GI

A nurse is caring for a client with a history of gastrointestinal (GI) irritability. What should the nurse advise the client to avoid to limit GI irritability? 1.Iodized salt 2.Cola drinks 3.Amino acids 4.Rice products

2.Cola drinks

A nurse evaluates that a client understands appropriately how to take the antacids prescribed by the primary health care provider when the client states, "I will take my antacids: 1.With the onset of pain." 2.Thirty minutes after meals." 3.Every four hours around the clock." 4.Each time I have something to eat."

2.Thirty minutes after meals."

A client complains of pain four hours after a liver biopsy. The nurse identifies that there is a leakage of a large amount of bile on the dressing over the biopsy site. What should the nurse do first? 1.Tell the client to remain flat on the back. 2.Medicate the client for pain as prescribed. 3.Notify the client's health care provider immediately. 4.Monitor the client's vital signs every 10 minutes

3.Notify the client's health care provider immediately.

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the nurse advise the client to do to help prevent future hemorrhoidal episodes? 1.Exercise to improve circulation 2.Eat bland foods and avoid spices 3.Use laxatives to avoid constipation 4.Consume a high-fiber diet and drink adequate water

4.Consume a high-fiber diet and drink adequate water

Which client response during the insertion of a nasogastric tube indicates to the nurse that the client is experiencing serious difficulty with the insertion? 1.Choking 2.Redness 3.Gagging 4.Cyanosis

4.Cyanosis

A client is experiencing stomatitis as a result of chemotherapy. Which nursing action is most appropriate when caring for this client? 1.Provide frequent saline mouthwashes. 2.Use karaya powder to decrease irritation. 3.Increase fluid intake to compensate for accompanying diarrhea. 4.Provide meticulous skin care of the abdomen with an antiseptic

1.Provide frequent saline mouthwashes.

When an intestinal obstruction is suspected, a client has a nasogastric tube inserted and attached to suction. For what response should the nurse critically assess this client? 1.Edema 2.Belching 3.Fluid deficit 4.Excessive salivation

3.Fluid deficit

A client is admitted to the hospital for acute gastritis secondary to alcoholism and cirrhosis. For which clinical finding should the nurse assess this client? 1.Melena 2.Constipation 3.Complaints of nausea 4.Specific food intolerances

1.Melena

Before a cholecystectomy vitamin K is prescribed. Which element, formed in the presence of vitamin K, should the nurse determine is the purpose of administering this medication? 1.Bilirubin 2.Prothrombin 3.Thromboplastin 4.Cholecystokinin

2.Prothrombin

A client with a diagnosis of cancer of the stomach expresses a lack of interest in food and eats only small amounts. What should the nurse provide? 1.Nourishment between meals 2.Small portions more frequently 3.Supplementary vitamins to stimulate the client's appetite 4.Only foods the client likes in small portions at mealtimes

2.Small portions more frequently

A client has a large open abdominal wound. The health care provider's prescription states to cleanse the wound with normal saline, pack the wound with damp gauze, cover with abdominal pads, and secure with Montgomery straps twice a day. What should the nurse do to maintain sterility when changing the dressing? 1.Use a separate square gauze to cleanse each half of the wound. 2.Apply new Montgomery straps each time the dressing is changed. 3.Hold the wet gauze with the tips of the forceps higher than the wrist. 4.Cleanse the wound with wet sterile gauze from the center of the wound outward

4.Cleanse the wound with wet sterile gauze from the center of the wound outward

A client is diagnosed with a peptic ulcer. When teaching about peptic ulcers, the nurse instructs the client to report any stools that appear: 1.Frothy 2.Ribbon shaped 3.Pale or clay colored 4.Dark brown or black

4.Dark brown or black

A health care provider prescribes bisacodyl (Dulcolax) for a client with cardiac disease. The nurse explains to the client that this drug acts by: 1.Producing bulk 2.Softening feces 3.Lubricating feces 4.Stimulating peristalsis

4.Stimulating peristalsis

A client with a ruptured appendix is scheduled for an appendectomy. Preoperatively, the nurse should place the client in which position? 1.Sims 2.Left-lateral 3.Semi-Fowler 4.Dorsal recumbent

3.Semi-Fowler

A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea? 1.Increased fiber intake 2.Bacterial contamination 3.Inappropriate positioning 4.High osmolarity of the feedings

4.High osmolarity of the feedings

A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the client's health history for possible situations in which exposure may have occurred. Which event does the nurse determine is the most likely source of this infection? 1.Had a small tattoo on the arm three months ago 2.Assisted in the emergency birth of a baby two weeks ago 3.Worked for a month in an undeveloped area in Mexico four months ago 4.Attended an ecologic conference in a large urban center two months ago

1.Had a small tattoo on the arm three months ago

A nurse advises a client receiving furosemide (Lasix) to increase potassium intake. Which fruit should the nurse encourage the client to eat? (Select all that apply.) 1.Prune 2.Apple 3.Banana 4.Pineapple 5.Tangerine

1.Prune 3.Banana

A client who is obese and has a history of alcohol abuse is admitted to the hospital with the diagnosis of acute pancreatitis. What is the priority expected client outcome in response to therapy at this time? 1.Report decreased pain. 2.Remain in fluid balance. 3.Lose four pounds a week. 4.Join Alcoholics Anonymous

1.Report decreased pain.

Which intervention helps prevent hepatic coma in a client with liver dysfunction? 1.Restrict dietary protein. 2.Prepare for emergency surgery. 3.Eliminate carbohydrates from the diet. 4.Give hypertonic small volume enemas

1.Restrict dietary protein.

