GI ATI weekly quiz

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider? "I drink at least 2 quarts of fluid every day." "The last time I voided it was painful and red-tinged." "My period ended 2 days ago." "I don't eat shellfish because it gives me hives."

"I don't eat shellfish because it gives me hives."

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include? "Elevate the head of your bed by 18 inches." "Avoid snacking between meals." "Limit foods that are high in fiber." "Lie on your right side when sleeping."

"Lie on your right side when sleeping."

A nurse is providing teaching to a client who has a new colostomy. What information should the nurse include in the teaching? "You can expect fecal output within 24 hours" "You will need to increase your dietary intake of raw vegetables" "You can expect the stoma to be purplish in color for the first week" "You may experience a small amount of bleeding around the stoma"

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

A nurse is caring for a client who is postoperative following a transurethral resection (TURP) of the prostate. Which of the following complications is the priority for the nurse to monitor? 1. Hemorrhage 2. Infection 3. Urinary retention 4. Pain

1. Hemorrhage

A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C? A client who eats raw shellfish A client who has multiple tattoos A client who works in a child care center A client who has recently traveled to an underdeveloped country

A client who has multiple tattoos

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including H2 receptor antagonist (h2RA). Which of the following outcomes indicates the H2RA is Therapeutic? A. Relief of heartburn B. Cessation of diarrhea C. Passage of flatus D. Absence of constipation

A. Relief of heartburn

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?A. Review the client's electrolyte values. B. Check the client's perianal skin integrity. C. Investigate the client's emotional concerns. D. Obtain a dietary history from the client.

A. Review the client's electrolyte values.

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Calcium RBC count Magnesium Amylase

Amylase

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication? A. Dry mouth B. Vomiting C. Headache D. Peripheral edema

B. Vomiting

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain? A. Measure the drainage every hour for the first 8 hr postoperative. B. Secure the drain to the client's bed sheet. C. Expel the air from the JP bulb after emptying to re-establish suction. D. Remove the JP drain when the drainage has ceased, covering the opening with sterile gauze.

C. Expel the air from the JP bulb after emptying to re-establish suction.

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor? A. Hypocalcemia B. BMI less than 25 C. Family history D. Diuretic use

C. Family history

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client? A. Baked potato B. Stewed tomatoes C. Ham sandwich D. Milkshake

C. Ham sandwich

A nurse is teaching a client who has hepatitis A about preventing transmission of a virus. Which of the following strategies should the nurse include in the teaching? A. Avoid eating fast food B. Avoid serving raw foods C. Practice effective hand hygiene D. Wear barrier protection during vaginal intercourse

C. Practice effective hand hygiene

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client? Urinary retention Low back pain Incontinence Confusion

Confusion

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi? Protein in the urine Dehydration Iron deficiency Obesity

Dehydration

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect what assessment finding? urge incontinence critically elevated prostate specific antigen level Difficulty starting the flow of urine painful urination

Difficulty starting the flow of urine

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority? Epigastric discomfort Dyspepsia Epigastric discomfort Hematemesis

Hematemesis

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition? History of bulimia History of NSAID use Drinks green tea Has a glass of wine with dinner each day

History of NSAID use

A nurse is reinforcing teaching with a client who has stomatitis. Which of the following statements by the client indicates a need for further teaching? I will drink liquids through a straw I will season foods with dried spices before cooking I will rinse my mouth with baking soda and water frequently I will eat frozen bananas as a snack

I will season foods with dried spices before cooking

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? Lower left quadrant Upper left quadrant Lower right quadrant Upper right quadrant

Lower left quadrant

nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?Increased appetite Regular bowel movements Absence of headache Reduced dyspepsia

Reduced dyspepsia

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? Alleviate H. pylori Relief of gastrointestinal pain Prevention of opportunistic infections Improvement of impaired vision

Relief of gastrointestinal pain

A nurse is reviewing the medication record of a client who has chronic renal disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? Omeprazole Vancomycin Ondansetron Diphenhydramine

Vancomycin

A nurse is providing teaching to a client who has a new prescription for levothyroxine for HYPOthyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? soy garlic cranberry saw palmetto

soy

A nurse is teaching a client who has a new prescription for bumetanide. Which of the following instructions should the nurse include in the teaching? "report changes in hearing" "avoid foods high in potassium" "take the second prescribed dose at bedtime" "limit your fluid intake to no more than 1.5 L day"

"report changes in hearing"

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? A. Elevated blood urea nitrogen (BUN) B. Elevated HbA1c C. Decreased chloride D. Decreased bilirubin

A. Elevated blood urea nitrogen (BUN)

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? A. Place the client in a supine position postoperatively. B. Encourage ambulation once fully awake. C. Offer the client ice cream postoperatively. D. Instruct the client not to lift over 4.5 kg (10 lb)

B. Encourage ambulation once fully awake.

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?A. Glucose B. Ammonia C. Potassium D. Bicarbonate

B. Ammonia

A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. Which of the following food should be eliminated in the client's diet? A. Cooked cabbage B. Dried apricots C. Ripe bananas D. Ice cream

B. Dried apricots

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following? Urinary tract infection Urinary incontinence Urinary frequency Urinary retention

Urinary tract infection

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? a. "Sleep on your left side." b. "Drink milk to soothe your stomach." c. "Eat four small meals each day." d. "Wait to go to bed for 1 hour after eating."

c. "Eat four small meals each day."

