (PT) C) Blood chemistry D) Erythrocyte sedimentation rate (ESR)

B) Prothrombin time (PT)

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? A) A complete blood count including differential B) Serum antibodies for H. pylori C) A sigmoidoscopy D) Gastric analysis

B) Serum antibodies for H. pylori

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? A) Checking if the skin is discolored B) Checking if the mucous membranes are dry C) Examining the sclera if it is yellow D) Observing for distended abdominal veins

B. Check 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? A) Signs of perforation B) Client's ability to retain the barium C) Client's tolerance for pain and discomfort D) Gag reflex

C) Client's tolerance for pain and discomfort

. 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? A) Pharynx B) Pylorus C) Esophagus D) Ileum

C) Esophagus

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? A) Recover from the general anesthesia B) Decrease nausea and vomiting C) Increase the amount of fluids D) Ambulate independently

C) Increase the amount of fluids

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? A) Ileum B) Cecum C) Sigmoid colon D) Duodenum

C) Sigmoid colon

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? A) Assessment of level of consciousness B) Hemoccult test of stool C) Vital signs D) Ability to tolerate liquids

C) Vital signs

The nurse is assisting the physician in a percutaneous liver biopsy. In which position would the nurse assist the client to assume? A) A high Fowler's position B) Lithotomy position C) Dorsal recumbent position D) Supine position

D) Supine position

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

The conjunctiva Ans: A, B, E, F