Gastro

A nurse is caring for a client who has liver cirrhosis with ascites and bleeding esophageal varices. Which of the following laboratory findings indicates that the clients GI tract is digesting and absorbing blood ?

Elevated BUN

A nurse is reinforcing teaching w/ a client who reports shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make ?

The pain will dissipate if you ambulate frequently

A nurse is reinforcing teaching w/ a community group about the prevention of viral hepatitis. Which of the following should the nurse include in the teaching ?

Thoroughly cook foods prepared w/ tap water

A nurse is assisting w/ discharge teaching for a client who is postoperative following a laryngectomy. Which of the following instructions should the nurse include in the teaching

To aid in swallowing food, tip the chin before swallowing. Swallow twice after each bite.

A nurse is caring for a client who has second and third degree burns and a prescription for a high calorie, high protein diet. Which of the following menu choices should the nurse recommend ?

Turkey and cheese sandwich w/ scalloped potatoes

Nurse is reinforcing teaching about pernicious anemia w/ a client following a total gastrectomy. Which of the following dietary supplements. Should the nurse include in the teaching as the treatment for pernicious anemia ?

Vitamin B12

A nurse is reinforcing teaching w/ client who has a new colostomy. Which of following information should the nurse include in the teaching?

You may experience a small amount of bleeding around the stoma.

A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which should th nurse respond ?

You may feel some cramping during the procedure

A nurse is caring for a client who has clostridium dificile infection following antibiotic therapy. Which of the following actions should the nurse take ?

clean with bleach

A nurse is reinforcing discharge teaching w/ a client who has acute gastritis. Which of the following instructions should the nurse include in the teaching?

Consume a glucose electrolyte solution.

A nurse is caring for a client who has cirrhosis. When delivering the clients lunch tray, which of the following selection requires intervention by the nurse

1 slice of ham on whole wheat bread

A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distention and flatus. Which of the following suggestions should the nurse include?

Ambulate several times a day.

A nurse is collecting data from a client who has squamous cell carcinoma of the lower lip. Whats an expected finding ?

An ulcerated lesion that is bleeding and painful.

A nurse is planning a menu for a client who has folic acid deficiency anemia and is selecting food high in folic acid. Which of the following should the nurse include?

Asparagus

A nurse is caring for a client who had total hip arthroplasty 1 day ago and is recieving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which of the following actions is the priority for the nurse to take ?

Auscultate bowel sounds.

A nurse is reinforcing teaching w/ a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching ?

Avoid medications in capsule or enteric form.

A nurse is reinforcing teaching w/ a client who has GERD. Which of the following should the nurse include in the teaching ?

Avoid wearing constricting clothing

A charge nurse is reinforcing teaching w/ a newly licensed nurse about the common link between ulcerative colitis and crohns disease. Which of the following statements by the newly licensed nurse indicates an understanding ?

Both illnesses are inflammatory in nature

A nurse is reinforcing discharge teaching about nutrition w/ a client who has a new diagnostic of diabetes mellitus. Which of the following statements should be included in the teaching ?

Carbohydrates should comprise 45-65 % of daily caloric intake

A nurse in a clinic is caring for a client who has alcohol use disorder. The client reports frequent bruising and nosebleeds?

Cirrhosis

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan care

Decrease the clients fluid intake.

A nurse is collecting data from a client who has GERD and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the clients heartburn.

Drinking orange juice regularly.

A nurse is reinforcing discharge teaching w/ a client who is postoperative for a traditional cholecystectomy and has a t tube in place. Which of the following instructions should the nurse include in the teaching?

Empty the drainage bag at the same time each day.

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take ?

Encourage ambulation on the day of the surgery.

A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take ?

Encourage the client to drink a carbonated beverage 1 hr before meals.

nurse is contributing to the plan of care for a client who has gastrostomy tube through which he is continuous receiving enteral feedings. Which intervention should the nurse include in the plan ?

