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Medical Surgical Gastrointestinal

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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 acute hepatitis B. Which of the following findings should
the nurse expect?
joint pain
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 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 client's abdominal girth daily
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the
following statements by the client indicates an understanding of the teaching?
"I will avoid medications that contain acetaminophen."
A nurse is teaching a client how to prepare for a colonoscopy. Which of the following
instructions should the nurse include in the teaching?
"Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6 hr
before the procedure."
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 providing discharge teaching for a client following an ileostomy. The nurse should
instruct the client to report which of the following findings to the provider?
dark purple stoma
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should
the nurse take first?
Identify the client's 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 to include in their diet to
reduce the risk for dumping syndrome?
eggs
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the
following findings should the nurse expect?
increased amylase
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 I get enough fiber in my diet."
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 assessing a client who has Crohn's disease. Which of the following findings should the
nurse expect?
fatty diarrheal stools
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 discharge teaching for a client who has a new prescription for medications
to treat peptic ulcer disease. The nurse should inform the client that which of the following
medications inhibits gastric acid secretion?
famotidine
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following
findings should the nurse expect?
hypotension
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 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 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? (SATA)
-use progressive relaxation techniques
-arrange activities to allow for daily rest periods
-restrict intake of carbonated beverages
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the
following statements by the client indicates an understanding of the teaching?
"I should eat foods that are low in fiber."
A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy. The
client asks 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 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 assessing a client who has appendicitis. Which of the following findings should the
nurse expect? (SATA)
-Oral temp 38.4 C (101.1 F)
-Nausea and vomiting
-Right lower quadrant pain
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?
decreased shortness of breath
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for
the nurse to report to the provider?
bloody stools
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 providing discharge teaching for a client who has a 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 providing teaching for a client who has cirrhosis and a new prescription for lactulose.
The nurse should include which of the following instructions in the teaching?
expect to have two to three soft stools per day
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should
the nurse expect?
The client reports that pain occurs during the night
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