Reference no: EM133467477
Question
1. The nurse is planning care for a client scheduled for esophagogastroduodenoscopy (EGD) and a barium swallow. What will the nursing plan include?
a. Discussing general anesthesia and explaining to the client that he will wake up in the recovery room.
b. Discussing with the client the nasogastric (NG) tube and the importance of gastric drainage for 24 hours after the test.
c. Anticipating that the client will receive a low-residue diet in the evening and then receive nothing by mouth (NPO status) 6 to 12 hours before the test.
d. Explaining to the client that he will receive nothing by mouth (NPO status) for 24 hours after the test to make sure his stomach can tolerate food
2. While caring for a client with cirrhosis and ascites, which of the following assessments would be of most concern to the nurse?
a. The client's serum albumin level is low.
b. The client has right upper quadrant (RUQ) tenderness
c. The client complains of severe fatigue
d. The client's temperature is 102.4 degrees F (38.9 degree C)
3. The nurse is caring for a client with peptic ulcer disease (PUD). the client has a nasogastric (NG) tube is NPO. During an assessment, the nurse notes bright red blood in the NG tube and suction canister. The client is complaining of severe abdominal pain and has become hypotensive. Which condition should the nurse suspect as a result of this assessment?
a. Perforation
b. Appendicitis
c. Gastritis
d. Bowel obstruction
a. Perforation
4. A client with nasogastric (NG) tube is receiving a tube feeding and begins vomiting. What actions by the nurse is priority action?
a. Continue the feeding,but reducing the rate by half.
b. Administer and antiemetic
c. Stop the infusion and notify the health care provider (HCP)
d. Immediately check the client's gastric residual volume (GRV)
c. Stop the infusion and notify the health care provider (HCP)
5. Increasing pressure in the portal-hepatic vein can be evidenced by
a. Jaundice
b. Blood pressure of 88/66
c. Distended veins along the gastrointestinal tract
d. Temperature of 102.0 F
6. The nurse is reviewing the diagnostic testing for a client who was admitted with abdominal pain and possible acute pancreatitis. Which information will be most useful in confirming the diagnosis?
a. The blood alcohol level and albumin are increased.
b. The serum amylase and lipase levels are elevated.
c. Liver enzymes (AST/ALT) levels elevated.
d. The white blood cell (WBC) count and blood glucose are elevated.
7. The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid
a. nicotine and caffeine
b. Oral decongestants
c. acetaminophen
d. laxatives and stool softeners
8. A client has had an esophagogastroduodenoscopy (EGD) procedure one hour ago. The client is now requesting something to drink. Which action by the registered nurse (RN) is the best?
a. Allow the client cool liquids only.
b. Assess the client's gag reflex.
c. Remind the client to remain NPO.
d. Tell the client to wait 4 hours.
9. A client just returned to the recovery room after gastric bypass surgery. What action by the nurse is the priority?
a. Ensure an adequate airways
b. Assess the surgical incision
c. Initiate intravenous (IV) Fluids
d. Assess the clients pain level
10. A client is recovering from laparoscopic cholecystectomy surgery. The nurse has completed dietary teaching for the client and must assess the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
a. I will decrease the amount of fatty foods in my diet.
b. I will avoid concentrated sweets and simple carbohydrates.
c. Drinking fluids with my meals will increase bloating.
d. Drinking at least 2 liters of water each day is suggested.
11. Which intervention will the nurse include in the plan of care following a screening colonoscopy?
Select all that apply. One, some, or all responses may be correct. Select all that apply
a. Obtains vital signs
b. Checks for return of the gag reflex
c. Questions the patient about abdominal cramping
d. Assesses the patient for abdominal distention
e. Administers an enema to empty the bowel
f. Monitors for tenesmus
12. Which of the following clinical manifestations occurring in a client with acute pancreatitis will be of most concern to the nurse?
a. Several mid-epigastric pain
b. Absent bowel sounds
c. Blood pressure 84/42 mm Hg
d. Bile colored emesis
13. A client diagnosed with gastroesophageal reflux disease (GERD) has been prescribed a proton pump inhibitor (PPI) to promote esophageal healing. Which of the following medications would the nurse anticipate teaching the client about?