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority? a. Pain b. Nausea c. Gag reflex d. Level of consciousness

c. Gag reflex

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take this medication as needed to reduce pain." b. "I will reduce my fluid intake with this medication." c. "I will take this medication with an antacid." d. "I will take this medication 1 hour before meals and at bedtime."

d. "I will take this medication 1 hour before meals and at bedtime."

A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered? a. Creatine kinase b. Troponin c. Total bilirubin d. Albumin

d. Albumin

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan? a. Turkey sandwich with celery sticks b. Sliced ham with green salad c. Pork tenderloin with green peas d. Grilled chicken breast with white rice

d. Grilled chicken breast with white rice

A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure? 1. High-Fowlers 2. Side-lying 3. Leaning forward 4. Supine

1. High-Fowlers

A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statement indicates the client understands the dietary teaching? 1.My largest meal of the day should be in the morning 2.I should eliminate pasta from my diet so that I don't have as many loose stools 3.Eating yogurt can help decrease the amount of gas that I have 4.Carbonated beverages can help control odor.

3.Eating yogurt can help decrease the amount of gas that I have

A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. "I can take this medication with or without food." B. "I will take this medication in the morning." C. "I should expect my stools to turn black." D. "I will take this medication with an antacid. E. "I will take this medication when I need it for pain. F. "I will eat five small meals each day."

A. "I can take this medication with or without food." F. "I will eat five small meals each day."

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer? A. Danazol B. Finasteride C. Fluoxymesterone D. Methlytestosterone

B. Finasteride

A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching? A. I wont pass gas as often now that I am taking this medication B. I will take this med. each morning with breakfast C. I have an increased risk of getting PNA while taking this med. D. I will need to take a daily stool softener while taking this med.

C. I have an increased risk of getting PNA while taking this med.

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? A. "If the medicine causes an upset stomach, take an antacid at the same time." B. "Limit your daily fluid intake while taking this medication." C. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." D. "You should report any tendon discomfort you experience while taking this medication."

D. "You should report any tendon discomfort you experience while taking this medication."

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention? Auscultate the client's lungs Assist the client to a side-lying position Provide oral hygiene Withhold oral fluids and food

Withhold oral fluids and food

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions would the nurse include in the plan? SATA a. Administer furosemide b. Administer warfarin c. Implement a low-sodium diet d. Measure the client's abdominal girth e. Encourage weightlifting during physical therapy

a. Administer furosemide c. Implement a low-sodium diet d. Measure the client's abdominal girth

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? a. Both are inflammatory b. Both begin in the rectum c. Both manifest fistula formation d. Both require frequent surgery

a. Both are inflammatory

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications? a. Senna b. Ibuprofen c. Omeprazole d. Zolpidem

a. Senna

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?a.Gallstones b.Hypolipidemia c.COPD d.Diabetes mellitus

a.Gallstones

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? Select all that apply. a. "I will lie down for one half hour after meals." b. "I will consume less caffeine and fewer spicy foods." c. "I will sleep with the head of my bed elevated." d. "I will try not to gain weight." e. "I will drink less fluid."

b. "I will consume less caffeine and fewer spicy foods." c. "I will sleep with the head of my bed elevated." d. "I will try not to gain weight."

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid? a. Nonfat milk b. Chocolate c. Apples d. Oatmeal

b. Chocolate

A nurse is caring for a client who is postoperative following an appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the client? -Broth -Grape juice -Nonfat milk -custard - Lemon gelatin

broth grape juice lemon gelatin

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? a. Initiate a low-reside diet b. Pantoprazole 80mg IV bolus twice daily c. Ambulate twice daily d. Pancrealipase 500units/kg PO three times daily with meals

b. Pantoprazole 80mg IV bolus twice daily

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.) a. Green beans b. Tomatoes c. Bananas d. Asparagus e. Raisins

b. Tomatoes c. Bananas e. Raisins

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? a. "You should decrease your caloric intake when abdominal pain is present." b. "You should increase fat intake when experiencing loose stools." c. "You should increase your daily intake of protein." d. "You should limit alcohol intake to 2-3 drinks per week."

c. "You should increase your daily intake of protein."

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? decreased sodium level decreased phosphate level decreased potassium level decreased chloride level

decreased sodium level

A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? Select all that apply. report of feeling pressure tenderness over the symphysis pubis distended bladder voiding 30 mL frequently dysuria

report of feeling pressure tenderness over the symphysis pubis distended bladder voiding 30 mL frequently