Flush the tube w/ 30 ml of water every 4 hours

A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the clients history?

Gallstones

A nurse is caring for a client who is returning to the medical surgical unit following a procedure that required spinal anesthesia. Which of the following findings should indicate to the nurse the client is experiencing a complication related to the anesthesia.

Headache

A nurse is reinforcing teaching with a client who has GERD about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching

I should elevate the head of the bed

A nurse is reinforcing teaching about ileostomy acre w/ a client. The nurse should recognize which of the following statements of the client indicates a need further teaching ?

I will be certain to take enteric coated medications

A nurse is reinforcing teaching about ileostomy care w/ a client. The nurse should recognize which of the following statements by the client indicates a need for further teaching?

I will be certain to take enteric coated medications.

A nurse is reinforcing teaching about pain control w/ a client who has acute pain following a subtotal gastric resection. Which client statements indicates an understanding of pain control ?

I will call for pain medication before the previous dose wears off.

A nurse is reinforcing teaching about dietary recommendations for a client who has hiatal hernia. Which of the following client statements indicates understanding of the teaching?

I will consume less caffeine and spicy foods, I will sleep w/ the head of my bed elevated, I will try not to gain weight.

A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?

I will continue my low dose aspirin therapy regimen.

Nurse is reinforcing teaching w/ client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements should indicate to the nurse that the client understands the instructions ?

I will drink plenty of fluids after the test.

A nurse is reinforcing teaching w/ a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching ?

I will protect my adrenal glands by taking this medication every other day.

A nurse is reinforcing teaching w/ a client who has iron deficiency anemia and is to start taking ferrous sulfate twice a day. Which of the following statements by the client indicate an understanding of the teaching?

I will take this medication w/ orange juice

A nurse is reinforcing teaching for a client about following a low purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

Ill eliminate liver from my diet

A nurse is reinforcing teaching w/ a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Ill have an endoscope put down my throat so they can see my gallbladder

A nurse is contributing to the plan of care for a client who has cirrhosis of the liver. Which of the following interventions should the nurse include in the plan ?

Implement fall precautions, initiate a low sodium diet, measure abdominal girth daily,

A nurse is caring for a client who has cirrohosis of the liver w/ ascites. Which of the following interventions should the nurse take ?

Increase daily calorie intake

A nurse is preparing who has advanced cirrhosis for an abdominal paracentesis. Which of the actions should the nurse take ?

Instruct the client to empty his bladder

A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the actions should the nurse take ?

Instruct the client to empty his bladder.

The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a NG tube. Which intervention should the nurse take when inserting the NG tube ?

Instruct the client to place his chin to his chest and swallow

A nurse is contributing to a plan of care for a client who has hepatitis B. Which should the nurse include in the plan ?

Limit activity

A nurse is collecting data from a client who has diverticular disease. The nurse should expect the client to report abdominal pain in which of the following locations ?

Lower left quadrant

A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is recieving continuous gastrointestinal decompression using a NG tube. Which of the following interventions should the nurse include in the plan of care ?

Maintain the client in fowlers position.

A nurse is assisting w/ the care of a client who has cirrhosis of the liver w/ ascites. Which of the following actions should the nurse take?

Measure the clients abdominal girth every 8 hrs

A nurse is planning care for a client who has a peptic ulcer and a new prescription for sulcrate 2 gm administer 2x daily. Which of the following times should the nurse plan to administer the medication ?

One hour before breakfast and the evening meal.

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the clients plan of care ?

Perform leg exercises every 2 hr, encourage hourly use of an incentive spirometer while awake, document the color, consistency, and amount of nasogastric drainage.

A nurse is caring for client who has dysphagia following a stroke. Which of the following is the priority action of the nurse to take when feeding the client?

Place the client in the upright position.

A nurse is assisting w/ the plan of care for a client who has viral hepatitis. which of the following actions should the nurse include in the plan ?

