MedSurg | Gastrointestinal

The client is scheduled for a gastric emptying study. Which of the following best describes a gastric emptying study?

A nurse is educating a client about their new diagnosis of pyloric stenosis. The client indicates understanding of this diagnosis when they point to which location as the site of pyloric stenosis? (Refer to image)

The nurse is discharging a client who is newly diagnosed with GERD. Which of the following medication prescriptions indicate the presence of this condition?

A nurse is planning medication administration for a client who has all of the following oral medications due at 0900: Calcium carbonate, Codeine, Levetiracetam, Metoclopramide. What is the most appropriate action by the nurse?

A client has a serious complication of chronic acid entering the esophagus over many years. The client’s esophageal lining has pathologically changed to resemble tissue in the intestine. What is this called?

The nurse is caring for a client who is taking esomeprazole. The nurse knows that this medication is used to treat which of the following?

The nurse is caring for a client with an intestinal ulcer who takes lansoprazole. The nurse knows to monitor the client for which of the following adverse reactions? Select all that apply.

A nurse is caring for a client with Zollinger-Ellison syndrome. Which interventions should be included in the plan of care? Select all that apply.

The nurse is reviewing a medication list for a client who reports they take a medication for gastroesophageal reflux. The client asks the nurse to confirm which medication is used for this condition. Which of the following medications is taken for reflux?

A client presents to the emergency department with chest pain. The EKG and troponin labs are all within normal limits. Upon reviewing the client’s medication list, the nurse notes a medication for acid reflux. Which of the following medications is indicated for this condition?

The nurse is caring for a client with a hiatal hernia. Which of the following is an appropriate treatment? Select all that apply.

A 45-year-old client is preparing to undergo hernia surgery. What information would the nurse provide for this client during the pre-operative teaching session? Select all that apply.

The nurse knows that which of the following most accurately describes the rationale for administering famotidine to a client with gastritis?

The client has a hiatal hernia. How does the nurse describe this to the client?

The nurse is giving a client cimetidine. Which of the following are adverse reactions for which the nurse should monitor? Select all that apply.

A new nurse in the emergency department received a client in the trauma bay. The client was playing football and tackled from behind and now is complaining of severe pain in the abdomen. Another nurse is performing an initial assessment and tells the client that the Grey-Turner sign is positive. The new nurse knows that this indicates the client has bruising to which of the following?

A nurse is admitting a client with severe upper abdominal pain, nausea and vomiting, and an elevated amylase and lipase. What is the likely diagnosis?

The nurse is caring for a client who is being treated for pancreatitis. The provider orders a metabolic panel as part of routine testing and the nurse notes that the client’s calcium level is 5.2 mg/dL. The client asks the nurse what this means. Which of the following responses from the nurse is correct?

A nurse is caring for a client who was diagnosed with pancreatic cancer three days ago. What is the priority nursing intervention for this client?

A nurse is caring for a client that has been diagnosed with pancreatitis. Which of the following is NOT a complication commonly associated with this disease process?

The nurse is assigned to a client complaining of left flank pain. Which sign would be concerning for internal bleeding and should be checked immediately?

A client has an amylase of 155. Which of the following organs is being tested with this lab value?

A nurse is caring for a client who is complaining of abdominal pain. Upon inspection of the abdomen, what sign should the nurse be looking for to alert you to potential pancreatitis?

A client has a lipase of 405 U/L. The nurse recognizes this to be an issue with which of the following organs?

A nurse is caring for a client with pancreatitis. Which of the following labs would the nurse NOT expect to see? Select all that apply.

The nurse is working with a client who has peptic ulcer disease. Which of the following labs is important to monitor with this condition?

The nurse is teaching a client who has been diagnosed with peptic ulcer disease about what foods to eat. Which of the following is a food that the client is allowed to eat with this diagnosis?

A nurse is caring for a client who is suffering from a gastric ulcer. Which of the following is an appropriate nursing intervention? Select all that apply.

A client with peptic ulcer disease is being assessed for an upper GI bleed. Which signs would the nurse expect to see with this diagnosis? Select all that apply.

The nurse suspects that a client has a duodenal ulcer. Which of the following signs would indicate this condition?

The nurse is caring for a client who is recovering from a gastric resection. The nurse provides teaching about how to prevent dumping syndrome. Which of the following statements are correct? Select all that apply.

The client has a chronic peptic ulcer and wants to know the difference between an acute and chronic peptic ulcer. How does the nurse educate the client?

The nurse is reviewing orders for a client with peptic ulcer disease (PUD). Which of the following would the nurse question?

A 57-year-old client with peptic ulcer disease is being seen for abdominal pain. Which of the following are assessments for hemorrhage in this client? Select all that apply.

The nurse is caring for a client with peptic ulcer disease due to H. pylori. Which drug combinations should be given along with a macrolide antibiotic?

