Lower GI

The nurse is caring for a client with a bowel obstruction. Which intervention will the nurse implement?

Administer a nasogastric tube as prescribed

The nurse is caring for a client with dehydration caused by diarrhea. Which intervention will the nurse implement?

Administer prescribed intravenous fluids

The nurse is caring for a client with cirrhosis. The nurse should anticipate reviewing which lab value?

Ammonia 80 mcg/dL

The nurse is reinforcing teaching about nutrition for a client with celiac disease. Which food choice made by the client indicates an understanding of the teaching?

Bacon, hard-boiled egg, and blueberries

The nurse is caring for a client with malabsorption. The nurse identifies which contributing factors as probable causes? Select all that apply.

Celiac disease Lactose intolerance Parasitic disease

The nurse is caring for a client with an umbilical hernia. Which assessment will prompt the nurse to notify the health-care provider?

Complaints of nausea and vomiting

The nurse is taking a health history on a client with diarrhea. Which assessment will the nurse suspect as the cause of the client's diarrhea?

Drinking contaminated water

The nurse is caring for a client who became dehydrated because of diarrhea. Which clinical manifestations will the nurse expect to find? Select all that apply.

Dry mucous membranes Decreased skin turgor Weakness Thready pulse

The nurse is caring for a client with appendicitis. Which intervention will the nurse implement?

Ensure the client does not take anything by mouth

The nurse is caring for a client with irritable bowel syndrome (IBS) with constipation. Which medication can the nurse expect to administer?

Fluoxetine

Which enzymes convert emulsified fats to fatty acids and glycerol?

Lipase

The nurse is caring for a client with an obstruction. The client begins to experience fecal vomiting. Which action should the nurse take?

Notify the health-care provider (HCP)

The nurse is caring for a client who has a body mass index (BMI) of 27.2. How will the nurse interpret this value?

Overweight

The nurse is caring for a client with appendicitis. Which clinical manifestations can the nurse expect to find?

Pain in the right lower quadrant

The nurse is teaching a client about prevention of diarrhea. Which action will the nurse include in the teaching?

Practicing proper hand hygiene

The nurse is caring for a client with constipation. Which interventions will the nurse implement?

Provide the client with a footstool to promote hip flexion.

The nurse is preparing a presentation regarding risk factors for diverticulitis. Which contributing factor for developing diverticulitis will the nurse include in the presentation? Select all that apply.

Sedentary lifestyle Smoking Diet high in animal fat Obesity

The nurse is reviewing lab results for a client with diarrhea and notes white blood cells (WBCs) in the stool. WBCs in stools is indicative of which condition?

Shigellosis

The nurse is caring for a client with celiac disease. Which clinical manifestations can the nurse expect to find?

Steatorrhea

The nurse is reviewing orders for a client with ulcerative colitis. Which prescription will the nurse question for a client with an allergy to sulfa?

Sulfasalazine

The nurse is providing teaching to a client who underwent a hernia repair. Which intervention will the nurse include in the teaching?

Teach the client to apply a support truss while still lying in bed

A client is admitted with abdominal problems. Which assessment findings will the nurse report to the health-care provider immediately?

black and tarry stools

The nurse is caring for a client with ulcerative colitis. Which clinical manifestations can the nurse expect to find?

bloody diarrhea

The nurse is caring for a client with Crohn's disease. Which clinical manifestation can the nurse expect to find?

crampy abdominal pain

Where is bile produced?

liver

The nurse is caring for a client with appendicitis who begins to exhibit nausea, vomiting, fever, and abdominal rigidity. Which action will the nurse take?

notify HCP

The nurse is caring for a client with a new ostomy. Which color does the nurse expect to see upon assessment of the stoma?

red

The nurse is caring for a client with constipation. Which clinical manifestations can the nurse expect to find?

straining at stool

The nurse is caring for a client with a lower gastrointestinal (GI) bleed. The nurse will be most attentive to which clinical manifestation?

tachycardia *SHOCK*

How many loose stools in 24 hr will a client experience before diarrhea is diagnosed?

three

What are common causes of constipation? Select all that apply.

use of narcotics diabetes mellitus hemorrhoids

The nurse is caring for a client with ulcerative colitis. The client is scheduled to undergo a total proctocolectomy. Which statement made by the client indicates an understanding of the procedure?

"I am going to have my colon, rectum, and anus removed."

The nurse is providing teaching to a client with constipation. Which statement made by the client indicates an understanding of the teaching?

"I can take psyllium to help with bowel movements."

The nurse is teaching a client about a barium enema. Which statement by the client indicates an understanding of the teaching?

"I need to take a laxative and enema the night before the test."

The nurse is providing teaching for a client with irritable bowel syndrome (IBS). Which statement made by the client indicates a need for further teaching?

"I will eat three large meals daily."

A client who has been diagnosed with diverticulosis asks the nurse what this means. Which statement by the nurse is the best response?

"You have multiple diverticula with no inflammation."

The nurse is teaching a client about a high-fiber diet. Which food choice made by the client indicates an understanding of the teaching?

1/3 cup of all-bran flakes

The nurse is preparing to administer azathioprine to a client with Crohn's disease. The client weighs 72 kilograms, and the prescribed dose is 2 mg/kg. How many milligrams will the nurse administer? Enter the numeral only.

144 Multiple the weight (kg) of 72 by the dose (2 mg), which equals 144 mg.

The nurse is calculating intake for a client with diarrhea. The client has received a 1 L bolus and a 500 mL bolus, and has consumed 2 bottles of a sports drink at 240 mL each and 3 cups of water with a total volume of 480 mL. What is the client's total intake? Enter the numeral only.

2,460

The nurse is preparing to infuse 1 L of 0.9% normal saline over 4 hr to a client with diarrhea. At what rate will the nurse set the infusion pump? Enter the numeral only.

250 Divide 1000 milliliters (1L) by 4 hr to equal a rate of 250 mL/hr. Correct Answer - 250

The nurse is reviewing treatments for a client with ulcerative colitis and notes a prescription of mesalamine 1,600 mg taken three times daily. How many milligrams will the nurse administer per day? Enter the numeral only.

4,800

The nurse is teaching a client with lactose intolerance about nutrition. Which food choice made by the client indicates an understanding of the teaching?

8 ounces of orange juice with vitamin D

The nurse is caring for a group of clients. Which client is at highest risk for developing ulcerative colitis?

A 20-year-old with thyroid cancer who received radiation

The nurse is caring for a group of clients. Which client is at highest risk for developing colon cancer?

A client who has ulcerative colitis

The nurse is caring for a group of clients. Which client should the nurse see first?

A client with a bowel obstruction vomiting fecal matter

The nurse is caring for a client with a bowel obstruction. Which action, if performed by a family member, requires correction by the nurse?

A family member is feeding a client unlimited ice chips.