RN Targeted Medical Surgical Gastrointestinal Questions with Correct Answers +Rationale

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RN Targeted Medical Surgical Gastrointestinal Questions with Correct Answers +Rationale A nurse is teaching a client to prepare for a colonoscopy. Which of the following instructions should the nu... rse include in the teaching [Answer:- "Drink clear liquids for 24 hr prior to the procedure, then 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. [Show More]

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