Rn Targeted Medical Surgical Gastrointestinal Online Practice 2019

A nurse is teaching a client to prepare for a colostomy. Which of the following instructions should the nurse include in the teaching

"Drink clear liquids for 24 hr prior to the procedure, then take nothing by mouth for 6 hr before the procedure

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

"I should eat foods that are low 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?

Dark purple stoma

A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse expect?

The client reports that the pain occurs 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?

Increased amylase

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?

Ataxia

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

"The CEA determines the efficacy of your chemotherapy"

A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse expect?

Joint pain

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?

"I will decrease the amount of carbonated beverages I drink"

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?

"I will avoid medications that contain acetaminophen"

A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings should the nurse expect?

Hypotension

A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect?

Hemoglobin 9.1 g.dL

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?

Yogurt

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?

Use progressive relaxation techniques

Arrange activities to allow for daily rest periods

Restrict intake of carbonated beverages

A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first?

Identify the clients current level of 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

Eggs

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?

Famotidine

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?

Bloody stools

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

1 cup (0.24 L) sliced banana

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

"I should take this medication at bedtime"

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?

Magnesium hydroxide

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

Board-like abdomen

A nurse is assessing a client who has Chrohn's disease. Which of the following findings should the nurse expect?

Fatty diarrheal stools

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?

Measure the clients abdominal girth daily

A nurse is assessing a client immediately following a paracentesis for the treatment of ascites. Which of the following indicates the procedure was effective?

Decreased shortness of breath

A nurse is providing dietary teaching for a client who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching?

I will eat beans to ensure the I get enough fiber in my diet

A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the following laboratory findings should the nurse report to the provider?

Ammonia 180 mcg/dL

A nurse is providing teaching for a client who has cirrhosis and a new prescription for lactulose. the nurse should include which of the instructions in the teaching?

Expect to have two to three soft stools per day

A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should identify which of the following findings as an indication of abdominal distention

Hiccups

A nurse is assessing a client who has appendicitis. Which of the following findings should the nurse expect ( select all that apply)

Oral temperature 38.4 C (101.1 F)

Nausea and vomiting

Right lower quadrant pain