GI QUIZ

A client is concerned about leakage of gastric contents out of the gastric sump tube the nurse has just inserted. What will the nurse do to prevent reflux gastric contents from coming through the blue vent of a gastric sump tube? a. Keep the vent lumen above the client's waist. b. Have the client pin the tube to the thigh. c. Maintain the client in a high Fowler position. d. Prime the tubing with 20 mL of normal saline.

A

A nurse is assessing a client who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment will the nurse prioritize a. Assess for the patent airway b. assess for ability to communicate c. assess for signs of infection d. assess ability to clear oral secretions

A

A nurse is assessing a client who has peptic ulcer disease. The client requests more information about the typical causes of helicobacter pylori infection. what will be appropriate for the nse to instruct the client a. infection typically occurs due to ingestion of contaminated food and water b. many people possess genetic factors causing a predisposition o H. Pylori infection c. the H. Pylori microorganism is endemic in warm moist climates d. most affected client acquired the infection during international travel

A

A nurse is caring for a client who has sustained a deep partial-thickness burn injury. In prioritizing the nursing diagnoses for the plan of care, the nurse will give the highest priority to what nursing diagnosis? a. Acute Pain b. Anxiety c. Ineffective Coping d. Activity Intolerance

A

A nurse is doing a shift assessment on a group of clients after first taking report. An elderly client is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the client's chest. The nurse will ask what priority question regarding the presence of a reddened rash? a. "Are you allergic to any foods or medication?" b. "Are you having any loss of sensation in that area?" c. "Is the rash worse at a particular time or season?" d. "Is your rash painful?"

A

A nurse is providing care for a client whose neck dissection surgery involved the use of graft. When assessing the graft, the nurse will prioritize data related to what nursing diagnosis a. ineffective tissue perfusion b. risk for trauma c. unilateral neglect d. risk for disuse syndrome

A

The nurse determines that a client who has undergone skin, tissue and muscle grafting following a modified radical neck dissection requires suctioning. what is the nurse's priority when suctioning this client. a. avoid applying suction on or near the suture line b. assess the client's ability to perform self suctioning c. position client on the non operative side with the head of the bed down. d. evaluate the client's ability to swallow saliva and clear fluids

A

After teaching a patient who had ileostomy, a nurse assesses the patients understanding. which dietary items chosen indicate at the client needs additional teaching. SATA a. popcorn b. corn c. apple sauce d. carrots e. squash

A B

A nurse cares for a patient who is recovering from a colonoscopy. which actions would the nurse take SATA a. obtain vital signs every 15 to 30 mn b. confirm the patient has a ride home c. administer prescribed pain medications d. asses the patent for rectal bleeding e. monitor the patient's glucose level

A B D

The nurse is planning the care of a client who has burns to the face, neck, upper chest, and both upper arms. To prevent complications of immobility, the nurse will include which interventions in the patient's plan of care? Select all that apply. a. Passive and active range of motion b. Get the patient out of bed as soon as medically feasible. c. Use a bed cradle over the burned areas d. Monitoring splinted areas e. Turning and proper positioning of the patient

A B D E

The nurse is caring for a patient with saladentitis. nursing interventions for the client will include.. SATA a. offering fluids every hour b. reminding the patient to avoid speaking c. providing hard candies d. massaging salivary glands e. applying warm compresses

A C D E

The nurse is caring for a patient with sialadenitis. Nursing interventions for the client will include ? Select all that apply. a. Offering fluids every hour b. Reminding the patient to avoid speaking c. Massaging salivary glands d. Applying warm compresses e. Providing hard candies

A C D E

The nurse is caring for a patient with sialadenitis. Nursing interventions for the client will include ? Select all that apply. a. Offering fluids every hour. b. Reminding the patient to avoid speaking c. Massaging salivary glands d. Applying warm compresses e. Providing hard candies

A C D E

The student nurse studying stomach disorders learns that the risk factors for acute gastritis include which of the following? Select all that apply. a. Corticosteroids b. Fruit juice c. Nonsteroidal anti-inflammatory drugs (NSAIDs) d. Caffeine. e. Alcohol

A C D E

A client is in the acute phase of a burn injury. One of the nursing diagnoses in the plan of care is Ineffective Coping Related to Trauma of Burn Injury. What interventions appropriately address this diagnosis? Select all that apply. a. Provide positive reinforcement. b. Avoid asking the client to make decisions. c. Teach the client coping strategies. d. Administer benzodiazepines as prescribed. e. Promote truthful communication.

