Unit D (Online Exam)

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? Assessment of level of consciousness Hemoccult test of stool Vital signs Ability to tolerate liquids

Vital signs

Which assessment finding is most indicative of dumping syndrome in a postgastrectomy client? Abdominal distention, elevated temperature, weakness before eating Constipation, rectal bleeding following bowel movements Persistent loose stools, chills, hiccups after eating Weakness, diaphoresis, diarrhea 90 minutes after eating

Weakness, diaphoresis, diarrhea 90 minutes after eating

The nurse is preparing a client for magnetic resonance imaging (MRI) of the abdomen. Which statement by the client would indicate the need to notify the physician? "I haven't had anything to eat or drink since midnight last night." "I really don't like to be in small, enclosed spaces." "I left all my jewelry and my watch at home." "I will practice visualization to remain relaxed during the procedure

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

The nurse is caring for a client experiencing diarrhea. When teaching about the site in the body where water and electrolytes are absorbed, the nurse is most correct to instruct on which location? The small intestine The stomach The large intestine The cecum

The large intestine

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? Instruct the client that the scanner makes loud clanging. Calculate drop per minute for intravenous fluids and infuse by gravity. Support client, if nervous, by words of encouragement. Ensure that the client does not ingest fluids in the waiting area.

Calculate drop per minute for intravenous fluids and infuse by gravity

When inspecting the abdomen of a client with cirrhosis, the nurse observes that the veins over the abdomen are dilated. How does the nurse document this finding? Gynecomastia Cutaneous spider angioma Caput medusae

Caput medusae

The nurse is caring for a client who has undergone colostomy. Which of the following instructions should the nurse include in the teaching plan? Restrict traveling by air. Limit outdoor activities. Avoid tight clothing. Chew food well.

Chew food well

A client comes to the clinic to see the health care provider for right upper abdominal discomfort, nausea, and frequent belching especially after eating a meal high in fat. What disorder do these symptoms correlate with? Hepatitis Biliary colic Cholelithiasis Cholecystitis

Cholelithiasis

An older adult client seeks medical attention for a report of general difficulty swallowing. Which assessment finding is most significant as related to this symptom? Hiatal hernia Gastroesophageal reflux disease Gastritis Esophageal tumor

Esophageal tumor

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 Sigmoidoscopy Peritoneoscopy Colonoscopy

Esophagogastroduodenoscopy

A client with esophageal varices is scheduled to undergo injection sclerotherapy. Which client statement indicates that the nurse's teaching was successful? "The physician will use a balloon to compress the vessels." "I might need to have this procedure done again." "It seems odd that a rubber band can block off the vessels." "A catheter will be inserted through my belly to fix the vessels."

I might have to have this procedure done again

A client who is recovering from bariatric surgery is returning from the postanesthesia care unit. Which nursing assessment finding is of greatest concern in the immediate postoperative period for this client? Impaired Gas Exchange Self-Care Deficit Impaired Mobility Diarrhea

Impaired Gas Exchange

The nurse is providing ostomy care to the client with an ileostomy. What can the nurse use to promote adhesion of the ostomy appliance? Adhesive glue Tincture of Benzoin Vaseline Karaya paste

Karaya paste

A client who has recovered from anesthesia following oral surgery for lip cancer is experiencing difficulty breathing deeply and coughing up secretions. Which measure will help ease the client's discomfort? Keeping the head of the bed elevated. Positioning the client flat on the abdomen or side. Providing a tracheostomy tray near the bed. Turning the client's head to the side.

Keeping the head of the bed elevated

The nurse is administering medications to a client who 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? Spironolactone Cholestyramine Lactulose Kanamycin

Lactulose

When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which intervention should the nurse consider? Report the condition to the physician immediately. Measure abdominal girth according to a set routine. Provide the client with nonprescription laxatives. Ask the client about food intake.

Measure abdominal girth according to a set routine

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? Referred pain Rebound pain Rovsing sign Cremasteric reflex

Rovsing sign

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 Hard stool Fecal Impaction Obstruction

Scybala

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 complete blood count including differential Serum antibodies for H. pylori A sigmoidoscopy Gastric analysis

Serum antibodies for H. pylori

The nurse is caring for a client with severe acute pancreatitis who has a glucose level of 750 mg/dL. What does the nurse understand is the cause of this level of hyperglycemia? A. Severe acute pancreatitis causes an increase in circulating calcium. B. The client has not been taking the insulin and eating simple carbohydrates. C. The client has diabetes as well as pancreatitis. D. Severe acute pancreatitis causes an imbalance of glucagon, insulin, and somatostatin.

Severe actue pancreatitis causes imbalance of glucagon, insulin, and somatostatin

The instructor has just finished 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 structure as possibly being affected? Liver Ileum Stomach Large Intestine

Stomach

The nurse is reviewing the laboratory test results of a client with Crohn disease. Which of the following would the nurse most likely find? Decreased white blood cell count Increased albumin levels Stool cultures negative for microorganisms or parasite Decreased erythrocyte sedimentation rate

Stool cultures negative for microorganisms or parasite

The nurse is assessing a client of color for jaundice. In which location(s) would the nurse assess for discoloration? Select all that apply. The sclera The gums The hands The nails The hard palate The conjunctiva

The sclera The gums The hard palate The conjunctiva

A client reports taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about taking a stimulant laxative? They can be habit forming and will require increasing doses to be effective. If the client is drinking 8 glasses of water per day, it is all right to continue taking them. The laxative is safe to take with other medication the client is taking. The client should take a fiber supplement along with the stimulant laxative.

