nurs 327 exam 3
The nurse provides client education to a client about to undergo hydrogen breath testing. The nurse evaluates that the client understands the test when the client makes which statement?
"I should avoid antibiotics for 1 month before the test."
After teaching a client about the procedure for inserting a nontunneled central catheter, the nurse determines that the client has understood the instructions based on which statement?
"I will be lying on my back but my legs will be higher than my head."
A home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test?
"I'll avoid eating or drinking anything 6 to 8 hours before the test."
A nurse is caring for a client who is considering vagal blocking therapy for the treatment of obesity. The client asks the nurse, "How does this therapy make me lose weight?" What is the nurse's best response? Select all that apply.
"It decreases stomach emptying." "It decreases pancreatic enzyme secretion." "It decreases stomach contractions." "It decreases absorption of calories."
Upon hearing that the small intestine lining has thinned, an elderly client asks, "What can this lead to?" What is the best response by the nurse?
"You may frequently experience constipation."
Blood flow to the GI tract is approximately what percentage of the total cardiac output?
20%
When completing a nutritional assessment of a patient who is admitted for a GI disorder, the nurse notes a recent history of dietary intake. This is based on the knowledge that a portion of digested waste products can remain in the rectum for how many days after a meal is digested?
3 days
he nurse administers a tube feeding to a client via the intermittent gravity drip method. The nurse should administer the feeding over at least which period of time?
30 minutes
how often is a feeding tube irrigated
4-6 hours
A client is recovering from a neck dissection. What volume of serosanguineous secretions would the nurse expect to drain over the first 24 hours?
80-120 ml
Which neuroregulator increase gastric acid secretion?
Acetylcholine
When preparing a client for a hemorrhoidectomy, the nurse should take which action?
Administer an enema as ordered.
While stripping wax from surfboards, a client accidentally ingested a refrigerated strong base cleaning solution, thinking it was water. What interventions would the nurse anticipate including in this client's care plan? Select all that apply.
Administer medication for report of pain. Insert an intravenous (IV) catheter for administration of IV fluids. Maintain nothing by mouth status. Assess respiratory status every 4 hours and prn.
The nurse is to insert a postpyloric feeding tube. How can the nurse aid in placement of the tube past the pylorus?
Administer prescribed metoclopramide.
A client is recovering from percutaneous endoscopic gastrostomy (PEG) tube placement. The nurse
Administers an initial bolus of 50 mL water
The American Cancer Society recommends routine screening to detect colorectal cancer. Which screening test for colorectal cancer should a nurse recommend?
Annual digital examination after age 40
A client who underwent abdominal surgery and has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first?
Assess patency of the NG tube.
A nurse is preparing to assist a health care provider with a peripherally inserted central catheter. The nurse demonstrates understanding of this procedure by preparing which insertion site?
Basilic vein
A nurse cares for a client with obesity who is also diagnosed with depression. Which medication does the nurse expect the health care provider will prescribe, which also aids in weight loss?
Bupropion
The nurse is caring for a group of clients. Which client(s) would be a candidate for total parenteral nutrition (TPN)? Select all that apply.
Child with short bowel syndrome Middle-aged man with acute pancreatitis Man with two-thirds of his colon removed
An older adult client seeks help for chronic constipation. What factor related to aging can cause constipation in elderly clients?
Decreased abdominal strength
A client with acute gastritis asks the nurse what might have caused the problem. What is a possible cause of acute gastritis?
Dietary indiscretion Excessive alcohol intake Radiation therapy
The nurse is investigating a client's report of pain in the duodenal area. Where should the nurse perform the assessment?
Epigastric area and consider possible radiation of pain to the right subscapular region
Cancer of the esophagus is most often diagnosed by which of the following?
Esophagogastroduodenoscopy (EGD) with biopsy and brushings
Which of the following is a function of the stomach? Select all that apply.
Food storage Secretion of digestive fluids Propels partially digested food into small intestine
Which of the following dietary guidelines should be followed following bariatric surgery? Select all that apply.
Include two protein snacks per day. Eat slowly. Eat three meals per day.
Gastrin has which of the following effects on gastrointestinal (GI) motility? You Selected:
Increased motility of the stomach
he nurse is caring for a client receiving chemotherapy. For which mouth conditions associated with HIV infection should the nurse assess? Select all that apply.
Kaposi sarcoma Stomatitis
Which of the following is a proton pump inhibitor used in the treatment of gastroesophageal reflux disease (GERD)? Select all that apply.
