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Questions pulled from teacher's ppt and ATI.

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GI Quiz

Frage 1 von 23

1

The nurse is preparing a community presentation on oral cancer. Which of the following is a primary risk factor for oral cancer that the nurse should include in the presentation?

Wähle eine der folgenden:

  • Use of alcohol

  • Frequent use of mouthwash

  • Lack of vitamin B₁₂

  • Lack of regular teeth cleaning by a dentist

Erklärung

Frage 2 von 23

1

The patient with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a patient with GERD this symptom may be indicative of which of the following conditions?

Wähle eine der folgenden:

  • Development of laryngeal cancer

  • Irritation of the esophagus

  • Esophageal scar tissue formation

  • Aspiration of gastric contents

Erklärung

Frage 3 von 23

1

Which of the following factors would most likely contribute to the development of a patient's hiatal hernia?

Wähle eine der folgenden:

  • Having a sedentary desk job

  • Being 5' 3" tall & weighing 190 lb.

  • Using laxatives frequently

  • Being 40 years old

Erklärung

Frage 4 von 23

1

A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions by the provider for which of the following medications? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Antacids

  • Histamine2 receptor antagonists

  • Opioid analgesics

  • Fiber laxatives

  • Proton pump inhibitors

Erklärung

Frage 5 von 23

1

A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Wähle eine der folgenden:

  • Propranolol (Inderal)

  • Metoclopramide (Reglan)

  • Ranitidine (Zantac)

  • Terlipressin (synthetic vasopressin)

Erklärung

Frage 6 von 23

1

A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?

Wähle eine der folgenden:

  • Absence of saliva

  • Loss of tooth enamel

  • Client reports sweet taste in mouth

  • Client reports absence of eructation

Erklärung

Frage 7 von 23

1

A nurse is teaching a client who has GERD. Which of the following should the client be instructed to limit in his diet? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Coffee

  • Tomatoes

  • Bananas

  • Chocolate

  • Pasta

Erklärung

Frage 8 von 23

1

A nurse is completing discharge teaching to a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching?

Wähle eine der folgenden:

  • “When sitting in my lounge chair after a meal, I will lower the back of it.”

  • “I will try to eat three large meals a day.”

  • “I will elevate the head of my bed on blocks.”

  • “When sleeping, I will lay on my left side.”

Erklärung

Frage 9 von 23

1

A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following are expected findings? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Rigid abdomen

  • Tachycardia

  • Elevated blood pressure

  • Circumoral cyanosis

  • Rebound tenderness

Erklärung

Frage 10 von 23

1

A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching?

Wähle eine der folgenden:

  • Eat three moderate-sized meals a day.

  • Drink at least one glass of water with each meal.

  • Eat a bedtime snack that contains a milk product.

  • Increase protein in the diet.

Erklärung

Frage 11 von 23

1

A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole (Nexium). Which of the following should be included in the teaching? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Take the medication 1 hr before a meal.

  • Limit NSAIDs when taking this medication.

  • Expect skin flushing when taking this medication.

  • Increase fiber intake when taking this medication.

  • Chew the medication thoroughly before swallowing.

Erklärung

Frage 12 von 23

1

A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching?

Wähle eine der folgenden:

  • “I will continue my prescription for corticosteroids.”

  • “I will schedule a CT scan to monitor improvement.”

  • “I will take a combination of medications for treatment.”

  • “I will have my throat swabbed to recheck for this bacteria.”

Erklärung

Frage 13 von 23

1

A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following are expected findings? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Client reports pain relieved by eating.

  • Client states that pain often occurs at night.

  • Client reports a sensation of bloating.

  • Client states that pain occurs ½ to 1 hr after a meal.

  • lient experiences pain upon palpation of the epigastric region.

Erklärung

Frage 14 von 23

1

A nurse is completing an admission assessment of a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Profuse emesis prior to insertion of the nasogastric tube

  • Urine specific gravity 1.040

  • Hematocrit 60%

  • Serum potassium 3.0 mEq/L

  • WBC 10,000/uL

Erklärung

Frage 15 von 23

1

A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in place. Which of the following nursing interventions should be included in the plan of care? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Subtract the NG drainage from the client’s output.

  • Irrigate the NG tube every 8 hr.

  • Assess bowel sounds.

  • Provide oral hygiene every 2 hr.

  • Clamp the NG tube during ambulation.

Erklärung

Frage 16 von 23

1

A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnosis? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Emesis greater than 500 mL with a fecal odor

  • Report of spasmodic abdominal pain

  • Pain relieved with vomiting

  • Abdomen flat with rebound tenderness to palpation

  • Laboratory findings indicating metabolic acidosis

Erklärung

Frage 17 von 23

1

A nurse is caring for an older adult client in an extended care facility. Which of the following indicates the client has a stool impaction causing a large intestine obstruction?

Wähle eine der folgenden:

  • The client reports he had a bowel movement yesterday.

  • The client is having small, frequent liquid stools.

  • The client is flatulent.

  • The client indicates he vomited once this morning.

Erklärung

Frage 18 von 23

1

A nurse is completing discharge teaching to a client who has irritable bowel syndrome (IBS). Which of the following should be included in the teaching?

Wähle eine der folgenden:

  • Increase dietary intake of dairy products.

  • Consume 15 to 20 g of fiber daily.

  • Plan three moderate to large meals per day.

  • Drink at least 2 L of fluids each day.

Erklärung

Frage 19 von 23

1

A nurse is reviewing the laboratory findings of a client who has an acute exacerbation of Crohn’s disease. Which of the following laboratory findings is indicative of Crohn’s disease? (Select all that apply.)

Wähle eine oder mehr der folgenden:

  • Increased hematocrit

  • Increased erythrocyte sedimentation rate (ESR)

  • Increased WBC

  • Increased folic acid

  • Increased serum albumin

Erklärung

Frage 20 von 23

1

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease (IBD). Which of the following assessment findings is the highest priority?

Wähle eine der folgenden:

  • Client reports difficulty sleeping.

  • Blood glucose at 0800 is 140 mg/dL.

  • Client reports having a sore throat.

  • Client reports gaining 4 lb in last 6 months.

Erklärung

Frage 21 von 23

1

A nurse is reinforcing teaching for a client who has a prescription for sulfasalazine (Azulfidine). Which of the following should the nurse include in the teaching?

Wähle eine der folgenden:

  • “Take the medication 1 or 2 hr after eating.”

  • “This medication may cause yellowing of the sclera.”

  • “Notify the provider if you experience a sore throat.”

  • “This medication may cause your stools to turn black.”

Erklärung

Frage 22 von 23

1

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching?

Wähle eine der folgenden:

  • “I will plan to limit fiber in my diet.”

  • “I will eat my meals and plan fluid intake between meals.”

  • “I will switch to black tea instead of drinking coffee.”

  • “I will try to eat three moderate to large meals a day.”

Erklärung

Frage 23 von 23

1

A nurse is completing discharge teaching to a client who has Crohn’s disease. Which of the following should be included in the teaching?

Wähle eine der folgenden:

  • Decrease intake of calorie-dense foods.

  • Drink canned protein supplements.

  • Take calcium supplements daily.

  • Take a bulk-forming laxative daily.

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