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

The nurse is assessing a client with suspected cholelithiasis. What can the nurse expect to observe? Stools that contain blood and mucus Bowel sounds that are absent Stools that appear small and dry Urine that appears dark brown

Urine that appears dark brown

The nurse is caring for a client suspected of having stones that have collected in the common bile duct. What test should the nurse prepare the client for that will locate these stones? Colonoscopy Abdominal x-ray Cholecystectomy Endoscopic retrograde cholangiopancreatography (ERCP)

cholangiopancreatography (ERCP)

The nurse is caring for a client with oral cancer who reports severe mouth sensitivity. The client asks the nurse what might be done about the condition. What should the nurse include in the response? A. "I can arrange a nutritional consultation." B. "Cold liquids may help soothe the sensitivity." C. "An anesthetic mouthwash may be used, but I will need to consult with the primary provider." D. "A special diet may be necessary based on your ability to chew and swallow." E. "Your doctor may prescribe a systemic analgesic for pain relief if necessary."

A, C, D, E

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? Signs of perforation Client's ability to retain the barium Client's tolerance for pain and discomfort Gag reflex

Client's tolerance for pain and discomfort

The nurse is caring for a client about to have the first stage of an ileoanal anastomosis. What should the nurse inform the client they will experience? Solid stool from the anus Very little discharge from the anus Control of the fecal material from the anus Continuous discharge of mucus from the anus

Continuous discharge of mucus from the anus

The instructor is teaching a group of students about Crohn disease 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-based antidiarrheal agent? Diphenoxylate with atropine Bismuth subsalicylate Kaolin and pectin Bisacodyl

Diphenoxylate with atropine

The nurse is preparing to administer ondansetron to an older adult client. Which safety warning(s) should the nurse consider when administering the medication? SATA A. Do not use if the client has a heart block or prolonged QT interval. B. Increases sedation if used with opiates. C. Emphasize prevention. The client must take consistently to prevent nausea and vomiting. D. Explain that it must be started before travel to be effective. E. Explain that there is a risk for dehydration.

Do not use if the client has a heart block or prolonged QT interval. Increases sedation if used with opiates. Emphasize prevention. The client must take consistently to prevent nausea and vomiting.

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? A. The client is having an allergic reaction to the appliance. B. The client has developed anemia from blood loss. C. The client has developed a wound infection. D. The client is not emptying the pouch correctly.

The client has developed a wound infection

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. The client may have enlargement of the liver and spleen. The client will have weight loss. The client has jaundice.

The client is infectous

A client who had a total colectomy with an ileostomy has rectal packing in place to absorb drainage and promote healing. When the client asks how soon the packing will be removed, what is the nurse's best response? Within 24 hours 2 days Within 1 week In 2 weeks

Within 1 week

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? "I will eat two large meals a day, instead of three." "I will eliminate bothersome foods from my diet." "I will plan to sleep flat without pillows." "I will start taking a nap after meals, when possible."

"I will eliminate bothersome foods from my diet."

A nurse is employed as a gastroenterologist's office nurse. When assessing the client, which objective data would provide useful information for diagnosis? Client verbalizing symptoms of nausea 22-lb weight loss in 2 months Client verbalizes chills and fatigue Client seated and stating pain

22-lb weight loss in 2 months

The nurse is admitting a client to their room at the hospital and observes that the client's skin and sclera are jaundiced. What does the nurse expect the client's total bilirubin levels to be? 0.2 mg/dL 1.0 mg/dL 2.0 mg/dL 3.0 mg/dL

3.0 mg/dL

A nurse is preparing a presentation for a local community group of older adults about colon cancer. What would the nurse include as the primary characteristic associated with this disorder? Abdominal distention Frank blood in the stool A change in bowel habits Abdominal pain

A change in bowel habits

A client has developed an anorectal abscess. Which client is likely at risk for the development of this type of abscess? A client with Crohn disease A client with hemorrhoids A client with colon cancer A client with diverticulosis

A client with Crohn disease

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? Thoracentesis Abdominal paracentesis Abdominal CT scan Upper endoscopy

Abdominal paracentesis

The instructor is 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? Volvulus Intussusception Tumor Abdominal surgery

Abdominal surgery

The nurse is teaching a client with constipation to increase dietary fiber intake to 25 g/day. Which recommendation would the nurse include? Avoiding bran cereals and beans in the diet Adding fiber-rich foods to the diet gradually Limiting fluid intake to 5 to 6 glasses per day Minimizing activity levels for at least 2 months

Adding fiber-rich foods to the diet gradually

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? Cushing's disease Myxedema coma Thyroid storm Adrenal crisis

Adrenal crisis

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? Cerebral anoxia Cardiac dysrhythmias Hypothyroidism Adrenal insufficiency

Adrenal insufficiency

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 white blood cell count Elevated alpha-fetoprotein Decreased AST levels Decreased alkaline phosphatase levels

Elevated alpha-fetoprotein

When assisting with preparing a client scheduled for a barium swallow, which instruction would be appropriate to include? A. Avoid smoking for at least 12 to 24 hours before the procedure. B. Take vitamin K before the procedure. C. Take three cleansing enemas before the procedure. D. Avoid the intake of red meat before the procedure.

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

The nurse is working with clients with digestive tract disorders. Which organ does the nurse realize has effects as an exocrine gland and an endocrine gland? Gallbladder Pancreas Stomach Liver

Pancreas

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 thrombosis Prevents deficiencies Aids proper digestion Prevents constipation

Prevents deficiencies

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

Prothrombin time (PT)

A client with cirrhosis has portal hypertension, which is causing esophageal varices. What is the goal of the interventions that the nurse will provide? Cure the cirrhosis. Treat the esophageal varices. Reduce fluid accumulation and venous pressure. Promote optimal neurologic function.

Reduce fluid accumulation and venous pressure.