GI (evolve)

The nurse is caring for a client after a gastrojejunostomy (Billroth II) procedure on review of the post-operative prescriptions which should the nurse clarify

Irrigating the nasal gastric tube

What color is stool when barium is still in the body

It's a light color in till barium is fully expelled

The nurse is reinforcing discharge instructions to a client after gastrectomy which measures should include the client teaching to prevent dumping syndrome

Limit the fluids taken with meals

What is not a sign of paralytic Ileus

Loss of sphincter control

A client has been diagnosed with acute gastroenteritis which diet should the nurse anticipate to prescribe for the patient

Low fiber

Patients with inflammatory bowel disease, ileostomy, colostomy, partial obstruction of intestinal tract, acute gastroenteritis, or diarrhea should be on what diet

Low fiber

A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid?

Lying recumbent after meals

Why put patient in high Fowler's position while insertion of a nasogastric tube

To reduce the risk of pulmonary aspiration if the client should vomit

If nausea persists the client will need to be assessed for

Fluid and electrolyte imbalance

Low purring diet 4 clients

Gout

The nurse is assisting with the insertion of a nasogastric tube into a client the nurse should place the client in which position for insertion

High Fowler's position

Gastrectomy patient should avoid

High carbohydrate Foods

Patient has asymptomatic diverticular disease what diet should nurse anticipate

High fiber diet

It is important to explain to the client that the majority of calories should be eaten

In morning hours because nausea most often occurs afternoon and evening

The nurse is caring for a client with acute pancreatitis and a history of alcoholism and is monitoring the client for complications which data should be indicated paralytic Ileus

Inability to pass flatus

The normal serum ammonia level is

10 - 80 mcg/dL

The nurse is checking a client for the correct placement of NG tube the nurse aspirates the clients stomach contents and checks its pH levels what is the pH level

3.5

Common risk factors for colorectal cancer include age over

40 years

Pain of duodenal ulcer occurs

90 minutes to 3 hours after eating and often awakens the client at night

polyp

Abnormal tissue growth on a mucous membrane

The nurse is reviewing prescriptions of a client admitted to the hospital with diagnosis of acute pancreatitis what interventions should the nurse expect

Administer antacids encourage coughing and deep breathing administer anti cholinergic

High iron diets are for patients with

Anemia to help make hemoglobin

High fiber diet is a choice for

Asymptomatic diverticular disease to help prevent straining from constipation

Bilirubin

Brownish yellow pigment of bile secreted by the liver in vertebrates which gives a solid waste poop characteristic color

A client is admitted to the hospital with viral hepatitis and is complaining of loss of appetite in order to provide adequate nutrition what action does the nurse and courage the client to take

Increase intake of fluids

Client has esophagogastroduodenoscopy the nurse places highest priority on which action has a part of clients care plan

Checking for return of gag reflex

The liver is usually enlarged in cases of

Cirrhosis or hepatitis

Patency of an NG tube is critical for preventing the retention of gastric secretions however you should never

Irrigate or reposition the gastric tube after gastric surgery unless specifically prescribed

The nurse is reviewing the record of a client with crohn's disease what's tool characteristics should the nurse expect to see documented in record

Diarrhea

Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which is the best rationale for checking gastric residual volume before administering the tube feeding?

Evaluate absorption of the last feeding.

The nurse is collecting data from a client admitted to the hospital with a diagnosis of suspected gastric ulcer and is asking the client questions about pain what statement made by client supports diagnosis of gastric ulcer

My pain comes shortly after I eat maybe half an hour or so later

client with acute pancreatitis is normally placed on ____ to rest the pancreas and suppress GI secretions

NPO status

A client with viral hepatitis has no appetite and the food makes client nauseated which nursing intervention is appropriate

Offers small frequent meals

In inflammatory reactions such as acute pancreatitis can cause

Paralytic Ileus

One that acid secretion decreases the source of intrinsic factor is lost which is results inability to absorb vitamin B12 this leads to development of

Pernicious anemia

The nurse is participating in a health screening clinic and is preparing materials about colorectal cancer the nurse plans to include which risk factor for colorectal cancer

Personal history of ulcerative colitis or gastrointestinal polyps

A firm non-tender Mass palpable at lower right costal margin describes

Physical finding of liver enlargement

The nurse is reviewing the health care provider's prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription should the nurse verify if noted in the client's chart?

