GI practice

A nurse is providing teaching to a client with gastroesophageal reflux. Which of the following statements by the client indicates a need for further teaching?

I drink no more than 4 cups of coffee a day

A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching?

I have an increased risk of getting pneumonia while taking this medication

During a hospital admission history, a nurse suspects gastrointestinal reflux disease (GERD) when the client says:

I have been waking up at Night with a burning feeling in my chest

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

The medication relieves nausea by promoting gastric emptying

A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?

constipation

A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care?

decrease the clients fluid intake

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

decreased mental status

A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take?

discard unused formula after 8 hours

A nurse is providing teaching to a client who has peptic ulcer disease and has a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

take sucralfate 1 hour before meals

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

take this med with a full glass of water

When preparing a patient with ascites for paracentesis, what action should the nurse implement?

tell pt to empty the bladder

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

the client should follow a high fiber diet to establish bowel regularity

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse understanding of the procedure?

they are going to examine my gallbladder and ducts

A nurse is performing an initial postoperative assessment on a client following upper gastrointestinal surgery. The client has a nasogastric tube to low, intermittent suction. To best assess the client for the presence of bowel sounds, the nurse should ?

turn off the ng suction

An experienced nurse explains to a new nurse that the definitive diagnosis of peptic ulcer disease (PUD) involves:

upper gastrointestinal endoscopy with biopsy

A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?

upright

A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

urinary tract infection

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan?

wipe perianal area with warm water and apply barrier cream

A nurse is assessing a client who is 24 hours post gastrointestinal (GI) hemorrhage. The assessment findings include blood urea nitrogen (BUN) of 40 mg/dL and serum creatinine of 0.8 mg/dL. After reviewing the assessment findings, the nurse should:

document and continue to monitor

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage their condition. Which of the following instructions should the nurse include in the teaching plan?

eat four small meals each day

A nurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse?

ecchymosis

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority.

gag reflex

To assist a client to manage and decrease the sensation of nausea, which nonpharmacological inter- vention should a nurse recommend?

ginger root

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client?

grilled salmon

A nurse is assessing a client who is African-American and has jaundice. Which of the following areas is the most reliable for the nurse to inspect the client for jaundice?

hard palate

An experienced nurse is most likely to teach a new nurse that surgery to repair a hiatal hernia is becoming more common to prevent the emergency complication of:

hernia strangulation

A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?

increase dietary intake of raw veggies

A nurse is assessing a client's abdomen who reports stomach pain. Which of the following actions should the nurse take first?

inspect

A nurse is caring for a client who has a gastric ulcer. Which of the following herbal supplements should the nurse recommend?

licorice

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?

lie on your right side when sleeping

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

lower the height of the solution container

A nurse is discharging a client after Bill Roth II surgery (gastrojejunostomy). To assist the client to control dumping syndrome, the client's discharge instructions should include:

lying down for 20-30 min after meals

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?

monitor daily lab values and report as needed

A patient is being treated for bleeding esophageal varices with balloon tamponade. Which nursing action will be included in the plan of care?

monitor for SOB

The serum ammonia level of a client with cirrhosis is elevated. As a priority, a nurse should plan to:

observe for increasing confusion

A patient is status post an esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel (UAP) requires that the registered nurse (RN) intervene?

offering the patient a drink of water

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluids?

oral rehydration therapy

A nurse is caring for a client who is postoperative following abdominal surgery. Which fo the following findings should indicate to the nurse the client's peristalsis is returning?

passage of flatus

A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of the following actions should the nurse take first?

position the client supine

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

purplish colored stoma

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?

relief of gastrointestinal pain

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

rice

A nurse suspects that a client, admitted with upper right-sided abdominal pain, may have liver cancer when which serum laboratory test result is noted to be elevated?

serum afp

While reviewing a client's medical records, a nurse notes the diagnosis of biliary colic. Considering this diagnosis, which additional sign will the nurse most likely find in the client's medical record?

severe abdominal pain

A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding?

- A 70-year-old client who takes aspirin (Ecotrin®) 81 mg daily to prevent coronary artery disease

A nurse has just received report on a 55-year-old client who had Bill Roth II surgery 24 hours ago. The client's wife is listed as the designated contact person. Immediately after report, the client's son approaches the nurse in the hallway and asks for information regarding his father's condition. The nurse's best response would be:

- Lets go into your fathers room together and ask how he feels

A nurse, caring for a client with a Zenner's diverticulum, knows that the priority nursing diagnosis for this client should be:

- Risk for aspiration related to regurgitation of food accumulated in the diverticula.

A nurse is performing a health history on a client during a clinic visit. The client provides all of the following information. Which client statement should be most concerning to the nurse because it could be a symptom of esophageal cancer?

- When I eat meat it seems to get stuck halfway

A nurse is planning for a client who has cirrhosis of the liver. Which of the following actions should the nurse include on the plan? (Select all that apply)

Administer furosemide, implement a low-sodium diet, measure abdominal girth

A nurse is assessing a client who is receiving bolus enteral feedings. Which of the following laboratory values indicates the client needs a change in the formula?

BUN 28mg/dl

A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

Check to see if the suction equipment is working

A nurse is teaching a client who has a new prescription for sucralfate to treat gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

I will take this med 1 hour before meals and at bedtime

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?

You should report any tendon discomfort you experience while taking this medication

A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution(PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include?

abdominal bloating may occur

Which manifestation indicates to the nurse that lactulose is effective for patient diagnosed with advanced cirrhosis?

alert and oriented X1

To detect possible complications in a patient with severe cirrhosis who has bleeding esophageal varices, it is most important for the nurse to monitor

ammonia levels

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect which of following values?

amylase 350u/l

A nurse is planning care for a client who is receiving enteral feedings through an NG tube. Which of the following actions should the nurse plan to take first?

aspirate the stomach contents

A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

assess orthrostatic blood pressure

A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching?

avoid eating within 3 hours of bedtime

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

before the examination your provider will give you a sedative that will make you feel sleepy

A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?

blood

A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time?

check the clients medical record for the providers prescription

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

cheddar cheese

A nurse is caring for a client who has a history of alcohol use disorder and reports bruising and frequent nosebleeds. The nurse should recognize that this client in manifesting which of the following conditions?

cirrhosis