Lansoprazole (Prevacid) Rabeprazole (AcipHex) Esomeprazole (Nexium)
A client receiving tube feedings has prescriptions for several drugs. Which drugs would the nurse expect to administer to the client without any special preparation? Select all that apply.
Liquid stool softener Sublingual nitroglycerin
A client receiving tube feedings has prescriptions for several drugs. Which drugs would the nurse expect to administer to the client without any special preparation? Select all that appl
Liquid stool softener Sublingual nitroglycerin
A nurse cares for a client with obesity who has type 2 diabetes. Which medication does the nurse recognize may assist in weight loss and is also approved to treat type 2 diabetes?
Liraglutide
Which of the following medications, used in the treatment of GERD, accelerate gastric emptying?
Metoclopramide (Reglan)
Celiac sprue is an example of which category of malabsorption?
Mucosal disorders causing generalized malabsorption
Which diagnostic produces images of the body by detecting the radiation emitted from radioactive substances?
PET
Which of the following is considered an early symptom of gastric cancer?
Pain relieved by antacids
A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered?
Permit the client to drink only clear liquids.
A nurse teaches a client with obesity about the various medication options for the treatment of obesity. Which medication will the nurse include when teaching the client about the class of medications that stimulate noradrenergic receptors?
Phentermine
A client with oral cancer reports dryness of the mouth. What is the nurse's best response?
Provide a humidifier for the client to use while sleeping.
he nurse determines a client scheduled to undergo an abdominal ultrasonography should receive which instruction?
Restrict eating of solid food for 6 to 8 hours before the test.
A client is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nurse would expect to find rebound tenderness at which location?
Right lower quadrant
Which of the following medications used for obesity improves cardiovascular disease risk factors in obese patients with metabolic syndrome?
Rimonabant (Acomplia)
When evaluating the function of the GI tract, the nurse needs to understand the role of hormones. Secretin, stimulated by the pH of chyme in the duodenum, is a major GI hormone that does which of the following?
Stimulates the production of bicarbonate in pancreatic juice
A client has been diagnosed with Zenker's diverticulum. What treatment does the nurse include in the client education?
Surgical removal of the diverticulum
A nurse is caring for a client who has experienced an acute exacerbation of Crohn's disease. Which statement best indicates that the disease process is under control?
The client exhibits signs of adequate GI perfusion.
A nurse enters the room of a client who has returned to the unit after having a radical neck dissection. Which assessment finding requires immediate intervention?
The client lying in a lateral position, with the head of bed flat
The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions? Select all that apply.
The client must fast for 8 hours before the examination. The throat will be sprayed with a local anesthetic. After gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours).
The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized?
The client will change positions frequently throughout the procedure.
The nurse is assisting the health care provider with a colonoscopy for a client with rectal bleeding. The health care provider requests the nurse to administer glucagon during the procedure. Why is the nurse administering this medication during the procedure?
To relax colonic musculature and reduce spasm.
The presence of mucus and pus in the stools suggests which condition?
Ulcerative colitis
he nurse is providing medication administration teaching for a client with obesity who is prescribed liraglutide for weight loss. What will the nurse include in the teaching?
You will be injecting the medication on a daily basis."
Which neuroregulator increase gastric acid secretion?
acetylcholine
A client who underwent abdominal surgery and has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first?
assess patency of the NG tube
client is postoperative following a graft reconstruction of the neck. What intervention is the most important for the nurse to complete with the client?
assess the graft for color and temperature
A client who underwent abdominal surgery and has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first?
assess the patancy of the NG tube
Which of the following is considered the gold standard for the diagnosis of liver disease?
biopsy
patient is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently used to diagnose?
cancer
If a client's central venous catheter accidentally becomes disconnected, what should a nurse do first?
clamp the catheter
A nurse cares for a client with a BMI of 40 kg/m2. Which gastrointestinal condition or disease does the nurse recognize is associated with the client's BMI?
colorectal cancer
A client is scheduled to have an endoscopic retrograde cholangiopancreatography. Which structures are visualized during this procedure?
common bile duct, pancreatic duct, and biliary tree
What type of feedings should be administered to a client who is at risk of diarrhea due to hypertonic feeding solutions?
continuous feeding
The nurse is preparing a client for a test that involves inserting a thick barium paste into the rectum with radiographs taken as the client expels the barium. What test will the nurse prepare the client for?
defecography
Which tube is a nasoenteric feeding tube?
dobbhoff
hen gastric analysis testing reveals excess secretion of gastric acid, the nurse recognizes which medical diagnoses is supported?