a. Omeprazole (Prilosec)
b. Ranitidine (Zantac)
c. magnesium hydroxide (Maalox)
d. famotidine (Pepcid)
14. Classic clinical manifestations of gallstones include
a) Severe, steady, right upper quadrant pain, nausea and vomiting
b) High Fever, mild epigastric pain, and rigid, tender abdomen
c) Acute, spasmodic pain relieved by walking or bending forward
d) Low-grade fever accomplished by intermittent abdominal cramping
15. The nurse is caring for a client with peptic ulcer disease (PUD). the client has a nasogastric (NG) tube is NPO. During an assessment, the nurse notes bright red blood in the NG tube and suction canister. The client is complaining of severe abdominal pain and has become hypotensive. Which condition should the nurse suspect as a result of this assessment?
a. Perforation
b. Appendicitis
c. Gastritis
d. Bowel obstruction
16. A client with nasogastric (NG) tube is receiving a tube feeding and begins vomiting. What actions by the nurse is priority action?
a. Continue the feeding,but reducing the rate by half.
b. Administer and antiemetic
c. Stop the infusion and notify the health care provider (HCP)
d. Immediately check the client's gastric residual volume (GRV)
17. Increasing pressure in the portal-hepatic vein can be evidenced by
a. Jaundice
b. Blood pressure of 88/66
c. Distended veins along the gastrointestinal tract
d. Temperature of 102.0 F
18. The nurse is reviewing the diagnostic testing for a client who was admitted with abdominal pain and possible acute pancreatitis. Which information will be most useful in confirming the diagnosis?
a. The blood alcohol level and albumin are increased.
b. The serum amylase and lipase levels are elevated.
c. Liver enzymes (AST/ALT) levels elevated.
d. The white blood cell (WBC) count and blood glucose are elevated.
19 The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid
a. nicotine and caffeine
b. Oral decongestants
c. acetaminophen
d. laxatives and stool softeners
20. The nurse is planning care for a client scheduled for esophagogastroduodenoscopy (EGD) and a barium swallow. What will the nursing plan include?
a. Discussing general anesthesia and explaining to the client that he will wake up in the recovery room.
b. Discussing with the client the nasogastric (NG) tube and the importance of gastric drainage for 24 hours after the test.
c. Anticipating that the client will receive a low-residue diet in the evening and then receive nothing by mouth (NPO status) 6 to 12 hours before the test.
d. Explaining to the client that he will receive nothing by mouth (NPO status) for 24 hours after the test to make sure his stomach can tolerate food
21. While caring for a client with cirrhosis and ascites, which of the following assessments would be of most concern to the nurse?
a. The client's serum albumin level is low.
b. The client has right upper quadrant (RUQ) tenderness
c. The client complains of severe fatigue
d. The client's temperature is 102.4 degrees F (38.9 degree C)
22. The nurse is caring for a client who has ascites, and the health care provider (HCP) prescribes spironolactone (Aldactone). The client asks why this medication. What is the best response by the nurse?
a. This drug will help increase the level of protein in your blood.
b. This medication is a diuretic and will hopefully help move fluid out of your body.
c. This drug will cause an increase in the amount of the hormone aldosterone that your body produces.
d. This drug will help you excrete larger amounts of ammonia.
23. A client with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse include when explaining to this client this complication of Crohn's disease?
a. Empty the bladder before and after sexual intercourse
b. Bacteria in the perianal area can enter the urethra.
c. Drink adequate fluids to maintain normal hydration
d. Fistulas can form between the bowel and bladder.
24. Dietary teaching for a client following a gastric bypass surgery includes information regarding the need to :
a. Avoid sugary foods and limit fluids to prevent dumping syndrome.
b. Maintain a liquid diet indefinitely to prevent damage to the surgical site.
c. consume foods high in complex carbs, protein, and fiber to add bulk to the intestinal contents.
d. gradually increase the amount of food ingested until the client is eating at pre-operative levels
25. After receiving the change of shift report on a set of clients, which on the following clients should the nurse see first?
a. A client with ulcerative colitis who underwent a colostomy placement surgery two days ago with a pulse of 97/min.
b. A client who had surgery to dilate an esophageal stricture yesterday and is ready for their first post- procedure can take oral intake
c. A client with Crohn's disease who had a bowl resection three days ago with a respiratory rate of 32/ min.
d. A client who underwent gastric bypass one day ago and is complaining of abdominal pain 8/10.
26. Which nursing intervention should be completed immediately after the health care provider (HCP) has performed a liver needle biopsy?
a. Keeping the client on their right side for a minimum of 2 hours
b. Keeping the client on their left side for a minimum of 4 hours
c. Taking vital signs every 4 hours
d. Assisting the client to ambulate for the bathroom.