ATI and FA Davis Practice Questions = Lower GI

The nurse is screening patients for their risk of developing acute gastritis. The nurse should consider which patient at greatest risk? A. A 25 year old woman who has a vegan diet B. A 32 year old man who takes ibuprofen daily C. A 77 year old man who strokes D. An 80 year old woman who takes low-dose aspirin daily for atrial fibrillation

B.

A nurse is completing discharge teaching with a client who has Crohn's Disease. Which of the following instructions should the nurse include in the teaching? A. Decrease intake of calorie-dense foods B. Drink canned protein supplements C. Increase intake of high fiber foods D. Eat high-residue foods

B.

A nurse is completing discharge teaching with a client who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include? A. Keep a food diary to identify triggers to exacerbation B. Consume 15 to 20 g of fiber daily C. Plan three moderate to large meals per day D. Limit fluid intake to 1 L day

A.

The nurse recognizes which gastric disorder as a complication of inadequate mucosal perfusion secondary to intense physiological stress? A. Erosive gastritis B. Chronic gastritis C. Duodenal ulcers D. Esophageal reflux

A.

A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnosis? (Select all that apply) A. Emesis greater than 500mL with a fecal odor B. Report spasmodic abdominal pain C. High-pitched bowel sounds D. Abdomen flat with rebound tenderness to palpation E. Laboratory findings indicating metabolic acidosis

A. B. C. Abdominal distention is common

A nurse is planning care for a client who has a small bowel obstruction and NG tube in place. Which of the following interventions should the nurse include? (Select all that apply) A. Document NG drainage with the client's output B. Irrrigate NG every 8 hours. C. Assess bowel sounds D. Provide oral hygiene every 2 hours E. Monitor NG for placement

A. C. D. E. NG should be irrigated every 4 hours

The nurse recognizes that the treatment of H pylori includes which medications? (Select all that apply) A. PPIs B. Antiemetics C. NSAIDS D. Antacids

A. C.

The nurse monitors for which clinical manifestations in the patient diagnosised with a duodenal ulcer? (Select all that apply) A. Intermittent abdominal pain, which is relieved after eating and taking antacids but becomes worse at night B. Nausea and vomiting C. Right upper quadrant tenderness and is positive for occult blood in stool D. Complaints of heartburn or regurgitation and vomiting E. Bloating and flatulence

A. C. D.

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of following statements by the client indicates understanding of the teaching? A. "I will plan to limit fiber in my diet" B. "I will restrict fluid intake during meals" C. "I will switch to black tea instead of drinking coffee" D. "I will try to eat cold foods rather than warm when my stomach feels upset"

A. Reduces inflammation

A 67 year old male is suspected of having a peptic ulcer. The nurse monitors for a decrease in which diagnostic value with GI hemorrhage in this patient? A. Reticulocyte count B. Hematocrit C. Prothrombin time D. IgG antibodies to H pylori

B

The nurse incorporates which information into the teaching plan for a patient diagnosed with a duodenal ulcer? A. "You will probably have increased pain after eating" B. "Smoking cigarettes can make the PUD worse" C. "Antacids are not usually effective for the pain" D. "Eating bland foods will aid in healing"

B

A nurse is assessing a client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of a large intestine due to fecal impaction? A. The client reports one bowel movement yesterday B. The client is having small, frequent liquid stools C. The client is flatulent D. The client indicates vomiting once this morning

B.

A nurse is reviewing the laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following blood laboratory results should the nurse expect to be elevated? A. Hematocrit B. ESR C. WBC D. Folic Acid E. Albumin

B. C. Decreased hematocrit Decrease in folic acid = malabsorption Decrease in albumin = malabsorption

A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? A. Emesis prior to insertion of NG tube B. Urine specific gravity 1.040 C. Hematocrit 60% D. Potassium 3.0 E. WBC 10,000

B. Sign of dehydration C. Sign of dehydration D. Out of normal limits

A nurse is assessing a client who has been taking predinose following a exacerbation of inflammatory bowel disease. The nurse should recognize which of the followings as the priority? A. Client reports difficulty sleeping B. The client's urine is positive for glucose C. Client reports having an elevated body temp D. Client reports gaining 4 lb in the last 6 months

C.

The nurse correlates which clinical manifestation to the pathophysiology of a gastric ulcer? A. Pernicious anemia B. Constipation C. Acute epigastric pain after eating D. Hypertensiojn

C.

The nurse is caring for a 33 year old woman who has been taking aspirin for back pain and has experienced a sudden episode of tachycardia and feeling faint. She also vomited coffee-ground emesis and passed a tarry stool but has no complaints of pain or heartburn. The patient wants to know why there was no sign of pain as a warning signal prior to the sudden bleeding. What is the nurse's best response? A. Pain is the most common sign of NSAID-induced gastric injury, so the patient must have a high pain tolerance B. NSAIDS cause damage to epithelial cells, which inhibit the enteric nervous system response of the GI tract C. NSAID induced gastric injury often is without symptoms, and life-threatening complications such as GI bleeding can occur without warning D. NSAIDS have anti-inflammatory and analgesic effects, preventing the patient from feeling any pain as a warning sign

C.

The nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching? A. "Take medication 2 hours after eating" B. "Discontinue the medication if your skin turns yellow-orange" C. "Notify the provider if you experience sore throat" D. "Expect your stools to turn black"

C. Sign of infection