A C E

A client has a gastrostomy tube that has been placed to drain stomach contents by low intermittent suction. What is the nurse's priority during this aspect of the client's care? a. Monitor drainage for change in color. This answer is incorrect. b. Measure and record drainage.. c. Feed the client via the G tube as prescribeed. d. Titrate the suction every hour.

B

A client is scheduled for the creation of continent ileostomy. What dietary guidelines should the nurse encourage during the weeks following surgery a. a minimum of 30 g of soluble fiber daily b high intake of strained fruits and vegetables c. increased intake of free water and clear juices d. a high calorie high residue diet

B

A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected? a. The largest area of the body without hair is selected. b. An area matching the color and texture of the skin at the surgical site is selected. c. An area matching the sensory capability of the skin at the surgical site is selected. d. Any area that is not normally visible can be used.

B

A client's blistering disorder has resulted in the formation of multiple lesions in the client's mouth. What intervention will be included in the client's plan of care? a. Encourage the client to gargle with a hypertonic solution after each meal. b. Provide chlorhexidine solution for rinsing the client's mouth. c. Confer with the primary provider to arrange for parenteral nutrition. d. Avoid providing regular mouth care until the client's lesions heal.

B

A client's physician has determined that for the next 3 to 4 weeks the client will require parenteral nutrition (PN). The nurse will anticipate the placement of what type of venous access device? a. Peripheral catheter b. Nontunneled central catheter c. Tunneled central catheter d. Implantable port

B

A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When reaching the client about his new diagnosis. how will the nurse best describe it a. inflammation of the lining of the stomach b. erosion of the lining of the stomach or intestine c. bleeding from the mucosa in the stomach d. viral invasion of the stomach wall

B

An African American is admitted to the medical unit with liver disease. To correctly assess this client for jaundice, on what body area should the nurse look for yellow discoloration? a. Elbows b. Sclerae. c. Nail beds d. Lips

B

The nurse is preparing to perform a client's abdominal assessment. What examination sequence will the nurse follow? a Inspection, percussion, palpation, and auscultation b. Inspection, auscultation, percussion, and palpation c. Inspection, palpation, auscultation, and percussion d. Inspection, palpation, percussion, and auscultation

B

A nurse cares for a patient who has a nasogastric (NG) tube. Which actions will the nurse take? Select all that apply. a. Secure the NG tube to the patient's upper lip. b. Disconnect suction when auscultating bowel peristalsis. c. Assess for proper placement of the tube every 4 hours. d. Flush the tube with water every hour to ensure patency. e. Monitor the patient's skin around the tube site for irritation.

B C E

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

C

A client with cystic fibrosis takes pancreatic enzyme replacements on a regular basis. The client's intake of trypsin facilitates what aspect of GI function? a. Digestion of fats b. Maintenance of peristalsis c. Digestion of proteins. d. Vitamin D synthesis

C

A client's health history is suggestive of inflammatory bowel disease. Which of the following will suggest crohn's disease rather than ulcerative colitis as the cause of the client's signs and symptom a. severe diarrhea b. involvement of the rectal mucosa c. an absence of blood in stool d. a pattern of distinct excavations of remissions

C

A client's neck dissection surgery resulted in damage to the client's superior laryngeal nerve. What area of assessment will the nurse consequently prioritize a. the client's airway patency b.e the client's ability to speak c. the client's swallowing ability d.. the clients management of secretions

C

A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How will these students best integrate these changes into care planning? a. By avoiding the use of ice packs to treat muscle pain b. By protecting older adults against excessive sweat accumulation c. By protecting older adults against shearing injuries d. By avoiding the use of moisturizing lotions on older adults' skin

C

A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse will monitor for evidence of what alteration in laboratory values? a. Decreased prothrombin time (PT) b. Potassium deficit c. Sodium deficit. d. Decreased hematocrit

C

A nurse is preparing to discharge a client after recovery from gastric surgery. What is an appropriate discharge outcome for this client a. the client bowel movements maintain a loose consistency b. he client is able to tolerate three large meals a day c. the client maintains or gains weight d. the client consumes a diet high in calcium

