Evolve GI Quiz 1

An older female client with diarrhea is admitted to the hospital from a nursing home. A stool specimen confirms a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The daughter of the client asks why her mother has been placed in a room with another client who is on isolation. How should the nurse respond?

"It is safe to place people with the same infection in one room."

During a health symposium a nurse teaches the group how to prevent food poisoning. The nurse evaluates that the teaching is understood when one of the participants states:

"Meats and cream-based foods need to be refrigerated."

A client has a hiatal hernia. The client is 5 feet 3 inches tall and weighs 140 pounds. When the nurse discusses prevention of esophageal reflux, what should be included?

"Reduce your caloric intake to foster weight reduction."

A client has a permanent sigmoid colostomy, and colostomy irrigations are prescribed. The client asks the nurse why they are needed. How should the nurse respond?

"They help establish an elimination schedule."

A client who was admitted to the hospital with metastatic cancer has a temperature of 100.4° F, a distended abdomen, and abdominal pain. The client asks the nurse, "Do you think that I'm going to have surgery?" How should the nurse respond?

"You seem concerned about having surgery.

An abdominal cholecystectomy is performed on a client with gangrene of the gallbladder. During the first 24 hours postoperatively, analgesics should be administered:

As prescribed by the health care provider

A client is diagnosed with chronic pancreatitis. When providing dietary teaching it is most important that the nurse instruct the client to:

Avoid ingesting alcoholic beverages

A nurse teaches a client with calcium-based renal calculi about foods that can be eaten on a low-calcium diet (400 mg/day). The nurse concludes that the teaching was effective when the client selects what food items from the menu? (Select all that apply.)

Baked chicken Roast beef with mashed potato

A nurse is preparing a teaching plan for a client with a history of cholelithiasis. Which information about why the ingestion of fatty foods will cause discomfort should the nurse include in the teaching plan?

Bile flow into the intestine is obstructed.

A frantic parent calls stating their child has swallowed dish soap. What would you advise?

Call poison control.

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the nurse advise the client to do to help prevent future hemorrhoidal episodes?

Consume a high-fiber diet and drink adequate water

A client who was admitted with severe abdominal pain and vomiting states, "I know I am very sick. Do you think I have cancer?" What is the best response by the nurse?

Correct4 "What are your feelings about the diagnosis of cancer?

A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse encourages the client to lose weight safely by changing which dietary habits?

Decrease portion size and fat intake

A client who had surgery for a resection of the colon and the formation of a colostomy is to be discharged in several days. What is a primary nursing intervention for this client?

Determine the client's ability to care for the colostomy

A nurse is caring for a client who just had a gastrectomy. What should the nurse emphasize when teaching the client how to avoid dumping syndrome?

Eat small meals with low carbohydrate and moderate fat content

A nurse reviews the plan of care for a client with less than adequate nutritional intake. The nurse should question which prescription?

Give one can of diet supplement at 8 am and 4 pm

A nurse is teaching an athletic teenager about nutrients that provide the quickest source of energy. Which food selected from a menu indicates to the nurse that the adolescent understands the teaching?

Glass of orange juice

Prednisone (Meticorten), an adrenal steroid, is prescribed for a client with an exacerbation of colitis. When administering the first dose of the medication, the nurse should inform the client that the medication:

Is not curative but does cause a suppression of the inflammatory process

A client with chronic hepatic failure is to be discharged from the hospital. Which diet should the nurse encourage the client to follow based on the health care provider's prescription?

Low protein

A client is admitted to the hospital with a diagnosis of Crohn's disease. What is most important for the nurse to include in the teaching plan for this client?

Meeting nutritional needs

A nurse teaches a client with gastrointestinal (GI) irritability to minimize the intake of dietary irritants. Which products did the nurse teach the client to avoid? (Select all that apply.)

Milk Cheese Chocolate candy

A nurse is caring for a client on the second day after an abdominoperineal resection. How does the nurse expect the stoma to appear?

Moist, red, and raised above the skin surface

A client is admitted to the hospital with the diagnosis of intestinal obstruction and has an intestinal tube inserted. The plan of care includes a prescription to instill 30 mL of normal saline into the tube as needed to maintain patency. When considering the normal saline that is instilled, the nurse should:

Record the 30 mL on the intake and output record

A nurse is providing dietary teaching for a client who is receiving a high protein diet while recovering from an acute episode of colitis. What should the nurse include is the rationale for this diet?

Repairs tissues

A nurse instructs a client with viral hepatitis about the type of diet that should be ingested. Which lunch selected by the client indicates understanding about dietary principles associated with this diagnosis?

Salad, sliced chicken sandwich, gelatin dessert

A client with a diagnosis of cancer of the stomach expresses a lack of interest in food and eats only small amounts. What should the nurse provide?

Small portions more frequently

The nurse identifies that a client who had extensive abdominal surgery appears depressed. The most appropriate nursing action is:

Talking with the client and encouraging exploration of feelings

When discussing a scheduled liver biopsy with a client, the nurse explains that for several hours after the biopsy the client will have to remain in what position?

The right side-lying position with pillows placed under the costal margin

A nurse is caring for a client who is positive for hepatitis A. Which precautions should the nurse take?

Use gloves when removing the client's bedpan

The nurse provides teaching to a client who has received a prescription for oral pancreatic enzymes, pancrelipase (Viokase). The nurse evaluates that teaching is understood when the client states, "I will take them:

With meals.