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GI Quiz
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Fragen in diesem Quiz (23)
1The 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?
- AUse of alcohol
- BFrequent use of mouthwash
- CLack of vitamin B₁₂
- DLack of regular teeth cleaning by a dentist
- AUse of alcohol
2The 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?
- ADevelopment of laryngeal cancer
- BIrritation of the esophagus
- CEsophageal scar tissue formation
- DAspiration of gastric contents
- ADevelopment of laryngeal cancer
3Which of the following factors would most likely contribute to the development of a patient's hiatal hernia?
- AHaving a sedentary desk job
- BBeing 5' 3" tall & weighing 190 lb.
- CUsing laxatives frequently
- DBeing 40 years old
- AHaving a sedentary desk job
4A 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.)
- AAntacids
- BHistamine2 receptor antagonists
- COpioid analgesics
- DFiber laxatives
- EProton pump inhibitors
5A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?
- APropranolol (Inderal)
- BMetoclopramide (Reglan)
- CRanitidine (Zantac)
- DTerlipressin (synthetic vasopressin)
6A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?
- AAbsence of saliva
- BLoss of tooth enamel
- CClient reports sweet taste in mouth
- DClient reports absence of eructation
7A 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.)
- ACoffee
- BTomatoes
- CBananas
- DChocolate
- EPasta
8A 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?
- A“When sitting in my lounge chair after a meal, I will lower the back of it.”
- B“I will try to eat three large meals a day.”
- C“I will elevate the head of my bed on blocks.”
- D“When sleeping, I will lay on my left side.”
9A 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.)
- ARigid abdomen
- BTachycardia
- CElevated blood pressure
- DCircumoral cyanosis
- ERebound tenderness
10A 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?
- AEat three moderate-sized meals a day.
- BDrink at least one glass of water with each meal.
- CEat a bedtime snack that contains a milk product.
- DIncrease protein in the diet.
11A 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.)
- ATake the medication 1 hr before a meal.
- BLimit NSAIDs when taking this medication.
- CExpect skin flushing when taking this medication.
- DIncrease fiber intake when taking this medication.
- EChew the medication thoroughly before swallowing.
12A 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?
- A“I will continue my prescription for corticosteroids.”
- B“I will schedule a CT scan to monitor improvement.”
- C“I will take a combination of medications for treatment.”
- D“I will have my throat swabbed to recheck for this bacteria.”
13A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following are expected findings? (Select all that apply.)
- AClient reports pain relieved by eating.
- BClient states that pain often occurs at night.
- CClient reports a sensation of bloating.
- DClient states that pain occurs ½ to 1 hr after a meal.
- Elient experiences pain upon palpation of the epigastric region.
14A 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.)
- AProfuse emesis prior to insertion of the nasogastric tube
- BUrine specific gravity 1.040
- CHematocrit 60%
- DSerum potassium 3.0 mEq/L
- EWBC 10,000/uL
15A 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.)
- ASubtract the NG drainage from the client’s output.
- BIrrigate the NG tube every 8 hr.
- CAssess bowel sounds.
- DProvide oral hygiene every 2 hr.
- EClamp the NG tube during ambulation.
16A 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.)
- AEmesis greater than 500 mL with a fecal odor
- BReport of spasmodic abdominal pain
- CPain relieved with vomiting
- DAbdomen flat with rebound tenderness to palpation
- ELaboratory findings indicating metabolic acidosis
17A 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?
- AThe client reports he had a bowel movement yesterday.
- BThe client is having small, frequent liquid stools.
- CThe client is flatulent.
- DThe client indicates he vomited once this morning.
18A nurse is completing discharge teaching to a client who has irritable bowel syndrome (IBS). Which of the following should be included in the teaching?
- AIncrease dietary intake of dairy products.
- BConsume 15 to 20 g of fiber daily.
- CPlan three moderate to large meals per day.
- DDrink at least 2 L of fluids each day.
19A 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.)
- AIncreased hematocrit
- BIncreased erythrocyte sedimentation rate (ESR)
- CIncreased WBC
- DIncreased folic acid
- EIncreased serum albumin
20A 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?
- AClient reports difficulty sleeping.
- BBlood glucose at 0800 is 140 mg/dL.
- CClient reports having a sore throat.
- DClient reports gaining 4 lb in last 6 months.
21A 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?
- A“Take the medication 1 or 2 hr after eating.”
- B“This medication may cause yellowing of the sclera.”
- C“Notify the provider if you experience a sore throat.”
- D“This medication may cause your stools to turn black.”
22A 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?
- A“I will plan to limit fiber in my diet.”
- B“I will eat my meals and plan fluid intake between meals.”
- C“I will switch to black tea instead of drinking coffee.”
- D“I will try to eat three moderate to large meals a day.”
23A nurse is completing discharge teaching to a client who has Crohn’s disease. Which of the following should be included in the teaching?
- ADecrease intake of calorie-dense foods.
- BDrink canned protein supplements.
- CTake calcium supplements daily.
- DTake a bulk-forming laxative daily.
Informationen
- Beschreibung
- Questions pulled from teacher's ppt and ATI.
- Autor
- cpeters
- Sprache
- English
- Aufrufe
- 253
- Schlagwörter
- Bewertung
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