GASTROINTESTINAL STUDY CARDS

A nurse is caring for a client after a craniotomy for pituitary tumor who has developed diabetes insipidus. The client is receiving vasopressin (pitressin). The desired response to the medication is evident when the nurse observes which of the following findings?

A decrease in urine output: The major manifestations of diabetes insipidus are excessive urination and extreme thirst. Pitressin is used to control frequent urination, increased thirst, and loss of water associated with diabetes insipidus. A decreased urine output is the desired response.

A nurse in the ED is assessing a client who has pancreatitis. Which of the following laboratory results should the nurse expect to see an elevation? A. Amylase B. Potassium C. Calcium D. hematocrit

A. Amylase

A nurse is assessing a client who has cholecystitis. Which of the following findings should the nurse expect? A. Bloomberg's sign B. Ascites C. Gastrointestinal Bleeding D. Kehr's sign

A. Bloomberg's sign

A nurse is caring for a patient who has fulminant heptic failure. Which of the following procedures should the nurse anticipate for this client? A. Endoscopic Sclerotherapy B. Liver lobectomy C. Liver transplant D. Trans jugular intrahepatic portal systemic shunt placement

C. Liver transplant

A nurse is assessing a client who has a bleeding Duodenal ulcer. Which of the following findings should they expect? A. Emesis with a ground coffee appearance B. Increased blood pressure C. Decreased heart rate D. Bright green stool

A. Emesis with a ground coffee appearance

A nurse is caring for a client with a history of cirrhosis who has been admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use? A. Gamma-Glutamyl Transferase GGT B. Alkaline Phosphatase ALP C. Serum Bilirubin D. Alanine Aminotransferase ALT

A. Gamma-Glutamyl Transferase GGT

A nurse is admitting a client who has cirrhosis. Which of the following prescriptions should the nurse anticipate? Select all that apply. A. Obtain the clients PT and INR measurements B. Administer lactose 30 ML PO 4X daily C. Obtain Daily weight and abdominal girth measurements D. Administer daily Multivitamin

A. Obtain the clients PT and INR measurements B. Administer lactose 30 ML PO 4X daily C. Obtain Daily weight and abdominal girth measurements D. Administer daily Multivitamin

What is the criteria for receiving a liver transplant? Select all that apply. A. Portions of healthy liver from deceased donor or living donor B. Portion of liver will regenerate and grow according to needs of body C. Can not suffer from Severe cardiovascular disease, Metastatic tumors, or Severe respiratory disease D. Show ability to follow drug therapy and Self management (alcohol, drugs, lifestyle)

A. Portions of healthy liver from deceased donor or living donor B. Portion of liver will regenerate and grow according to needs of body C. Can not suffer from Severe cardiovascular disease, Metastatic tumors, or Severe respiratory disease D. Show ability to follow drug therapy and Self management (alcohol, drugs, lifestyle)

A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? A. Prothrombin time B. Serum lipase C. Bilirubin D. Calcium

A. Prothrombin time

A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray?A. Wheat toast B. Tapioca pudding C. Hard-boiled eggs D. Mashed potatoes

A. Wheat toast

A nurse is reviewing the laboratory results for a client who has primary hyperparathyroidism. The nurse expects the which of the following findings is associated with this diagnosis?

An increased magnesium level

A nurse is obtaining a guaiac test from a client. This test is performed to detect which of the following? A. Fecal materials is vomit B. Blood in stool C. Infestations of parasites D. Microorganisms in urine

B. Blood in stool

A nurse is reinforcing teaching with a client who has Barrett's esophagus and is scheduled to undergo an esophagogastroduodenoscopy (EGD). Which of the following statements should the nurse include in the teaching? A. "This procedure is performed to measure the presence of acid in your esophagus." B. "This procedure can determine how well the lower part of your esophagus works." C. "This procedure is performed while you are under general anesthesia. "D. "This procedure can determine if you have colon cancer."

B. "This procedure can determine how well the lower part of your esophagus works."

A nurse is caring for a client who is receiving total parenteral nutrition Which of the following actions should the nurse take? A. Administer .09% sodium chloride until TPN is available from the pharmacy B. Check the clients capillary blood glucose level every 4 hr C. Obtain the clients weight each week D. Change the Iv tubing every 3 days

B. Check the clients capillary blood glucose level every 4 hr

A nurse is caring for a patient who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks the nurse why he has to stay in bed, which of the following responses should the nurse provide? A. You need to conserve energy at this time B. Lying quietly in bed helps slow down the activity in your intestines. C. Staying in bed promotes the rest and comfort you need D. Staying in bed will help prevent injury and minimize your fall risk

B. Lying quietly in bed helps slow down the activity in your intestines.

A nurse is caring for client who has a percutaneous endoscopic gastronomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first? A. Flush the tube with water B. Place the client in semi-Folwer's position C. Cleanse the skin around the tube site D. Aspirate the tube prior to each feeding

