Gi NCLEX questions
472. The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence? 1. Sweating and pallor
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478. A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? 1. Lying recumbent after meals 2. Eating small, frequent, bland meals
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475. The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to be prescribed? Select all that apply. 1. Administer antacids, as prescribed. 2. Encourage coughing and deep breathing. 3. Administer anticholinergics, as prescribed. 4. Maintain the client in a supine and flat position. 5. Encourage small, frequent, high-calorie feedings.
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467. The nurse is preparing to perform an abdominal examination. Which step should be taken first? 1. Palpation 2. Inspection 3. Percussion 4. Auscultation
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474. A client with ascites is scheduled for a paracentesis. The nurse is assisting the primary health care provider (PHCP) with performing the procedure. Which position should the nurse assist the client into for this procedure? 1. Flat 2. Upright 3. Left side-lying 4. Right side-lying
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473. The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record? 1. Diarrhea 2. Constipation 3. Bloody stools 4. Stool constantly oozing from the rectum
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476. It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C 4. Hepatitis D
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466. The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure? 1. Left Sims' position 2. Lithotomy position 3. Knee-chest position 4. Right Sims' position
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468. The nurse reinforces postoperative liver biopsy instructions to a client. Which should the nurse tell the client? 1. Avoid alcohol for 8 hours. 2. Remain NPO for 24 hours. 3. Lie on the right side for 2 hours. 4. Save all stools to be checked for blood.
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470. The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which should the nurse clarify? 1. Leg exercises 2. Early ambulation 3. Irrigating the NG tube 4. Coughing and deep-breathing exercises 471. The nurse is reinforcing discharge instructions
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471. The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure should the nurse include during client teaching to help prevent dumping syndrome? 1. Ambulate after a meal. 2. Eat high-carbohydrate foods. 3. Limit the fluids taken with meals. 4. Sit in a high Fowler's position during meals.
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477. The nurse is reviewing the primary health care provider's (PHCP'S) prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription should the nurse verify if noted in the client's chart? 1. NPO status 2. An anticholinergic medication 3. Position the client supine and flat 4. Prepare to insert a nasogastric tube
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480. An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test? 1. The test is uncomfortable. 2. The test requires that the client be NPO. 3. The test requires the client to lie still for short intervals. 4. The test is preceded by the administration of oral tablets.
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469. The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? 1. Vitamin A 2. Vitamin C 3. Vitamin E 4. Vitamin B
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479. The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred? 1. Dark and bluish 2. Sunken and hidden 3. Narrowed and flattened 4. Protruding and swollen
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