C

A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease. The client has just returned to the medical unit to begin supplemental feedings through an NG tube. Which of the nurse's assessments addresses this client's most significant potential complication of feeding? a. Assessment for hemorrhage from the nasal insertion site b. Vigilant monitoring of the frequency and character of bowel movements c. Frequent lung auscultation d. Frequent assessment of the client's abdominal girth

C

An adult client is scheduled for an upper GI series that will use a barium swallow. What teaching will the nurse include when the client has completed the test? a. The barium may cause diarrhea for the next 24 hours. b. Slight anal bleeding may be noted as the barium is passed. c. Fluids must be increased to facilitate the evacuation of the stool. d. Stool will be yellow for the first 24 hours postprocedure.

C

The nurse is caring for a client who has a diagnosis of AIDS. Inspection of the client's mouth reveals the new presence of white lesions on the client's oral mucosa. What is the nurse's most appropriate response? a. Encourage the client to gargle with salt water twice daily. b. Make a referral to the unit's dietitian. c. Inform the primary provider of this finding. d. Attempt to remove the lesions with a tongue depressor.

C

The nurse is preparing the client for mechanical débridement and informs the client that this will involve which of the following procedures? a. A spontaneous separation of dead tissue from the viable tissue b. Early closure of the wound c. Removal of eschar until the point of pain and bleeding occurs d. Shaving of burned skin layers until bleeding, viable tissue is revealed

C

The nurse is preparing to check for tube placement in the client's stomach as well as measure the residual volume. What is the main purpose of these nursing actions? a. Prevent diarrhea b. Prevent abdominal distention c. Prevent aspiration d. Prevent gastric ulcers

C

he nurse is caring for a client who has a nasogastric tube that has been in place for 2 days. Before administering a scheduled feeding, the nurse will a. perform a focused gastrointestinal assessment. b. administer 30 to 45 mL of water to confirm placement. c. position the client upright.. d. ensure that the client has recently voided.

C

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

D

A nurse is caring for a client who has been diagnosed with psoriasis. The nurse is creating an education plan for the client. What information will be included in this plan? a. Liberally apply corticosteroids as needed. b. Wash skin frequently to prevent infection. c. Avoid public places until symptoms subside. d. Lifelong management is likely needed.

D

A nurse is providing care for a client who has developed Kaposi sarcoma secondary to HIV infection. The nurse will be aware that this form of malignancy originates in what part of the body? a. Neural tissue of the brain and spinal cord b. Connective tissue cells in diffuse locations c. Smooth muscle cells of the gastrointestinal and respiratory tract d. Endothelial cells lining the small blood vessels

D

A nurse is providing health promotion education to a client diagnosed with an esophageal reflux disorder. What practice will the nurse encourage the client to implement a. eat a low protein diet b. keep the head of the bed lowered c. drink a cup of hot tea before bedtime d. avoid carbonated drinks

D

A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How will the client's change in status be best understood? a. The client is likely experiencing an anaphylactic reaction to a medication b. The client has likely developed a systemic infection c. The client's respiratory complications are likely related to psychosocial stress d. The client is likely experiencing a delayed onset of respiratory complications

D

Assessment of a client's leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion? a. Erosion b. Fissure c. Keloid d. Ulcer

D

The management of the client's gastrostomy is an assessment priority for the home care nurse. What statement will indicate that the client is managing the tube correctly? a. "I clean my stoma twice a day with alcohol." b. "I try to stay still most of the time to avoid dislodging my tube." c. "The only time I flush my tube is when I'm putting in medications." d. "I flush my tube with water before and after each of my medications."

D

The nurse is performing a comprehensive assessment of a client's skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way? a. By inspecting the client's skin in direct sunlight b. By examining the client under a Wood light c. By performing percussion of major skin surfaces d. By palpating the client's skin

D

rior to a client's scheduled jejunostomy, the nurse is performing the preoperative assessment. What goal will the nurse prioritize during the preoperative assessment? a. Determining that the client fully understands the postoperative care required b. Determining the client's ability to cope with an altered body image c.Determining the client's nutritional needs d. Determining the client's ability to understand and cooperate with the procedure

D