MED 2048 GI QUIZ #1

A nurse in a providers office is reviewing the health histories of 4 clinics. For which of the following clients should the nurse schedule;e a Colonoscopy?

32 year old who has had a sister who died from colon cancer.

A nurse in a community clinic is collecting data from client who reports frequent N/D for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply)

1. Poor skin turgor 2. Hypotention 3. Flat neck veins

A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse schedule a Colonoscopy?

51 year old who is being seen for a annual physical examination.

Which is not a function in the large intestine?

Absorbing nutrients.

A nurse is preparing to collect a specimen from a client for a guaiac test. The client asks what the test will detect in his stool. Which of the following responses should the nurse make?

Blood.

A Pt. expresses concerns over having black stool. The fecal occult blood test is negative. Which response by the nurse is most appropriate?

Do you take Iron supplements?

Most nutrients are absorbed in which portion of the digestive tract?

Duodenum.

A nurse is assisting with the plan of care for a client who had an uppers endoscopy 1hr ago. The nurse should place the priority of monitoring which of the following?

Gag reflex.

A nurse is caring for a client who just had an endoscopic procedure. Which of the following is the monitoring priority for the client?

Gag reflex.

To assist a family with a bowel training program to reduce fecal incontinence, the nurse would suggest the use of a _______ at an optimal time to stimulate defecation.

Glycerin suppository.

A nurse is assisting a pt. in making a dietary choices that promote healthy bowel elimination. Which menu option should the nurse recommend?

Grape, walnut chicken salad sandwich on whole wheat bread.

Bowel sound assessment on a pt. with an obstruction who has distention, nausea, and visible peristaltic waves would be:

High pitched

A nurse is reinforcing teaching a client who is scheduled for a barium, swallow to evaluate dysphagia. Which of the following statements should indicate to the nurse that the client understands the instructions?

I will drink plenty of fluids after the test.

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicated an understanding of the teaching?

I'll have an endoscope put down my throat so that can see my gallbladder.

A nurse is caring for a client who is postoperative. Which of the following nonpharmacological interventions should the nurse use to promote bowel elimination for this client?

Increase ambulation.

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse take?

It helps eliminate the barium.

A nurse is reinforcing teaching with a client who is to collect stool at home for a fecal occult blood test (FOBT). Which of the following should the nurse instruct the client to avoid for at least 3 days before the test?

Orange Juice.

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following client finding indicates to the nurse that peristalsis is returning.

Passage of flatus.

When examining a clients mouth as part of the routine data collection. the nurse notices that the clients gums appear swollen and pressing on the causing yellow discharge to appear. Which of the following terms should the nurse use when documenting this finding?

Pyorrhea

Fecal impactions occur in which portion of the colon?

Rectum.

Which Pt. statement indicates that the Pt. requires additional teaching about an endoscopic retrograde cholangiopancreatography?

Right after the test, I want breakfast with black coffee.

The nurse should anticipate which diagnostic examination for a Pt. with a black tarry stools?

Upper endoscopy.

The end product of carbohydrate metabolism is absorbed and put into the blood stream by the:

Villi of the small intestine.

A nurse is assisting with the implementation of a bowel training program for a client. For the program, to be effective the client should be taken to the bathroom at which of the following?

When the client has the urge to defecate.

A nurse is caring for a client who is scheduled for a colonoscopy. The client asks the nurse if there will be a lot of pain during the procedure. Which of the following responses should the nurse make?

You may feel cramping during the procedure.