Chapter 38 Digestive / GI Function Prep U
A client is scheduled for a urea breath test to detect for Helicobacter pylori as a reason for gastric distress. Which instruction will the nurse provide to the client to prepare for this test? Select all that apply.
- Do not use antibiotics for 1 month. - Avoid bismuth subsalicylate for 1 month. - Do not take proton pump inhibitors for 2 weeks.
A client has been diagnosed with bulimia nervosa. Which assessment finding(s) contribute to this diagnosis? Select all that apply.
- Electrolyte imbalance - Dehydration - Pulmonary embolism - Constipation
Which of the following is the primary function of the small intestine?
Absorption
Which of the following digestive enzymes aids in the digesting of starch?
Amylase
Which of the following is the most definitive means of assessing for liver disease?
Biopsy
A client reports a history of bleeding hemorrhoids to the nurse. Which observation supports the client's statement?
Blood streaks on stool
During a colonoscopy with moderate sedation, the patient groans with obvious discomfort and begins bleeding from the rectum. The patient is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring?
Bowel perforation
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 several diagnostic tests to evaluate gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test as not requiring the use of a contrast medium?
Colonoscopy
A nurse is preparing a client with Crohn's disease for a barium enema. What should the nurse do the day before the test?
Encourage plenty of fluids.
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
A client is having a colonic transit study to diagnose a gastrointestinal disorder. Which instruction will the nurse provide to the client after taking a capsule containing radionuclide markers?
Follow a regular diet and usual daily activities.
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The health care provider begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption?
Intrinsic factor
While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which structure?
Liver
Which of the following is an enzyme secreted by the gastric mucosa?
Pepsin
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.
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 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?
Stomach
The nurse is preparing to examine the abdomen of a client who reports a change in bowel pattern. The nurse would place the client in which position?
Supine with knees flexed
The nurse prepares a client for a barium enema. The nurse should place the client on which diet prior to the procedure?
clear liquids day before
Which term describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?
intrinsic factor
A client is scheduled for magnetic resonance imaging (MRI). During the client teaching, what will the nurse discuss?
"Do you experience any claustrophobia?"
A client is scheduled for an ultrasound of the abdomen. Which statement indicates that teaching provided to the client to prepare for the test was effective?
"I will not eat or drink for 8 to 12 hours before the test."
A home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test?
"I'll avoid eating or drinking anything 6 to 8 hours before the test."
A client asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). The nurse answers:
"It indicates if a cancer is present."
The nurse asks a client to point to where pain is felt. The client asks why this is important. What is the nurse's best response?
"Often the area of pain is referred from another area."
The nurse teaches a client scheduled for a colonoscopy. Which instruction should be included as part of the preparation for the procedure?
Follow the dietary and fluid restrictions and bowel preparation procedures.
Gastrin has which of the following effects on gastrointestinal (GI) motility?
Increased motility of the stomach
A client is scheduled for an upper gastrointestinal barium study. Which teaching will the nurse provide for the client to prepare for this diagnostic test?
Ingest nothing by mouth after midnight.
The nurse is collecting a stool specimen from a patient. What characteristic of the stool indicates to the nurse that the patient may have an upper GI bleed?
Tarry and black
Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed in sufficient quantities into the upper gastrointestinal (GI) tract, it produces which change in the stool appearance?
Tarry-black
What would the nurse recognize as preventing a client from being able to take a fecal occult blood test (FOBT)?
The client has hemorrhoidal bleeding
A client is to have an upper GI procedure with barium ingestion and abdominal ultrasonography. While scheduling these diagnostic tests, the nurse must consider which factor?
The ultrasonography should be scheduled before the GI procedure.
The nurse is to obtain a stool specimen from a client who reported that he is taking iron supplements. The nurse would expect the stool to be which color?
black
Cystic fibrosis, a genetic disorder characterized by pulmonary and pancreatic dysfunction, usually appears in young children but can also affect adults. If the pancreas was functioning correctly, where would the bile and pancreatic enzymes enter the GI system?
duodenum
The major carbohydrate that tissue cells use as fuel is
glucose.
A client with abdominal pain is scheduled for a CT scan of the abdomen with contrast. Which assessment will the nurse complete before transporting the client for the diagnostic test?
history of allergies
A client tells the nurse that the stool was colored yellow. The nurse assesses the client for
recent foods ingested.
Following ingestion of carrots or beets, the nurse would expect which alteration in stool color?
red
A nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. The client asks which part of the GI tract absorbs food. What is the nurse's best response?
small intestine
The nurse recognizes which change of the GI system is an age-related change?
weakened gag reflex