B. Place the client in semi-Folwer's position

A nurse is performing medication reconciliation for a newly admitted client who has RA. which of the following medications should the nurse identify as the treatment of this condition? A. Misoprostol B. Dantrolene C. Celecoxib D. Colchicine

C. Celecoxib

A Nurse is reviewing a clients dietary choices for who suffers from chronic pancreatitis. Which of the following food items should the nurse suggest removing from the clients menu for the following day? A. White rice B. Boiled Cod C. Ice Cream D. Canned Peaches

C. Ice Cream

A nurse is caring for a client who has abdominal pain and a possible appendicitis. Which of the following laboratory results should the nurse identify as a possible appendicitis? A. Deceased WBC B. Increased albumin level C. Increased Serum lipase level D. Decreased blood glucose level

C. Increased Serum lipase level

A nurse is planning care for a client who has pernicious anemia. Which of the following interventions should the nurse include in the plan? A. Administer ferrous sulphate supplementation B. Increase dietary intake of folic acid C. Initiate weekly injections of vitamin B12 D. Initiate blood transfusion

C. Initiate weekly injections of vitamin B12

A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client's urine is 1.035. Which of the following actions should the nurse take? A. Deliver the formula at a slower rate B. Request a lower-fat formula C. Provide more water with feedings D. Instill a lactose-free formula

C. Provide more water with feedings

A nurse is checking who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A. Elevated blood pressure B. Bowel sounds increased in frequency and pitch C. Rigid abdomen D. Emesis of undigested food

C. Rigid abdomen

A nurse in the ED is caring for a patient who has a bleeding esophageal varices. The nurse should anticipate which of the following medications A. Famotidine B. Esomeprazole C. Vasopressin D. Omeprazole

C. Vasopressin

A nurse is completing a history and physical assessment for a client who has chronic pancreatitis. Which of the following findings should the nurse identify has a likely cause of the clients condition? A. High calorie diet B. Prior gastrointestinal illnesses C. Tobacco use D. Alcohol Use

D. Alcohol Use

A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? A. Decreased heart rate B. Yellowing of the skin C. Increased blood pressure D. Board-like abdomen

D. Board-like abdomen

A nurse is caring for a client who has diverticulitis and a new prescription for a low-fiber diet. Which of the following food items should the nurse remove from the client's meal tray? A. Canned fruit B. White bread C. Broiled hamburger D. Coleslaw

D. Coleslaw

A nurse is caring for a patient who has gastrointestinal bleeding. The provider suspects a bleeding lesion in the colon. The initial approach to treatment likely will involve which of the following procedures? A. Exploratory laparotomy B. Double contrast barium Enema C. Magnetic resonance imaging D. Colonoscopy

D. Colonoscopy

A nurse is teaching a client who has cirrhosis of the liver and a history of alcohol consumption. The nurse should explain that alcohol can cause liver cirrhosis through which of the following actions? A. Increasing the workload of the liver by releasing stored glycogen B. Causing ulceration of the liver tissue that can cause bleeding C. Dilatating veins in the portal circulation D. Destroying liver cells that are later replaced with scar tissue

D. Destroying liver cells that are later replaced with scar tissue

A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis

D. Diaphoresis

A nurse is caring for a client who is receiving total parenteral nutrition and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the clients TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following finding? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis

D. Diaphoresis

A nurse is providing a post operative teaching for a client who will undergo a laryngectomy. Which of the following statements indicate the client understands the impact of the surgery. A. I will not be able to cough for awhile after surgery B. after I recover from anesthesia I will be able to eat a regular diet C. After the surgery I will regain my voice but it may be weak D. I understand that after the surgery I will have a permanent tracheostomy

D. I understand that after the surgery I will have a permanent tracheostomy

A nurse is providing dietary teaching to a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following recommendations should the nurse include in the teaching? A. Avoid food containing proteins B. Drink liquids during each meal C. Eat foods that contain simple sugars D. Maintain a supine position after meals

D. Maintain a supine position after meals

A nurse is planning an in-service training session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes plays a role in the digestion of protein? A. Amylase B. Lipase C. Steapsin D. Pepsin

D. Pepsin

A nurse is performing a gastrointestinal assessment of a client who has liver cirrhosis with abdominal distention. Which of the following actions should the nurse take to assess for changes in the clients abdomen? A. Percuss the abdomen for tympanic sounds B. Inspect the contour of the abdominal wall C. Instruct the client to report increased abdominal discomfort D. Take Serial measurements of the abdomen with a tape measure.

D. Take Serial measurements of the abdomen with a tape measure.

Herpes Simplex Type 1 vesicles/cold sores in mouth, caused by HSV-1

Herpes Simplex Type 1 TX spirits of camphor, steroids, antivirals

A nurse is caring for a client who has Addison's disease and is at risk for Addison crisis. Nursing care of this client should include which of the following nursing actions.

Take daily weight

stomatitis inflammation of oral mucosa

stomatitis causes smoking, alcohol, poor nutrition/hygeine, pathogenic organisms, radiation, drug therapy