duodenal ulcer
Cystic fibrosis, a genetic disorder characterized by pulmonary and pancreatic dysfunction, usually appears in young children but can also affect adults. If the pancreas was functioning correctly, where would the bile and pancreatic enzymes enter the GI system?
duodenum
he nurse is performing an assessment of a patient. During the assessment the patient informs the nurse of some recent "stomach trouble." What does the nurse know is the most common symptom of patients with GI dysfunction?
dyspepsia
The nurse recognizes that medium-length nasoenteric tubes are used for
feeding
The nurse is to discontinue a nasogastric tube that had been used for decompression. What is the first action the nurse should take?
flush with 10 ml of water
A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate?
gastroesophageal reflux disease
The nurse is conducting a community education program on peptic ulcer disease prevention. The nurse includes that the most common cause of peptic ulcers is:
gram-negative bacteria.
The nurse cares for a client who receives continuous parenteral nutrition (PN) through a Hickman catheter and notices that the client's solution has run out. No PN solution is currently available from the pharmacy. What should the nurse do?
hang 10% dextrose and water
The nurse is working on a general medical unit. A client is scheduled for an upper gastrointestinal series. Upon return to the nursing unit, what does the nurse identify as the client goal?
increase the amount of fluids
Which mouth condition is most associated with HIV infection?
karposi sarcoma
A focused GI assessment begins with a complete history and physical examination. Identify the quadrant of the abdomen to be palpated or percussed for a patient with pancreatitis.
left upper
A focused GI assessment begins with a complete history and physical examination. Identify the quadrant of the abdomen to be palpated or percussed for a patient with pancreatitis.
left upper quadrant
The health care provider orders the insertion of a single lumen nasogastric tube. When gathering the equipment for the insertion, what will the nurse select?
levin tube
After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?
loperamide
A client with enteritis reports frequent diarrhea. What assessment should the nurse should anticipate?
metabolic acidosis
The nurse is providing discharge instructions for a slightly overweight client seen in the Emergency Department with gastroesophageal reflux disease (GERD). The nurse notes in the client's record that the client is taking carbidopa/levodopa. Which order for the client by the health care provider should the nurse question?
metoclopramide
A client with obesity is prescribed liraglutide for weight loss. Which common side effect will the nurse include in the client teaching?
nausea
A client is to receive parenteral nutrition for 4 weeks. What type of catheter would the nurse prepare to teach the client about the planned nutrition?
nontunneled central catheter
A client has been taking a 10-day course of antibiotics for pneumonia. The client has been having white patches that look like milk curds in the mouth. What treatment will the nurse educate the client about?
nystatin
he Zollinger-Ellison syndrome (ZES) consists of severe peptic ulcers, extreme gastric hyperacidity, and gastrin-secreting benign or malignant tumors of the pancreas. The nurse recognizes that an agent that is used to decrease bleeding and decrease gastric acid secretions is
octreotide (Sandostatin)
he nurse is assisting the health care provider with a gastric acid stimulation test for a client. What medication should the nurse prepare to administer subcutaneously to stimulate gastric secretions?
pentagastrin
A nurse cares for a client with obesity who reports taking "a medication of weight loss" but cannot remember the name of it. The client also reports nervousness and feeling "jittery". Which medication is the client most likely taking?
phentermine
A nurse cares for an older adult client with obesity who also has glaucoma. Which obesity medication is contraindicated in this client?
phentermine
An enzyme that begins the digestion of starches is
ptyalin
An enzyme that begins the digestion of starches is
ptyalin.
Which of the following is the most common symptom of a po
rectal bleeding
he nurse inspects a client's tongue. Which finding would the nurse evaluate as an indication of potential oral cancer?
red plaque on undersurface of tongue
is important for a nurse to have an understanding of the major digestive enzymes and their actions. Choose the gastric mucosa secretion that plays an important role in the digestion of triglycerides.
steapsin
t is important for a nurse to have an understanding of the major digestive enzymes and their actions. Choose the gastric mucosa secretion that plays an important role in the digestion of triglycerides.
steapsin
The nurse is inserting a sump tube in a patient with Crohn's disease who is suspected of having a bowel obstruction. What does the nurse understand is the benefit of the gastric (Salem) sump tube in comparison to some of the other tubes?
the tube is radiopaque
Which enzyme aids in the digestion of protein?
trypsin
Hickman and Groshong are examples of which type of central venous access device?
tunneled central catheters
The nurse recognizes which change of the gastrointestinal system is an age-related change?
weakened gag reflex
