GI Exam 2

A 35 year old male client presents at the emergency department with symptoms of a small bowel obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize? a. insertion of a NG tube b. insertion of central venous catherter c. administration of mineral oil enema d. administration of glycerin suppository and an oral laxative

a

A client comes to the clinic reporting pain in the epigastric region. What statement by the client suggests the presence of a duodenal ulcer? a. "my pain resolves when I have something to eat" b. "the pain really interferes with my quality of life" c. I know that my father and my grandfather both had ulcers" d. I seem to have bowel movements more often than I usually do"

a

A client has a new order for metoclopramude. What potential side effects should the nurse educate the client about a. extrapyramidal b. peptic ulcer disease c. gastric slowing d. nausea

a

A client who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the clients condition is now stable. For the next several hours, the nurse caring for this client should assess for what signs and symptoms and recurrence? a. tachycardia, hypotension, and tachypnea b. tarry, foul smelling stools c. diaphoresis and sudden onset of abdominal pain d. sudden, thirst, unrelieved by oral fluid administration

a

A nurse is preparing to provide care for a client whose exacerbation of ulcerative colitis required hospital admission. During an exacerbation of this health problem the nurse would anticipate that the clients stools will have what characteritics? a. watery with blood and mucous b. hard and black tarry stools c. dry and streaked with blood d. loose with visible fatty streaks

a

Medical managment of a patient with peritonitis includes fluid, electrolyte, and colloid replacement. The nurse knows to prepare the intial, most appropriate intravenous solution. Which of the following is the correct solution? a. 0.9% NS b. D5W c. D10W d. 0.45% of NS

a

Which term refers to the symptom of GERD, which is characterized by a burning sensation in the esophagus? a. pyrosis b. dyspnea c. dysphagia d. odynophagia

a

A nurse is monitoring a client with peptic ulcer disease. Which assessment finding would most likely indicate perforation of the ulcer? select all that apply a. tacycardia b. hypotension c. mild epigastric pain d. a rigid board like abdomen e. diarrhea

a, b, d

Which of the following is a proton pump inhibitor used in the treatment of GERD. Select all that apply a. lansoprazole (Prevacid) b. rabeprazole (AcipHex) c. esomeprazole (Nexium) d. famotidine (Pepcid) e. nizatidine (axid)

a,b,c

A client with a history of peptic ulcer disease has presented to the emergency department in distress. What assessment finding would lead the ED nurse to suspect that the client has a perforated ulcer? a. the client has abdominal bloating that developed rapidly b. the client has a rigid board like abdomen that is tender c. the client is experiencing intense lower right quadrant pain d. the client is experiencing dizziness and confusion with no apparent hemodynamic changes.

b

The nurse is conducting a gastrointestinal assessment. When the client reports the presence of mucus and pus in the stool, the nurse assesses for additional signs/symptoms of which disease/condition? a. small bowel disease b. ulcerative colitis c. disorders of the colon d. intestinal malabsorption

b

Health teaching for a patient with GERD is directed toward decreasing lower esophageal sphincter pressure and irratation. The nurse instructs the patient to do which of the following? Select all that apply A. drink 3 glasses of milk daily to coat the esophagus b. avoid, beer especially in the evening c. eat 1 hour before bedtime so there will be food in the stomach overnight to absorb excess acid. d. elevate the head of the bed on 6 to 8 inch blocks e. elevate the upper body on pillows

b, d,e

A client with a peptic ulcer is diagnosed with H. pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. Which statement by the client indicates the best understanding of the medication regimen. a. "my ulcer will heal bc these medications will kill the bacteria" b. "I should take these medications only when I have pain from the ulcer" c. the medications will kill the bacteria and stop the acid production" d. These medications will coat the ulcer and decrease the acid production in my stomach"

c

A clients health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohns disease rather than ulcerative colitis as the cause of the clients signs and symptoms? a. a pattern of distinct exacerbations and remissions b. severe diarrhea c. an absence of blood in the stool d. involvement of the rectal mucosa

c

A patient is admitted to the hospital after not having a bowel movement in several days. The nurse observes the patient is having small liquid stools, a grossly distended abdomen, and abdominal cramping. What complication can this patient develop related to this problem? a. appendicitis b. rectal fissures c. bowel perforation d. diverticulitis

c

Which is a true statement regarding regional enteritis (Crohn's disease)? a. it has a progressive disease pattern b. it is characterized by pain in the lower left abdominal quadrant c. the clusters of ulcers take on a cobblestone apperance d. the lesions are in continous contact with one another

c

A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes? a. preventing infection b. maintaining skin and tissue integrity c. preventing nausea and vomiting d. maintaining fluid and electrolyte balance.

d

A clients large bowel obstruction has failed to resolve spontaneously and the clients worsening condition has warranted admission to the medical unit. Which of the following aspect of nursing care is most appropriate for this client? a. administering bowel stimulation as prescribed b. administering bulk forming laxatives as prescribed c. performing deep palpation as prescribed to promote peristalsis d. preparing the client for surgical bowel resection

d

A nurse is caring for an older adult who has been experiencing severe C-diff related diarrhea. when reviewing the clients most recent lab test the nurse should prioritize what finding? a. white blood cell level b. creatinine level c. hemoglobin level d. potassium level

d

which of the following is accurate regarding regional enteritis? a. fistulas are common b. severe diarrhea c. severe bleeding d. exacerbation and remissions

d