GI Quiz

A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomies and ileostomies. Which of the following responses should the nurse offer?

"A colostomy is from the large intestine and an ileostomy is from the small intestine."

A nurse is reinforcing teaching with a group of community residents about hepatitis B. Which of the following statements should the nurse include in the teaching?

"A hepatitis B immunization is given to infants and children."

A nurse is caring for a client who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks why he has to say in bed, how should the nurse respond to explain the most important reason for this prescription?

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

A nurse is reinforcing teaching with a client regarding nutrition. Which of the following statements should the nurse include about nutrients?

"Protein builds and repairs body tissue."

A nurse is caring for a client who is 2 days postoperative following gastric surgery and has an NG tube inserted. Which of the following findings should the nurse report to the provider?

200 mL of bright red drainage from the NG tube

A nurse in a provider's office is collecting data from a client who has GERD. When documenting the client's history, the nurse should expect the client to report that symptoms worsen with which of the following actions?

Bending over

A nurse is caring for a client who has recovered from acute diverticulitis. The nurse should instruct the client to increase his intake of which of the following foods when the inflammation subsides?

Cabbage and peaches

A nurse is caring for a client who has gastrointestinal bleeding. The provider suspects a bleeding lesion in the colon. The nurse should anticipate that the most likely initial approach to treatment will involve which of the following procedures?

Colonoscopy

A nurse is planning discharge teaching for a client who is postoperative following a traditional open cholecystectomy. Which of the following learning needs of the client is the nurse's priority?

Coughing and deep-breathing exercises

A nurse is caring for a client who is 3 days postoperative following abdominal surgery. The client states, "Something just popped when I coughed." Which of the following actions should the nurse take first?

Cover the client's wound with a sterile, moist dressing

A nurse is caring for a client from the Middle East who has celiac disease. Which of the following actions should the nurse take regarding the client's diet?

Determine the client's dietary preferences

A nurse is reinforcing teaching with a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile?

Digest fats

A nurse is contributing to the plan of care for a client who has dumping syndrome. Which of the following instructions should the nurse include?

Eat a source of protein with each meal

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

Empty the drainage bag when it is half full of urine

A nurse is caring for a client who has abdominal pain and possibly pancreatitis. Which of the following laboratory results should the nurse identify as an indication of pancreatitis?

Increased serum lipase level

A nurse is assisting with data collection from a client who is 12 hours postoperative following an open cholecystectomy. Which of the following findings should the nurse report to the charge nurse?

Indwelling urinary catheter output of 25 mL/hr

A nurse is assisting with the planning of an in-service training session regarding nutrition. Which of the following minerals should the nurse include as a factor in oxygen transportation?

Iron

A nurse is reinforcing teaching about dietary therapy with a client who has dumping syndrome following gastric bypass surgery 4 days ago. Which of the following pieces of information should the nurse include in the teaching?

Maintain a supine position after meals

A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with colostomy. Which of the following statements by the client indicates a need for further teaching?

My diet will have to change to a soft diet after surgery."

A nurse is assisting with the planning of an in-service session for a group of nurses regarding the role of enzymes in digestion. Which of the following enzymes has a role in the digestion of protein?

Pepsin

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first?

Place the client in a semi-Fowler's position

A nurse is checking a client 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?

Rigid abdomen

A nurse is reinforcing dietary teaching with a client who has ulcerative colitis. Which of the following food selections by the client indicates an understanding of the teaching?

Roasted chicken and white rice

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?

Wheat toast

A nurse is caring for a client who has acute diverticulitis. While the client has active inflammation, the nurse should instruct the client to include which of the following foods in her diet?

White bread and plain yogurt