GI Prep-U Assignment
A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client admitted with acute gallbladeer inflammation, the nurse will question which if the following foods on the tray?
fried chicken
A nursing student is caring for a client with gastritis. Which of the foillowing would the student recognize as common cause of gastritic?
ingestion of strong acids, irrtitating foods, overuse of aspirin
Diagnostic imaging and physical assessment have revealed that a client with peptic ulcer disease has suffered a perforated ulcer. The nurse recognizes that emergency interventions must be performed as soon as possible in order to prevent the development of what complication?
peritonitis
Post appendectomy, a nurse should assess the patient for abdominal regidity and tenderness, fever, loss of bowel sounds and tacycardia, all clinical signs of:
peritonitis
Which nursing instruction is correct to provide the client following a barium enema?
the stools may be white or clay colored.
A client presents to the emergeny department wit complaints of acute GI distress, bloody diarrhea, weight loss and fever. Which condition in the family history is most pertinent to the client's current health problem?
ulcerative collitis
Which position should be used for a client undergoing a paracentesis?
upright at the edge of the bed
A client is diagnosed with hiatal hernia. Which statment indicates effective teaching about hiatal hernia and its treatment?
"I'll eat frequent, small, bland meals that are high in fiber."
A health care proveider suspects that a client has peptic ulcer disease. Which diagnistic procedure would the nurse most likely prepare to assist?
endoscopy
A client who suffered a stroke has a NG inserted to facilitate feedings shortly after admission. The client has since become camotose and client's famil asks the nurse why the physician is recomending the removal of the client's NG tube and the insertion of a gastronomy tube. What should the nurse's responce be?
Regurgitation and aspiration are less likely.
A nurse is assesing a client receiving tube feedings and suspects dumping syndrome. What would lead the nurse to suspect this?
Diarrarrhea, Tachycardia, diaphoresis
A nuse is preparing a client with chron's disease for a barium enema. What should the nurse do the day before testing?
Encourage plenty of fluids.
The Nurse is working in a diagnostic testing unit focusing on GI studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids?
Esophagogastroduodenoscopy
A patient is receiving parenteral nutrition. The current solution is nearing completion and a new solution is to be hung, but it has not arrived from phamacy. Which action by the nurse would be most appropriate?
Hang a solution of dextrose 10% and water until the new solution is available
A nurse is assesing a client who has peptic ulcer disease. The client request more info about tyical causes of H. Pylori infection. What would be appropriate for the nurse to instruct the client?
Infection typically occurs due to ingestion of contaminated food and water.
Crohn's disease is condition of malabsorption caused by which pathophysiological process?
Inflammation of all layers of intestinal mucosa
The nurse is caring for a client who is cheduled for percutaneous liver biopsy. Which diagnostic test is obtained prior?
Prothrombin time (PT)
A patient has been Dx with hiatial hernia. The nurse explains the Dx to the patient and his family by telling them that the hernia is a:
Protrusion of the upper stomach into the lower portion of the thorax
The nurse is working in the peroperatuve area with a client going to surgery for a cholycystectomy. The client has histamine-receptor ataginist ordered preoperativly. The client asks the nurse why these meds are needed. What would be the best responce?
Thes mes decrease gastric acidity and volume
A client recieves tube feedings after an oral surgery. The nurse manages tube feedings to minimize the risk of aspiration. Which measure shoudl the nurse include in the care plan to reduce the risk of aspiration?
Use semi-Fowler position during, and 60 minutes after, an intermittent feeding
A client reports to the clinic, stating that she rapidly developed headache, abdominal pain, nausea, hiccuping, and fatigue about 2 hours ago. For dinner, she ate buffalo chicken wings and beer. Which of the following medical conditions is most consistent with the client's presenting problems?
acute gastritis
A client is evaluated for severe pain in the right upper quadrant, which is accompanied by nausea and comiting. The physician DX acute cholyycystitis and cholelithiasis. For this client, which nursing diagnosis take top priority?
acute pain related to biliary spasms
A patient arrives in the emergency department with complaints of rigth lower abdominal pain that began 4 hours ago and is getting worse. The nurse assesses rebound tenderness at McBurney's point. What does this assesment data indicates to the nurse?
appendicitis
Which is the most common presenting symptom of colon cancer?
change in bowel habits
A client is scheduled to have an endoscopic retrograde cholangiopancreatography. Which structures are visualized during the procedure?
common bile duct, pancreatic duct, and biliary tree
The nurse is conducting discharge teaching for a client with diverticulitis. Ehich instruction should the nurse include in the teaching?
drink 8-10 glasses of fluid daily
A nurse is providing follow-up teaching at a client visit for a client recovering from gastric resection. The client reports sweating, diarrhea, nausea, palpations, and the desire to lie down 15-30mn afer meals. Based on the client's assesment, what will the nurse suspect?
dumping syndrome
What test should the nurse prepare the client for that twill locate stones that have collected in the common bile duct?
endoscopic retrograde ERCP
A client is being prepared to undergo laboratory and diagnostic testing to confirm the diagnosis of cirrhosis. Which test would the nurse expect to be used to provide definitive confirmation of the disorder?
liver piopsy
The nurse is admitting a client with a diagnosis of diverticulitis and assesses that the client has a boardlike abdomen, no bowel sounds and reports a severe abdominal pain. What is the nurse's first action?
notify the health care provider
Which of the following medications is classified as proton pump inhibitor?
omeprazole
A nurse is gathering equipment and preparing to assist with a sterile bedside procedure to withdraw fluid from a client's abdomen. The procedure tray contains the following equipment: trocar, syringe, needles, and drainage tube. The client is placed in he high Fowler position and a blood pressure cuff is secured around the arm in preparation for which procedure
pancreatitis
A nurse ius caring for a client who us undergoing a diagnostic workup for a susoected gastrointestinal problem. The client reports gnawing epigastric pain following meals and heartburn. What would the nurse suspect this client as?
peptic ulcer disease
Which client requires immediate nursing intervention?
presents with a rigid, boardlike abdomen
After undergoing a liver biopsy, a client should be placed in which position
right lateral decubitud position
The nurse instructed the client who is newly diagnosed with petic ulcers. Which of the follwing is a diagnostuc sudies would the nurse anticipate reviewing with the client?
serum antibodies for H. Pylori
A nurse assesment of a client with peritonitis reverals hyppotention, tachycardia, and signs of dehydration. What else would the nurse expect to find?
severe abdominal pain with direct palpation or rebound tendernes
A cleint is recovering from Gastric surgery. Toward what goal should the nurse progress the client's enetral intake?
six small meals daily with 120 ML of fluid betwn meals
Which of the following signs/ symptoms of perdoration?
sudden, severe upper adbominal pain
A client with GERD has a Dx of berret esophagus with minor cell changes. What principle should be integrated into the client's subsequent care?
the client will be monitored clocely to detect maligant changes
