exam 2 GI NURS 1215

Which is a true statement regarding regional enteritis (Crohn's disease)? A. It has a progressive disease pattern. B. It is characterized by pain in the lower left abdominal quadrant. C. The clusters of ulcers take on a cobblestone appearance. D. The lesions are in continuous contact with one another.

C

A nurse is preparing to provide care for a client whose exacerbation of ulcerative colitis has required hospital admission. During an exacerbation of this health problem, the nurse would anticipate that the client's stools will have what characteristics? A. Watery with blood and mucus B. Hard and black or tarry C. Dry and streaked with blood D. Loose with visible fatty streaks

A

Medical management of a patient with peritonitis includes fluid, electrolyte, and colloid replacement. The nurse knows to prepare the initial, most appropriate intravenous solution. Which of the following is the correct solution? A. 0.9% NS B. D5W C. D10W D. 0.45% of NS

A

Which term refers to the symptom of gastroesophageal reflux disease (GERD), which is characterized by a burning sensation in the esophagus? a. Pyrosis b. Dyspepsia c. Dysphagia e. Odynophagia

A

A patient is admitted to the hospital after not having had a bowel movement in several days. The nurse observes the patient is having small liquid stools, a grossly distended abdomen, and abdominal cramping. What complication can this patient develop related to this problem? A. Appendicitis B. Rectal fissures C. Bowel perforation D. Diverticulitis

C

A 35-year-old male client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize? A. Insertion of a nasogastric tube B. Insertion of a central venous catheter C. Administration of a mineral oil enema D. Administration of a glycerin suppository and an oral laxative

A. REMEMBER: rest the gut, NPO, drop NG tube, IV fluids

A client comes to the clinic reporting pain in the epigastric region. What statement by the client suggests the presence of a duodenal ulcer? A. "My pain resolves when I have something to eat." B. "The pain really interferes with my quality of life." C. "I know that my father and my grandfather both had ulcers." D. "I seem to have bowel movements more often than I usually do."

A

A client who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the client's condition is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms of recurrence? A. Tachycardia, hypotension, and tachypnea B. Tarry, foul-smelling stools C. Diaphoresis and sudden onset of abdominal pain D. Sudden thirst, unrelieved by oral fluid administration

A

Which of the following is a proton pump inhibitor used in the treatment of gastroesophageal reflux disease (GERD)? Select all that apply. a. Lansoprazole (Prevacid) b. Rabeprazole (AcipHex) c. Esomeprazole (Nexium) d. Famotidine (Pepcid) e. Nizatidine (Axid)

A, B, C

A nurse is monitoring a client with peptic ulcer disease. Which assessment findings would most likely indicate perforation of the ulcer? Select all that apply. A. Tachycardia B. Hypotension C. Mild epigastric pain D. A rigid, board-like abdomen E. Diarrhea

A, B, D

A client with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the client has a perforated ulcer? A. The client has abdominal bloating that developed rapidly. B. The client has a rigid, "board-like" abdomen that is tender. C. The client is experiencing intense lower right quadrant pain. D. The client is experiencing dizziness and confusion with no apparent hemodynamic changes.

B

The nurse is conducting a gastrointestinal assessment. When the client reports the presence of mucus and pus in the stool, the nurse assesses for additional signs/symptoms of which disease/condition? A Small-bowel disease B. Ulcerative colitis C. Disorders of the colon ID. Intestinal malabsorption

B

A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. Which statement by the client indicates the best understanding of the medication regimen? A. "My ulcer will heal because these medications will kill the bacteria." B. "I should take these medications only when I have pain from my ulcer." C. "The medications will kill the bacteria and stop the acid production." D. "These medications will coat the ulcer and decrease the acid production in my stomach."

C

A client's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's disease, rather than ulcerative colitis, as the cause of the client's signs and symptoms? A. A pattern of distinct exacerbations and remissions B. Severe diarrhea C. An absence of blood in stool D. Involvement of the rectal mucosa

C

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes? a. Preventing infection b. Maintaining skin and tissue integrity c. Preventing nausea and vomiting d. Maintaining fluid and electrolyte balance

D

A client's large bowel obstruction has failed to resolve spontaneously and the client's worsening condition has warranted admission to the medical unit. Which of the following aspect of nursing care is most appropriate for this client? A. Administering bowel stimulants as prescribed B. Administering bulk-forming laxatives as prescribed C. Performing deep palpation as prescribed to promote peristalsis D. Preparing the client for surgical bowel resection

D

Health teaching for a patient with GERD is directed toward decreasing lower esophageal sphincter pressure and irritation. The nurse instructs the patient to do which of the following? Select all that apply. a. Drink three, 8 oz. glasses of regular milk daily to coat the esophagus. b. Avoid beer, especially in the evening. c. Eat 1 hour before bedtime so there will be food in the stomach overnight to absorb excess acid. d. Elevate the head of the bed on 6- to 8-inch blocks. e. Elevate the upper body on pillows.

B, D, E

A nurse is caring for an older adult who has been experiencing severe Clostridium difficile-related diarrhea. When reviewing the client's most recent laboratory tests, the nurse should prioritize what finding? A. White blood cell level B. Creatinine level C. Hemoglobin level D. Potassium level

D

Which of the following is accurate regarding regional enteritis? A. Fistulas are common B. Severe diarrhea C. Severe bleeding D. Exacerbations and remissions

D