Gi Flashcards
The nurse has provided discharge teaching for a client who underwent a laparoscopic cholecystectomy. Which client statement(s) indicate(s) an understanding of the discharge education? Which is the incorrect answer?
A. “I should avoid fatty and spicy food if I am nauseated.”
B. “I will be taking a fiber supplement during recovery.”
C. “I will make sure I do not lift anything heavier than 10 pounds.”
D. “I can expect some small drainage from my incisions.”
A. “I should avoid fatty and spicy food if I am nauseated.”
Fatty and spicy food should be avoided, even when not feeling nauseated.
A nurse is formulating a care plan for a client with Crohn’s disease. Which client teaching outcomes would be least appropriate to add to the care plan?
A. The client will describe a meal plan consisting of three large meals per day
B. The client can demonstrate three stress reduction techniques
C. The client verbalizes the importance of staying hydrated
D. The client verbalizes smoking cessation treatment options
A. The client will describe a meal plan consisting of three large meals per day
Education regarding dietary modifications is appropriate, however, the client should come up with a meal plan consisting of small, frequent meals, rather than three large meals per day.
A student nurse is discussing the pathophysiology of irritable bowel syndrome (IBS) with the nursing instructor. Which statement best describes this process?
A. “Levels of gastric acid in the stomach increase, which speeds up the rate of absorption, leading to diarrhea.”
B. “An alteration in gastrointestinal motility causes the food to pass too quickly or too slowly through the gastrointestinal system.”
C. “The gastric mucosa becomes inflamed, and the cilia are unable to move food particles appropriately.”
D. “The esophageal sphincter alters the way that food reaches the stomach, which causes a blockage in the intestines.”
B. “An alteration in gastrointestinal motility causes the food to pass too quickly or too slowly through the gastrointestinal system.”
Regardless of what triggers IBS, there is an alteration in gastrointestinal motility. In the instance these changes cause the food to pass quickly through the intestines, diarrhea develops. In other cases, these impulses may decrease intestinal motility, causing constipation.
The nurse is caring for a client with cirrhosis who has come to the emergency department for uncontrolled epistaxis. The client also has HIV, is experiencing increased urine output, and is found to have a high serum iodine level. Which client condition is a likely complication of cirrhosis?
A. High serum iodine level
B. High urine output
C. Contracting HIV
D. Uncontrolled epistaxis
D. Uncontrolled epistaxis
The liver is responsible for production of a number of clotting factors that assist with coagulation of blood. Complications of cirrhosis include risk for several hematological problems, including risk for bleeding from lack of clotting factors. Epistaxis, or nosebleed, is one manifestation of this.
The nurse is caring for a client diagnosed with acute diverticulitis. The client is experiencing nausea and vomiting due to a bowel obstruction. Which priority action should the nurse take?
Insert a nasogastric (NG) tube attached to low suction .
The nurse’s priority is to insert a nasogastric tube (NG) attached to low suction. The NG tube removes air and fluid from the gastrointestinal tract, relieving the pain and pressure caused by a bowel obstruction.
The nurse is caring for a client with advanced cirrhosis. Which symptom(s) should the nurse anticipate? All apply expect?
A. White sclera
B. Generalized bruising
C. Slurred speech
D. Generalized itching
E. Abdominal swelling
A. White sclera
An older adult client asks the nurse, “How did I develop celiac disease?” What information should the nurse provide to the client regarding risk factors?
A. “Having a first-degree relative with the disease is a risk factor.”
B. “Eating a lot of phosphorus-containing foods increases your risk.”
C. “The disease is more common in clients with a history of osteoporosis.”
D. “This disease usually doesn’t affect you until you are older.”
A. “Having a first-degree relative with the disease is a risk factor.”
A client reporting abdominal pain, nausea, and vomiting is prescribed dicyclomine hydrochloride by intramuscular (IM) injection. The ordered dose is 20 mg q 6 hours, and the medication is supplied in an ampule containing 5 mL with a concentration of 10mg/mL. How many mL should the nurse administer per dose?
2mL
The nurse is caring for a client who presented to the emergency department with acute cholecystitis. After the client has received initial supportive measures, which definitive treatment should the nurse educate the client?
A. Cholecystectomy
B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Sphincterotomy of the bile duct
D. Administration of antibiotics
A. Cholecystectomy
A cholecystectomy, or surgical gallbladder removal, is the definitive treatment for cholecystitis.
The nurse is admitting a client diagnosed with acute appendicitis. What assessment finding(s) should the nurse expect to see in this client? Select all that apply.
A. Tenderness that dissipates when pressure is placed on McBurney’s point and returns when pressure is released.
B. Report of pain that is felt in the right lower quadrant when the left lower quadrant is palpated.
C. Increased pain with passive extension of the right hip joint that stretches the iliopsoas muscle.
D. A hard, board-like abdomen that is distended and causes severe pain for the client when palpated.
E. Generalized pain, edema, tingling, and numbness in the client’s abdomen and upper torso.
A. Tenderness that dissipates when pressure is placed on McBurney’s point and returns when pressure is released.
B. Report of pain that is felt in the right lower quadrant when the left lower quadrant is palpated.
C. Increased pain with passive extension of the right hip joint that stretches the iliopsoas muscle.
The nurse is creating a teaching plan for a client who is newly prescribed ondansetron for the treatment of occasional nausea and vomiting related to gastroparesis. The medication is dispensed in the orally disintegrating tablet (ODT) formulation. Which is the most important instruction for the nurse to include during this education?
A. Expect to experience heart palpitations while taking this medication
B. Alert your provider if you are prescribed any new medications
C. Chew the tablet thoroughly before swallowing it
D. Drink large amounts of liquids at once during episodes of nausea
B. Alert your provider if you are prescribed any new medications
In addition to the nurse, which other memeber of the multidiscipline team should be included in the plan of care for a client diagnosed with peptic ulcer disease (PUD)?
A. Respiratory therapist
B. Physical therapist
C. Wound care nurse
D. Dietician
D. Dietician
Including a dietician to assist with meal planning to reduce the symptoms associated with the disease process.
The nurse has provided education to a client scheduled to receive chemotherapy and radiation treatments for the treatment of laryngeal cancer. Which client statement indicates an understanding of the teaching?
A. “On the days my treatments are scheduled, I will have a clear liquid diet.”
B. “I should expect trouble swallowing.”
C. “I will make sure to schedule routine dental visits.”
D. “I can expect to develop sores in my mouth.”
C. “I will make sure to schedule routine dental visits.”
A client is preparing to undergo testing to rule out colorectal cancer. For which diagnostic procedure should the nurse prepare the client?
A. Colonoscopy
B. Endoscopy
C. Gastrectomy
D. Colposcopy
A. Colonoscopy
The RN case manager is preparing an interdisciplinary plan of care for a client with gastroesophageal reflux disease (GERD) with a newly hired nurse. Which part of the care plan made by the nurse should the RN case manager question?
A. The licensed practical nurse will administer the client’s medications.
B. The nursing assistant will obtain the client’s vital signs every four hours.
C. The dietician will provide education to the client about healthy food choices.
D. The respiratory therapist will administer the client’s nebulizer treatment.
D. The respiratory therapist will administer the client’s nebulizer treatment.
A respiratory therapist is not needed as part of the interdisciplinary team. Clients with gastroesophageal reflux disease (GERD) do not require nebulizer treatments.
