GI - ch. 44 Point Q's
The nurse is preparing a patient for a barium enema. The nurse should place the patient on which of the following prior to the procedure?
Clear liquids the day before. The nurse should place the patient on clear liquids the evening before the procedure, a low-residue diet 1-2 days before the test, and NPO at midnight in preparation for the barium enema.
The nurse is educating a patient about to undergo hydrogen breath testing about the test. The nurse evaluates that the patient understands the test when he states which of the following?
"I should avoid antibiotics for 1 month before the test." He should also avoid loperamide (Pepto Bismol), sucralfate (Carafate), and omeprazole (Prilosec) for 1 week prior to the test. And cimetidine (Tagamet), famotidine (Pepcid), and ranitidine (Zantac) for 24 hours before the test.
A patient asks the nurse why the physician ordered the blood test carcinoembryonic antigen (CEA). The nurse answers:
"It indicates if a cancer is present."
Blood flow to the GI tract is approximately what percentage of the total cardiac output?
Blood flow to the GI tract is about 20%. and increases after eating.
The nurse is caring for a patient after a gastroscopy for which the patient received sedation. The nurse should report which of the following findings to the physician?
Difficulty swallowing
A patient receives a local anesthetic to suppress the gag reflex for a diagnostic procedure of the upper GI tract. Which of the following nursing interventions is advised for this patient?
Do not give any food and fluids until the gag reflex returns.
When gastric analysis testing reveals excess secretion of gastric acid, which of the following medical diagnoses is supported?
Duodenal Ulcer
The nurse is teaching a patient scheduled for a colonoscopy. Which of the following should be included as part of the preparation for the procedure?
Follow the dietary and fluid restrictions and bowel preparation procedures.
The nurse is caring for a patient who complains of abdominal bloating, distention, and feeling full of gas. These could be symptoms of which of the following?
Food allergy
Which of the following is the major carbohydrate that tissue cells use as fuel?
Glucose
The nurse is assessing bowel sounds and hears one to two bowel sounds in 2 minutes. The nurse documents the bowel sounds as being which of the following?
Hypoactive
Which of the following is a parasympathetic response in the GI tract?
Increased peristalsis
The nurse preparing a patient for a colostomy is preparing to administer the lavage solution. The nurse stops and notifies the physician when the nurse notes that the patient has which of the following?
Inflammatory bowel disease.
The nurse is performing an abdominal assessment. The nurse should perform the assessment in which of the following orders?
Inspection, auscultation, percussion, palpation
Which of the following terms describes a gastric secretion that combines with Vitamin B12 so that it can be absorbed:
Intrinsic factor
Which of the following is an enzyme that begins the digestion of starches?
Ptyalin
A patient tells the nurse that his stool was colored yellow. The nurse assesses for which of the following?
Recent foods ingested. Ingestion of senna can cause the stool to turn yellow.
The nurse is inspecting a patient's tongue. Which of the following findings would the nurse evaluate as an indication of potential oral cancer?
Red plaque on undersurface of tongue.
The nurse is conducting education relating to test preparation for a patient scheduled to undergo an abdominal ultrasonography. The nurse instructs the patient to do which of the following?
Restrict eating of solid food for 8-12 hours before the test.
The nurse working in the GI lab is caring for a patient after an endoscopic examination and preparing the patient for discharge. The nurse includes which of the following in the instructions?
Resume regular diet
The nurse is assessing for blood in the stool due to an upper GI condition. The nurse understands that if there is blood in the stool, the stool will be which of the following colors?
Tarry black
The following is a true statement regarding older patients, considering the age-related effects on their GI system:
They tend, usually, to have less control of the rectal sphincter.
Which enzyme aids in the digestion of protein?
Trypsin
The patient is describing to the nurse a test that he underwent to detect a small bowel obstruction prior to admission to the hospital. The patient states that the test involved insertion of a tube through the nose and lasted over 6 hours. The nurse documents the name of the test as which of the following?
Upper GI enteroclysis
Which of the following is an age-related change of the GI system?
Weakened gag reflex