Provides periods of rest

A nurse is collecting data from a client who is postoperative following the placement of a pouch ileostomy. Which of the following should the nurse identify as a priority finding?

Report of Nausea

A nurse is planning a diet for a client who has an iron deficiency. To increase the clients iron intake, which of the following foods should the nurse provide in the clients diet ?

Roast Beef

A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

Severe upper abdominal pain

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestation should the nurse expect to find ?

Spider angioma

A nurse is reinforcing teaching w/ a client who has myasthenia graves and has a new prescription for pyridostigmine orally. which of the following instructions should the nurse include ?

Take the medication 45 min before eating

A nurse in a providers office is reinforcing teaching w/ a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include?

Take this medication between meals

A nurse is collecting data from a client who has gastric ulcer. Which of the following should the nurse identify as a priority finding and notify the provider ?

abdominal pain radiating to the shoulder

A nurse is caring for an older adult client who has dysphagia and left sided weakness following a stroke. Which action should the nurse take ?

add thickener to fluids.

a nurse is caring for a client who has dysphagia and left sided weakness following a stroke. Which of the following actions should the nurse take ?

add thicker to fluids

A nurse is contributing to the plan of care of a client who is postoperative following a gastrectomy and has a double lumen NG tube. Which of the following interventions should the nurse include the plan ?

avoid replacing the NG tube if its accidentally dislodged.

Nurse is reinforcing dietary teaching w/ a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching

baked turkey breast

A nurse is reinforcing discharge teaching w/ a client who has a new diagnosis of GERD. Which of the following foods should the nurse include in the list of foods the client should avoid ?

chocolate

A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the Client that which of the following manifestations of colitis can result from anemia.

chronic blood loss

A nurse is caring for a client who has fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?

decreased capillary refill

A nurse is caring for a client who is post op and has an NG tube that has drained 2500 ml in the past 6 hrs. The nurse should monitor the client for which of the following electrolyte imbalances?

decreased potassium levels

A nurse is contributing to the plan care of a client who has a small bowel obstruction. Which of the following interventions should the nurse include

elevate the head of the bed

A nurse is reinforcing teaching w/ a client about cancer prevention and plans to address the importance of food high in antioxidants. Which of the following foods should the nurse include in the teaching?

fresh berries

A nurse is assisting w/ the plan of care for a client who had an upper endoscopy 1hr ago. The nurse should place the priority on monitoring which of the following ?

gag reflex

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Before responding, which of the following questions should the nurse first ask the client ?

have you eaten any shellfish lately ?

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a rick factor for this condition?

history of ibuprofen use

A nurse is reinforcing teaching w/ a client who has a new prescription for epoetin alfa. The nurse should reinforce to the client to take which of the following dietary supplements with this medication ?

iron

A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure ? what should the nurse respond

it helps eliminate the barium

A nurse is reinforcing dietary instructions w/ a client who has episodes of biliary colic from chronic cholecytisis. Which diet should the nurse reinforce in the teaching plan ?

low fat diet

A nurse is planning care for a client who is 1 day postop following a partial bowel resection. The client requires a complete dressing change a total parental nutrition administration, daily weight and is reporting pain at a level of . Which of the following nursing actions should the curse complete first

obtain the client vitals signs

The nurse is caring for a client on the third day following abdominal surgery and assess the absence of bowel sounds, abdominal distention and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications ?

paralytic ileus.

Nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority

potassium 2.5 mEq/L

Nurse is collecting data from a client who is 12 hr postoperative following a colostomy placement. Which of the following findings should the nurse report to the provider ?

purplish colored stoma

A nurse is reviewing home medications of a male client who has a new prescription for warfarin. Which of the following of the clients herbal medications should the nurse identify as being contraindicated to warfarin ?

saw palmetto, Glucosamine, gingko biloba.

A nurse is caring for a client who has GI bleed. Which of the following is the priority for the nurse to report to the provider ?

urine output of 50 ml in 2 hr