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Med Surg Exam 3 (GI) Questions And Answers With Verified Solutions Already Passed!!!
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Med Surg Exam 3 (GI) Questions AndAnswers With Verified Solutions Already
Passed!!!
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? -
ANSWER✔✔A. "I will decrease the amount of carbonated beverages I drink."
-The nurse should instruct the client to limit or eliminate fatty foods, coffee, cola,
tea, carbonated beverages, & chocolate from his diet because they irrigate the
lining of the stomach. Client should drink a glass of water immediately after taking
an antacid tablet. The client should eat 4-6 small meals/day & avoid snacking
before bed. Client should sit upright for 1-2 hr after meals.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching? - ANSWER✔✔C.
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth
for 6 hr before the procedure.
-The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for 4-6
hr prior to the colonoscopy preserves the bowel's cleansed state. Client needs to
drink oral liquid preparation the day before the colonoscopy to ensure adequate
time for bowel cleansing. Client should drink the oral liquid preparation quickly to
prevent nausea.
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first? - ANSWER✔✔C. Identify the client's current
level of pain.
-The first action the nurse should take when using the nursing process is to assess
the client. Clients who have acute pancreatitis often have severe abdominal pain.
By assessing the client's level of pain, the nurse can identify the need for and
implement interventions to alleviate the client's pain.
A nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (Select all that apply) - ANSWER✔✔A. Oral temp 38.4C
(101.1F)D. Nausea and vomitingE. Right lower quadrant pain
,-Low-grade temperature, nausea and vomiting, and right lower quadrant pain are
expected. WBC 10,000-18,000/mm3 is expected and bloody diarrhea (sign of
colorectal cancer) is NOT expected.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect? - ANSWER✔✔D.
Hemoglobin 9.1 g/dL
-Decreased Hgb is an expected finding in pt with colorectal cancer bc of occult
intestinal bleeding. Fecal occult blood test should be positive bc colorectal cancer
causes GI bleeding. Elevated CEA level is expected. Hct 43% is w/in expected
reference range, hct should be decreased due to occult intestinal bleeding.
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect? - ANSWER✔✔B. Board-like abdomen
-A board-like, distended abdomen, accompanied by extreme pain and tenderness,
is expected. Bloody diarrhea = colorectal cancer, periumbilical cyanosis =
pancreatitis, diminished bowel sounds = peritonitis
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?
- ANSWER✔✔D. Ammonia 180 mcg/dL
-Above expected reference range of 10-80 mcg/dL. The RN should report an
increased serum ammonia level b/c it can indicate port-systemic encephalopathy.
A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect? - ANSWER✔✔A. Joint pain
-Obstipation (failure to pass stools) = complete bowel obstruction, abdominal
distention = small bowel obstruction, periumbilical discoloration = intraperitoneal
bleeding.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the
following findings should the nurse expect? - ANSWER✔✔C. Hypotension
, -Pt w/ upper GI bleeding is at risk for hemorrhagic shock. Hypotension,
tachycardia, weak peripheral pulses, and decreased hematocrit and hemoglobin
levels are manifestations of hemorrhagic shock.
A nurse is caring for a client who has ulcerative colitis. The client has had 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?
(Select all that apply.) - ANSWER✔✔A. Use progressive relaxation techniques.D.
Arrange activities to allow for daily rest periods.E. Restrict intake of carbonated
beverages.
-Progressive relaxation techniques (biofeedback) minimize stress (exacerbation),
increased dietary fiber causes diarrhea and cramping, dairy products are poorly
tolerated and should be avoided, daily rest periods decrease stress and increase
intestinal motility, and pt needs to avoid GI stimulants (carbonated beverages, nuts,
peppers, and smoking).
A nurse is assessing a client immediately following a paracentesis for the treatment
of ascites. Which of the following findings indicates the procedure was effective? -
ANSWER✔✔D. Decreased shortness of breath
-Increased abdominal fluid can limit the expansion of the diaphragm and prevent
the pt from taking a deep breath. Once excess peritoneal fluid is removed, the
diaphragm will expand more freely. The nurse should identify this finding as an
indicator the procedure was effective.
A nurse is assessing a client who has Crohn's disease. Which of the following
findings should the nurse expect? - ANSWER✔✔A. Fatty diarrheal stools
-Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's
disease. Hypokalemia, weight loss, abdominal pain in right lower quadrant are
expected findings.
A nurse is caring for a client who has a duodenal ulcer. Which of the following
findings should the nurse expect? - ANSWER✔✔D. The client reports that pain
occurs during the night.
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