CASE STUDY 9 GI PROBLEMS QUESTIONS
AND ANSWERS UPDATED 2024 - 2025
"An,RN,is,the,leader,of,a,team,caring,for,clients,with,gas-trointestinal,(GI),disorders,on,a,medical-
surgical,unit.The,team,includes,a,newly,graduated,RN,who,has,recently,completed,hospital,orientation,,a
n,experienced,unlicensed,assistive,personnel,(UAP),,and,a,nursing,student.,The,fol-
lowing,information,about,the,six,assigned,clients,is,included,in,the,hand-
off,report.,(Note,to,student:,Use,the,information,from,the,hand-
off,report,to,make,brief,notes,about,these,six,clients,and,refer,to,the,notes,as,you,work,through,the,case,s
tudy.,This,gives,you,practice,in,identifying,important,information,and,simulates,how,you,would,use,the,no
tes,to,remember,and,keep,track,of,six,clients,over,the,course,of,a,shift.),Ms.,H,,a,42-year-
old,woman,,has,right,upper,quadrant,pain,that,radiates,to,the,right,shoulder.,She,has,a,history,of,gallston
es.,She,was,admitted,through,the,emergency,department,last,night,with,acute,cholecystitis.,Th,,ANS,-,,...
--"Ms.,T,,a,29-year-
old,woman,,was,admitted,for,an,acute,exacerbation,of,ulcerative,colitis.,She,appears,wasted,and,malnour
ished.,She,has,severe,diarrhea,and,reports,prede-
fecation,abdominal,pain,and,generalized,tenderness,to,palpation.,She,is,receiving,total,parenteral,nutritio
n(TPN),through,a,central,line."
--"Mr.,A,,a,26-year-
old,man,,will,be,discharged,in,the,afternoon.,He,is,homeless,and,frequently,sleeps,in,a,nearby,shelter.,He,
had,discharge,teaching,from,the,enter-
ostomal,therapist,yesterday,regarding,his,infected,wound,secondary,to,a,ruptured,appendix;,he,wants,a,r
eview,of,the,wound,care,instructions,before,he,leaves."
--"Mr.,K,,an,85-year-old,man,,is,frail,but,alert,and,oriented,2.,He,was,transferred,from,an,extended-
care,facility,to,receive,a,percutaneous,endoscopic,gastrostomy"
--
"(PEG),tube,that,was,placed,5,days,ago.,He,has,a,large,family.,They,ask,a,lot,of,questions,and,argue,contin
uously,among,themselv,,ANS,-,,...
1.,The,night,shift,nurse,has,just,finished,giving,the,team,leader,a,report,on,the,six,clients.,Which,client,has,
the,highest,acuity,level,and,is,at,greatest,risk,for,shock,during,the,shift?
a.,Ms.,H,(acute,cholecystitis)
b.,Ms.,D,(bowel,obstruction)
c.,Ms.,T,(ulcerative,colitis)
d.,Mr.,A,(appendectomy)
, e.,Mr.,K,(PEG-tube)
f.,Mr.,R,(acute,pancreatitis),,ANS,-,,F
2.,Which,clients,would,be,best,to,assign,to,the,new,RN?,Select,all,that,apply
a.,Ms.,H,(acute,cholecystitis)
b.,Ms.,D,(bowel,obstruction)
c.,Ms.,T,(ulcerative,colitis)
d.,Mr.,A,(appendectomy)
e.,Mr.,K,(PEG-tube)
f.,Mr.,R,(acute,pancreatitis),,ANS,-,,A,,B,,D
3.,Which,tasks,can,be,delegated,to,the,UAP?,Select,all,that,apply
a.,Assisting,Ms.,T,with,perineal,care,after,diarrheal,episodes
b.,Measuring,vital,signs,Q2,hours,for,Mr.,R
c.,Transporting,Ms.,H,off,the,unit,for,a,procedure
d.,Gently,cleaning,the,nares,around,Ms.,D's,NGT
e.,Removing,Mr.,A's,dressing
f.,Helping,Mr.,K,to,brush,his,teeth,,ANS,-,,A,,B,,C,,D,,F
4.,"Which,reporting,tasks,are,appropriate,to,delegate,to,the,UAP?,Select,all,that,apply.
a.,Reporting,on,the,condition,of,Ms.,T's,perineal,area,after,application,of,ointment
b.,Reporting,the,quality,and,color,of,NG,drainage,forMs.,D
c.,Reporting,whether,Mr.,R's,blood,pressure,is,below100/60,mm,Hg
d.,Reporting,if,any,of,the,clients,indicate,pain
e.,Reporting,if,Mr.,A,is,seen,leaving,the,unit,to,smoke,a,cigarette
f.,Reporting,that,Mr.,K's,family,has,questions.,The,night,nurse,gives,a,brief,and,incomplete,report,,ANS,-
,,C,,D,,E,,F