RN Targeted Medical Surgical Gastrointestinal/Targeted Med-Surg GI Questions and Answers with Rationale

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RN Targeted Medical Surgical Gastrointestinal/Targeted Med-Surg GI Questions and Answers with Rationale A nurse is providing discharge teaching for a client who has a new prescription for medicati... ons to treat peptic ulcer disease. The nurse should identify that which of the following medications inhibits gastric acid secretion? A. Calcium carbonate B. Famotidine C. Aluminum hydroxide D. Sucralfate [Correct Ans:- B. 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 providing dietary teaching for a client who is postoperative following a gastrectomy. Which of the following foods should the nurse encourage the client to include in her diet to prevent dumping syndrome? A. Ice cream B. Eggs C. Grape juice D. Honey [Correct Ans:- B. Eggs The nurse should instruct the client to increase 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 assessing a client who has Crohn's disease. Which of the following findings should the nurse expect? A. Fatty diarrheal stools B. Hyperkalemia C. Weight gain D. Sharp epigastric pain [Correct Ans:- A Fatty diarrheal stools Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's disease. A nurse is assessing a client immediately following a paracentesis for the treatment of ascites. Which of the following findings indicates the procedure was effective? A. Presence of a fluid wave B. Increased heart rate C. Equal pre and postprocedure weights D. Decreased SOB [Correct Ans:- D. Decreased SOB Increased abdominal fluid can limit the expansion of the diaphragm and prevent the client from taking a deep breath. Once excess peritoneal fluid is removed, the diaphragm will expand more freely. The nurse should identify this finding as an indicator the procedure was effective. A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following findings to the provider? A. Intolerance to high-fiber foods B. Liquid ileostomy output C. Dark purple stoma D. Sensation of burning during bowel elimination [Correct Ans:- C. 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 providing discharge teaching for a client who has a new colostomy and is concerned about flatus and odor. Which of the following foods should the nurse recommend to the client? A. Eggs B. Fish. C. Yogurt D. Broccoli [Correct Ans:- C. Yogurt The nurse should recommend yogurt, cracker and toast, which can prevent flatus and odor. A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose. THe nurse should include which of the following instructions in the teaching. A. Notify provider if bloating occurs B. Expect to have 2-3 soft stools per day C. Restrict carbohydrates in the diet D. Limit oral fluid intake to 1000 mL per day of clear fluids [Correct Ans:- B. Expect ot have 2-3 soft stools per day The purpose of administering lactulose is to promote excretion of ammonia in stool. the nurse should instruct the client to take he medication every day and inform the client that 2-3 bowel movements everyday is the treatment goal. A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the following inteventions should the nurse include the plan? A. Measure the client's abdominal girth daily B. Check mental status once daily C. Provide a daily intake of 4g of sodium for the client D. Assess the client's breath sounds every 12 hr [Correct Ans:- A. Measure the client's abdominal girth daily The nurse should measure the client's abdominal girth and weigh the client daily to monitor the amount of fluid accumulation in the abdomen and the effectiveness of treatment measures. [Show More]

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