Prep U Ch 38
A client is scheduled for magnetic resonance imaging (MRI). During the client teaching, what will the nurse discuss?
"Do you experience any claustrophobia?"
When preparing a client for magnetic resonance imaging (MRI) of the abdomen, which statement would indicate the need to notify the health care provider?
"I really don't like to be in small, enclosed spaces"
A client is scheduled for an ultrasound of the abdomen. Which statement indicates that teaching provided to the client to prepare for the test was effective?
"I will not eat for 8 to 12 hours before the test"
A home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow. Which statement by the client indicates an understanding of the test?
"I'll avoid eating or drinking anything 6 to 8 hours before the test."
When completing a nutritional assessment of a client who is admitted for a GI disorder, the nurse notes a recent history of dietary intake. This is based on the knowledge that a portion of digested waste products can remain in the rectum for how many days after a meal is digested?
3 days
Which of the following is the primary function of the small intestine?
Absorption
Which of the following digestive enzymes aids in the digesting of starch?
Amylase
The nurse is preparing the client for an assessment of the abdomen. What should the nurse complete prior to this assessment?
Ask the client to empty the bladder.
Which of the following is the most definitive means of assessing for liver disease?
Biopsy
The nurse is to obtain a stool specimen from a client who reported that they are taking iron supplements. The nurse would expect the stool to be which color?
Black
A client reports a history of bleeding hemorrhoids to the nurse. Which observation supports the client's statement?
Blood streaks on stool
During a colonoscopy with moderate sedation, the client groans with obvious discomfort and begins bleeding from the rectum. The client is diaphoretic and has an increase in abdominal girth from distention. What complication of this procedure is the nurse aware may be occurring?
Bowel perforation
When examining the skin of a client who is dehydrated due to fluid losses from the gastrointestinal tract, which of the following would be most important?
Checking if the mucous membranes are dry.
The nurse prepares a client for a barium enema. The nurse should place the client on which diet prior to the procedure?
Clear liquids day before
A client is scheduled for several diagnostic tests to evaluate gastrointestinal function. After teaching the client about these tests, the nurse determines that the client has understood the teaching when the client identifies which test as not requiring the use of a contrast medium?
Colonoscopy
The nurse cares for a client after a gastroscopy for which the client received sedation. The nurse should report which finding to the health care provider?
Difficulty swallowing
Cystic fibrosis, a genetic disorder characterized by pulmonary and pancreatic dysfunction, usually appears in young children but can also affect adults. If the pancreas was functioning correctly, where would the bile and pancreatic enzymes enter the GI system?
Duodenum
A nurse is preparing a client with Crohn's disease for a barium enema. What should the nurse do the day before the test?
Encourage plenty of fluids.
A client is having a colonic transit study to diagnose a gastrointestinal disorder. Which instruction will the nurse provide to the client after taking a capsule containing radionuclide markers?
Follow a regular diet and usual activities
The major carbohydrate that tissue cells use as fuel is
Glucose
The nurse is assessing a client who is stating gastrointestinal upset and a feeling of bloating. Which type of meal would the nurse anticipate causing these types of symptoms?
Hamburger and French Fries
A client with abdominal pain is scheduled for a CT scan of the abdomen with contrast. Which assessment will the nurse complete before transporting the client for the diagnostic test?
History of allergies
Gastrin has which of the following effects on gastrointestinal (GI) motility?
Increased motility of the stomach
A client is scheduled for an upper gastrointestinal barium study. Which teaching will the nurse provide for the client to prepare for this diagnostic test?
Ingest nothing by mouth after midnight.
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The health care provider begins the client on cyanocobalamin (Betalin-12), 100 mcg I.M. daily. Which substance influences vitamin B12 absorption?
Intrinsic factor
Which term describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?
Intrinsic factor
After 20 seconds of auscultating for bowel sounds on a client recovering from abdominal surgery, the nurse hears nothing. What should the nurse do based on the assessment findings?
Listen longer for the sounds
The nurse is providing client education about which parts of the body are involved in the digestion of food. What part of the GI tract begins the digestion of food?
Mouth
The nurse asks a client to point to where pain is felt. The client asks why this is important. What is the nurse's best response?
Often the area of pain is referred from another area
The nurse is working with clients with digestive tract disorders. Which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?
Pancreas
Which of the following is an enzyme secreted by the gastric mucosa?
Pepsin
A client undergoing a diagnostic examination for gastrointestinal disorder was given polyethylene glycol/electrolyte solution as a part of the test preparation. Which of the following measures should the nurse take once the solution is administered?
Permit the client to drink only clear liquids.
The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?
Prothrombin time (PT)
A client tells the nurse that the stool was colored yellow. The nurse assesses the client for
Recent foods ingested.
Following ingestion of carrots or beets, the nurse would expect which alteration in stool color?
Red
The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?
Serum antibodies for H. Pylori
Which procedure is performed to examine and visualize the lumen of the small bowel?
Small bowel enteroscopy
The instructor has just finished teaching a group of students about the various organs of the upper gastrointestinal tract and possible disorders. The instructor determines that the teaching was successful when the students identify which structure as possibly being affected?
Stomach
The nurse is preparing to examine the abdomen of a client who reports a change in bowel pattern. The nurse would place the client in which position?
Supine with knees flexed
Specific disease processes and ingestion of certain foods and medications may change the appearance of the stool. If blood is shed in sufficient quantities into the upper gastrointestinal (GI) tract, it produces which change in the stool appearance?
Tarry-black
What would the nurse recognize as preventing a client from being able to take a fecal occult blood test (FOBT)?
The client has hemorrhoidal bleeding
The nurse is teaching the client about the upcoming endoscopic retrograde cholangiopancreatography (ERCP). Although the nurse instructs on several pertinent points of care, which is emphasized?
The client will need to be repositioned frequently throughout the procedure to prevent injury
A client is to have an upper GI procedure with barium ingestion and abdominal ultrasonography. While scheduling these diagnostic tests, the nurse must consider which factor?
The ultrasonography should be scheduled before the GI procedure.
The client describes a test previously completed to detect a small bowel obstruction prior to admission to the hospital. The client states that the test involved insertion of a tube through the nose and lasted over 6 hours. The nurse determines which test name should be documented?
Upper GI enteroclysis
The nurse recognizes which change of the GI system is an age-related change?
Weakened gag reflex