A nurse knows that which of the following layers of the stomach lining are most often inflamed in a client with acute gastritis? Select all that apply.

A 36-year-old client presents complaining of nausea and vomiting for the last 24 hours. The client has not been able to keep food or medications down and complains of LUQ abdominal pain rated a 4/10. The nurse knows that which of the following orders should be questioned?

The nurse is caring for a client with gastroenteritis. Which of the following is an appropriate nursing intervention?

Which of the following client comments obtained during a client history would lead the nurse to believe a client’s vomiting and abdominal pain are caused by acute gastritis? Select all that apply.

A client presents with complaints of nausea, vomiting, and abdominal pain for the last 12 hours. The client states to the nurse, “I have had gastritis before and think I might have it again.” Which of the following statements from the client would lead the nurse to believe it is something other than gastritis?

The nurse knows that which of the following most accurately describes the rationale for administering famotidine to a client with gastritis?

A nurse is performing pre-operative teaching with a client set to undergo the sleeve gastrectomy procedure. Which of the following statements by the client suggests they need further teaching?

A nurse is caring for a client with bariatric surgery who is continuously rushing to the bathroom after every meal. The nurse knows that this is common in clients who have undergone which of the following types of bariatric surgeries where the GI tract is redirected? Select all that apply.

The nurse is caring for a client that just underwent bariatric surgery and is continuously rushing to the bathroom after meals. The nurse explains that this is called dumping syndrome and understands that which of the following statements regarding dumping syndrome are true? Select All That Apply.

Which of the following nursing interventions help prevent complications of dumping syndrome? Select all that apply.

A client is post-operative day one from a Roux-en-y procedure. The nurse receives the following orders and knows that which of the following should be clarified?

While at a routine follow-up appointment for a lap band procedure from 2 years ago, the client asks the nurse for more information on plastic surgery. The nurse knows that which of the following therapeutic responses is appropriate?

A nurse is caring for a client who had a gastrectomy due to stomach cancer. The nurse is teaching the client how to avoid dumping syndrome. Which of the following statements by the client demonstrates that more education is necessary?

A nurse is teaching a client with newly diagnosed diverticulitis about dietary changes. Which statement by the client indicates that teaching has been effective?

A nurse is providing discharge teaching to a client who has had a colostomy surgically placed during the hospital stay. What information would the nurse most likely include about the stoma for this clent? Select all that apply.

The client has an acute flare up of diverticulitis. Nursing interventions to prevent complications include which of the following? Select all that apply.

An ostomy nurse is caring for a client who is scheduled for surgery for placement of a colostomy. The nurse explains that it is important to choose the most appropriate site for the stoma. Which of the following regarding stoma location is accurate for the nurse to include in teaching?

A nurse is changing the colostomy bag for a client with a new colostomy. Which elements of skin care should the nurse provide during this process? Select all that apply.

A client with diverticulosis had a colostomy placed yesterday. Which of the following assessment findings would be the MOST concerning to the nurse?

A nurse is working with a client who had bowel surgery with placement of a colostomy one month ago. The client has not had any complications following colostomy surgery so far. Which nutritional recommendation should the nurse give that is appropriate for a client in this stage of recovery?

A nurse is helping a client with colostomy irrigation. Which best describes effluent, which is part of this process?

A client with diverticulosis had a colostomy placed 5 days ago and is now being discharged. Which of the following should be included in discharge teaching for this client? Select all that apply.

A nurse is caring for a postpartum client who has severe hemorrhoids that developed during pregnancy. What should the nurse advise the client to do to best manage her discomfort?

The nurse is discharging a postpartum client and newborn baby. During the pregnancy and delivery, the client developed hemorrhoids. Which of the following statements by the client indicates the need for further teaching?

A client with a gastrointestinal condition is suffering from chronic constipation. The nurse recommends that the client increase fiber intake to 25 or 30 g per day. Which of the following factors must the nurse consider when counseling the client to increase fiber intake?

A 61-year-old client has chronic constipation as a result of prescription medication. Which food should the nurse advise the client to increase to help resolve the constipation?

A client presents to the emergency department with abdominal pain. The client states she has not had a bowel movement for one week. An X-ray confirms constipation, and the provider is concerned about a blockage if the client doesn’t have a bowel movement soon. Which of the following medications pulls water into the colon to soften the stool?

The nurse is caring for a client with an ileostomy. During assessment of the client, the nurse notes that the pouch opening is 1/2 inch larger than the stoma site. Which of the following poses a risk for this client?

A 61-year-old client recently had surgery where the surgeon placed an ostomy appliance. Which of the following teaching principles would the nurse include when instructing this client about ostomy care?

A client presents to the emergency room with c/o nausea, vomiting, and diarrhea. Which of the following medications is appropriate to treat this condition?

A client with irritable bowel syndrome has asked the nurse if there is anything that can be done to decrease the frequency of diarrhea. Which of the following advice is appropriate for a client to develop regular bowel functioning? Select all that apply.