Position the client supine and flat.

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred?

Protruding and swollen

After a liver biopsy the nurse should place the client in which position

Right side lying position with small pillow or folded towel under the puncture site

The nurse is monitoring a client for early signs and symptoms of dumping syndrome what indicates this occurrence

Syncope. vertigo. tachycardia sweating. pallor. palpitation. desire to lie down.

Duodenal ulcer pain is usually located

The right of epigastrium

pancreatitis client is susceptible to respiratory infections because the retroperitoneal fluid raises the diaphragm, which causes the client to take shallow, guarded abdominal breaths.

Therefore, measures such as turning, coughing, and deep breathing are instituted. Antacids and anticholinergics may be prescribed to suppress GI secretions.

A low fiber diet places less strain on the intestines because

This type of diet is easier to digest

The nurse is evaluating the effect of dietary counseling on the client with cholecystitis. The nurse determines that the client understands the instructions given if the client states that which food item is acceptable to include in the diet?

Turkey and lettuce sandwich

Gastric ulcer pain often occurs in the

Upper epigastrium with localization to the left of the midline

The nurse observes that a client with a nasogastric tube connected to continuous gastric suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. In planning care, which nursing intervention would be best to maintain the integrity of this client's oral mucosa?

Use diluted mouthwash and water to rinse the mouth after brushing teeth

The nurse is caring for a client with a diagnosis of chronic gastritis the nurse anticipates that the client is at risk for which vitamin deficiency

Vitamin B12

stoma retraction

characterized by sinking of the stoma.

Spider angiomas—small, dilated blood vessels—are commonly seen in

cirrhosis of liver

Dumping syndrome

condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight

The client is anorexic and finds food ___

distasteful

hiatal hernia Relief is obtained by

eating small, frequent, and bland meals; histamine antagonists and antacids; and elevation of the thorax after meals and during sleep.

acute viral hepatitis; causes urine darkens because of excess bilirubin being ____

excreted by the kidney

Some clients with pancreatitis experience lessened pain by assuming positions

flex the trunk and draw the knees up to the chest. A side-lying position with the head elevated 45 degrees decreases tension on the abdomen and may also help ease the pain

Which infection control method should be the priority to include in the plan of care to prevent hepatitis B in a client considered to be at high risk for exposure?

hep B vaccine is the most effective way to prevent it

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

hepatitis A

Hepatitis B, C, and D are most commonly transmitted via

infected blood or body fluids

prolapsed stoma

is one in which bowel protrudes through the stoma, with an elongated and swollen appearance.

gastrectomy patient should assume low Fowler's position during meals then?

lie down for 30 minutes to delay gastric emptying. take antispasmodic

A client with acute pancreatitis is experiencing severe pain from the disorder. The nurse tells the client to avoid which position that could aggravate the pain?

lying flat

Nurse caring for patient suspected having appendicitis what should the nurse anticipate

no oral intake liquids or food

The client with cholecystitis should decrease __

overall intake of dietary fat

administration of a tube feeding. A full stomach could result in __

overdistention, thus predisposing the client to regurgitation and possible aspiration

Because abdominal pain is a prominent symptom of pancreatitis,

pain medication will be prescribed

whipple procedure

pancreaticoduodenectomy involves removal of the "head" (wide part) of the pancreas next to the first part of the small intestine (duodenum). It also involves removal of the duodenum, a portion of the common bile duct, gallbladder, and sometimes part of the stomach

Hiatal hernia is caused by ___

protrusion of a portion of the stomach above the diaphragm, where the esophagus usually is positioned

The pain associated with acute pancreatitis is aggravated when the client lies in a ___

supine and flat position

Hepatitis A is transmitted by

the fecal-oral route via contaminated food or infected food handlers.

Common signs of acute viral hepatitis include

weight loss, dark urine, and fatigue

Ischemia of the stoma

would be associated with dusky or bluish color. A stoma with a narrowed opening, either at the level of the skin or fascia, is said to be stenosed.