A client has laparoscopic surgery to remove a calculus from the common bile duct. What postoperative client response indicates to the nurse that bile flow into the duodenum is reestablished? 1.Stools become brown 2.Liver tenderness is relieved 3.Colic is absent after ingestion of fats 4.Serum bilirubin level returns to the expected range

1.Stools become brown

A client is transferred to the postanesthesia care unit after abdominal surgery. The client begins vomiting. What nursing action is most important when caring for this client? 1.Turning the client onto the side 2.Measuring the amount of vomitus 3.Checking the wound for dehiscence 4.Administering the prescribed antiemetic to the client

1.Turning the client onto the side

A nurse is reviewing discharge plans with a client who is hospitalized with hepatitis A. The nurse concludes that the client understands preventive measures to reduce the risk for spreading the disease when the client states, "I should: 1.Wash my hands frequently." 2.Launder my clothes separately." 3.Put used tissues in the garbage." 4.Wear a mask when leaving the house."

1.Wash my hands frequently."

A client has a permanent sigmoid colostomy as a result of cancer of the rectum. The primary health care provider prescribes daily colostomy irrigations. The nurse explains that the primary purpose of these irrigations is to: 1.Prevent straining at passage of stool 2.Establish a regular elimination schedule 3.Decrease the amount of flatus in the bowel 4.Limit the amount of fluid lost from the intestine

2.Establish a regular elimination schedule

A client with a history of recurrent cholecystitis is scheduled for an abdominal cholecystectomy. What should the nurse specifically emphasize when planning preoperative teaching for this client? 1.Possible complications 2.Food and fluid restrictions 3.Coughing and deep breathing 4.Isometric exercises of the extremities

3.Coughing and deep breathing

The nurse is developing a list of appropriate foods for a client who has been prescribed a low sodium diet. The nurse reviews the list with the client. The nurse evaluates that the teaching is understood when the client states, "It is okay for me to eat: 1.broiled scallops." 2.bologna on rye bread." 3.shredded wheat cereal." 4.canned soup."

3.shredded wheat cereal."

What should the nurse do when caring for a client with an ileostomy? 1.Teach the client to eat foods high in residue. 2.Explain that drainage can be controlled with daily irrigations. 3.Expect the stoma to start draining on the third postoperative day. 4.Anticipate that any emotional stress can increase intestinal peristalsis

4.Anticipate that any emotional stress can increase intestinal peristalsis

A nurse has provided teaching to a client with a newly prescribed proton pump inhibitor (PPI). The nurse determines that the teaching is effective when the client states that the medication is used for the treatment of: 1.Diarrhea 2.Vomiting 3.Cardiac dysrhythmias 4.Gastroesophageal reflux (GERD)

4.Gastroesophageal reflux (GERD)

A client newly diagnosed with cancer of the pancreas is scheduled for surgery. The client says to the nurse, "Wouldn't I be better off with some other treatment instead of surgery?" The nurse's best response is: 1."If I were you, I would explore other acceptable treatments for your cancer." 2."Surgery is the recommended approach. Why don't you discuss this further with the health care provider?" 3."Maybe you will be more confident with a second opinion. I think you need a referral to another health care provider." 4."With your disease your prognosis will improve if you follow the suggestion to have the recommended surgery."

2."Surgery is the recommended approach. Why don't you discuss this further with the health care provider?"

An underweight client has autoimmune hemolytic anemia that has been unresponsive to corticosteroids, and a splenectomy is scheduled. For what complication should the nurse assess the client in the immediate postoperative period? 1.Dehiscence 2.Hemorrhage 3.Wound infection 4.Abscess formation

2.Hemorrhage

A client who is suspected of having salmonellosis asks the nurse how the diagnosis is confirmed. The nurse responds that the medical diagnosis is established by a: 1.Urinalysis 2.Stool culture 3.Febrile agglutinin test 4.Complete blood count

2.Stool culture

A client with a hiatal hernia comes to the community health clinic to attend a class about nutrition. The client reports frequently waking up at night with heartburn. Which suggestion by the nurse may help to reduce symptoms of heartburn? 1.Eat a large meal at noontime 2.Take an intestinal sedative at night 3.Raise the head of the bed on blocks 4.Have a light snack with orange juice

3.Raise the head of the bed on blocks

A nurse concludes that a client understands the teaching about limiting the discomfort associated with a hiatal hernia when the client states, "After meals I will: 1.Drink 8 oz of water." 2.Take a 10-minute walk." 3.Rest in a sitting position for one hour." 4.Lie down in bed for at least 20 minutes."

3.Rest in a sitting position for one hour."

A nurse is teaching an athletic teenager about nutrients that provide the quickest source of energy. Which food selected from a menu indicates to the nurse that the adolescent understands the teaching? 1.Glass of milk 2.Slice of bread 3.Chocolate candy bar 4.Glass of orange juice

4.Glass of orange juice

The nurse provides a list of foods to prevent constipation to a client who has a history of constipation. The nurse concludes that further teaching is needed when the client says, "I should eat: 1.Eggs." 2.Beans." 3.Fresh fruits." 4.Steamed vegetables."

1.Eggs."

A client is diagnosed as having malabsorption syndrome secondary to celiac sprue. The client asks the nurse if there is anything that can help improve symptoms of the syndrome. The nurse encourages the client to incorporate which addition for symptom improvement? 1.Folic acid 2.Vitamin B12 3.Corticosteroids 4.Gluten-free diet

4.Gluten-free diet

For a client with difficulty swallowing, the nurse should crush which medication? 1.Slow-K 2.Agon SR 3.Toprol-XL 4.Tylenol ES

4.Tylenol ES