*NURSING > EXAM > RN Targeted Medical Surgical Gastrointestinal Exam (fall2019-2023) (All)

RN Targeted Medical Surgical Gastrointestinal Exam (fall2019-2023)

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A nurse is teaching a client to prepare for a colostomy. Which of the following instructions should the nurse include in the teaching - ANSWER "Drink clear liquids for 24 hr prior to the procedure, th... en take nothing by mouth for 6 hr before the procedure The nurse should instruct the client to drink clear liquids for 24 hr prior to the colonoscopy to promote adequate bowel cleansing. A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the following statements made by the client indicates an understanding of the teaching - ANSWER "I should eat foods that are low in fiber" The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the inflammation subsides, the client should consume foods that are high in fiber. A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following to the provider? - ANSWER Dark purple stoma -The nurse should instruct the client to contact the provider if the stoma is a dark purple color, which is an indication of bowel ischemia. A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse expect? - ANSWER The client reports that the pain occurs during the night -Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5 to 3 hr after meals and during the night. A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the following findings should the nurse expect? - ANSWER Increased amylase -Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell injury. A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The nurse should plan to monitor for which of the following adverse effects? - ANSWER Ataxia -The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and should report any of these findings to the provider. A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make - ANSWER "The CEA determines the efficacy of your chemotherapy" -A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels will decrease if the chemotherapy is effective. A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse expect? - ANSWER Joint pain -Joint pain is an expected finding in a client who has acute hepatitis B. A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I will decrease the amount of carbonated beverages I drink" -The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea, carbonated beverages, and chocolate from the diet because they irritate the lining of the stomach. A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following statements by the client indicates understanding of the teaching? - ANSWER "I will avoid medications that contain acetaminophen" -A client who has hepatitis C should avoid medications that contain acetaminophen, which can cause additional liver damage. A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings should the nurse expect? - ANSWER Hypotension -A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock. Hypotension is a manifestation of hemorrhagic shock. A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect? - ANSWER Hemoglobin 9.1 g.dL -A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased hemoglobin is an expected finding in a client who has colorectal cancer due to occult intestinal bleeding. A nurse is providing discharge teaching for a client who has an new colostomy and is concerned about flatus and odor. Which of the following foods should the nurse recommend to the client? - ANSWER Yogurt -The nurse should recommend yogurt, crackers, and toast, which can prevent flatus and stool odor. A nurse is caring for a client who has ulcerative colitis. the client has has several exacerbations over the past 3 years. Which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations? - ANSWER -Use progressive relaxation techniques -Arrange activities to allow for daily rest periods -Restrict intake of carbonated beverages -Use progressive relaxation techniques is correct. Progressive relaxation techniques, a form of biofeedback, are recommended to help the client minimize stress, which can precipitate an exacerbation. -Arrange activities to allow for daily rest periods is correct. Daily rest periods decrease stress and reduce intestinal motility. -Restrict intake of carbonated beverages is correct. The client should avoid gastrointestinal stimulants, such as carbonated beverages, nuts, peppers, and smoking. A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first? - ANSWER Identify the clients current level of pain -The first action the nurse should take when using the nursing process is to assess the client. Clients who have acute pancreatitis often have severe abdominal pain. By assessing the client's level of pain, the nurse can identify the need for and implement interventions to alleviate the client's pain. A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of the following foods should the nurse encourage the client tp include in their diet to reduce the risk for dumping syndrome - ANSWER Eggs The nurse should instruct the client to increase dietary intake of protein-containing foods, such as eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some form of protein at each meal. A nurse is providing discharge teaching for a client who has a prescription for medications to treat peptic ulcer disease. The nurse should inform the client that which of the following medications inhibits gastric acid secretions? - ANSWER Famotidine -The nurse should inform the client that famotidine is an H2-receptor antagonist that is prescribed for the treatment of peptic ulcer disease to inhibit the secretion of gastric acid. A nurse is assessing a client who has cirrhosis. Which of the following findings is a priority for the nurse to report to the provider? - ANSWER Bloody stools The greatest risk to the client who has cirrhosis of the liver is hemorrhagic shock due to bleeding in the esophageal varices. Therefore, bloody stools is the priority finding to report to the provider. A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following food selections by the client indicates an understanding of the teaching - ANSWER 1 cup (0.24 L) sliced banana -Foods that are high in fat can cause diarrhea for clients who have pancreatitis. One cup of sliced banana, which contains 0.49 g of fat, is a low-fat food option. Clients who have pancreatitis should consume a high-protein and low-fat diet with an adequate amount of carbohydrates and calories. A nurse is providing discharge teaching for a client who has peptic ulcer disease and a new prescription for famotidine. Which of the following statements by the client indicates an understanding of the teaching - ANSWER "I should take this medication at bedtime" -The nurse should instruct the client to take the medication at bedtime to inhibit the action of histamine at the H2-receptor site in the stomach. A nurse is reviewing the prescriptions for a client who has campylobacter enteritis. Which of the following prescriptions should the nurse clarify with the provider? - ANSWER Magnesium hydroxide -Nausea, vomiting, and diarrhea are manifestations of enteritis. The nurse should clarify a prescription for magnesium hydroxide, also known as milk of magnesia, with the provider. This medication increases gastrointestinal motility, which can increase the client's risk for an electrolyte imbalance and contribute to dehydration. A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect? - ANSWER Board-like abdomen A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an expected finding for a client who has peritonitis. A nurse is assessing a client who has Chrohn's disease. Which of the following findings should the nurse expect? - ANSWER Fatty diarrheal stools -Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's disease. A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan? - ANSWER Measure the clients abdominal girth daily [Show More]

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