A nurse is caring for a client post-op colon resection and notes a decreased blood pressure, rigid abdomen and the client reports severe pain. Based on these findings and knowing the possible complications, which of the following lab values would be the MOST appropriate to evaluate at this time?

Your patient had an ileostomy placed 2 weeks ago. Which bowel pattern would be expected for this patient?

A client newly diagnosed with ulcerative colitis (UC) asks the nurse about characteristics of the disease. Which of the following is true of this condition? Select all that apply.

A client with a history of ulcerative colitis is having surgery for placement of an ileoanal reservoir. The nurse is educating the client about what to expect from the procedure. Which of the following statements by the nurse is correct?

The nurse is caring for a client who has been admitted with an acute exacerbation of ulcerative colitis (UC). Which of the following orders would the nurse question?

The nurse is caring for a client who has ulcerative colitis. The nurse knows to monitor for which of the following abnormal lab work? Select all that apply.

A client is admitted to the floor from the ER for Ulcerative Colitis complicated with infection. The client is slurring their words and stumbling. The nurse notes empty mini vodka bottles in the client belonging bag. The client reports that they drink every day and asks the nurse to get them more vodka. What is the nurse’s priority at this time?

The nurse is caring for a client diagnosed with Crohn’s disease. Which statement indicates more teaching is needed?

A client with Crohn’s disease has been using whey protein shakes for weight gain. What information should the nurse give to this client about the safety of using these types of shakes? Select all that apply.

A nurse is preparing to administer a dose IV infliximab for Crohn’s disease. What assessment data should the nurse be most concerned about?

Which of the following would be appropriate nursing interventions for a child with appendicitis? Select all that apply.

A nursing caring for an eight-year-old with appendicitis knows that the most intense area of pain may be at McBurney’s point, which is located where on the abdomen?

The nurse is assessing a client who presents to the emergency department with complaints of abdominal pain. Which sign or symptom would indicate to the nurse that the client is having an emergency?

An 8 year-old is being admitted for possible appendicitis. Which assignment findings are expected with this diagnosis? Select all that apply.

A five-year-old child has been admitted to the hospital with appendicitis. Which statement made by the nurse would be appropriate to include when explaining the procedure to someone of this age?

The nurse caring for a ten-year-old with appendicitis knows which of the following symptoms may be a sign of perforation?

The nurse is caring for a client who has been diagnosed with appendicitis and is scheduled for surgery later today. Which of the following assessment findings is the MOST concerning?

A pregnant client is undergoing a laparoscopic cholecystectomy because of severe abdominal pain. Which of the following items should the nurse teach this client about a cholecystectomy?

A nurse is assisting a provider with obtaining informed consent for a client who is preparing to undergo a laparoscopic cholecystectomy. What must the nurse consider when determining if the client is competent to sign the informed consent?

Antilipemics that act on the GI tract include which of the following? Select all that apply.

A client who has undergone a laparoscopic cholecystectomy is getting ready to be dismissed from the hospital. Which information would the nurse provide as part of post-op instructions for this client? Select all that apply.

A nurse is caring for a client who has developed a surgical site infection following surgery for an open cholecystectomy. Which of the following factors contribute to infection rates in surgical wounds? Select all that apply.

The nurse is caring for a client and suspects cholecystitis. Upon notification of the provider, the nurse is asked to discover whether the client has a positive Murphy’s sign. Which of the following will verify the presence of a positive Murphy’s sign in this client?

A client presents to the emergency department complaining of right upper quadrant pain which worsens with palpation. The client has clay-colored stools. Which of the following tests will likely be ordered? Select all that apply.

A nurse is caring for a client with a gall stone in the common bile duct. Which letter on the diagram indicates the location of the common bile duct?

A nurse is caring for a client who is complaining of RUQ pain. Which sign should the nurse look for to indicate potential cholecystitis?

A nurse is providing discharge teaching to a client who just had a cholecystectomy. Which of the following statements by the client indicate that further education is required?

A nurse is talking with a 65-year-old client about care after a diagnosis of liver cancer. The nurse explains that the client can receive palliative care and the client responds by saying, “I won’t have that kind of care. I’m going to fight this cancer with everything I have!” Which response from the nurse is accurate?

The nurse is caring for a client who has been diagnosed with hepatitis A. Which of the following teaching methods is most important to prevent reoccurrence of this particular type of hepatitis?

A client has liver failure and is experiencing increased levels of ammonia. The nurse anticipates an order for which of the following medication?

A client is undergoing a liver biopsy for complications of hepatitis. Following the procedure, the nurse positions the client on their right side and tells the client to lie in that position for two hours. Which best describes the rationale for this?

A 63-year-old patient with hepatitis C needs assistance with making food choices. The nurse should counsel the patient to restrict which type of food?

A client has cirrhosis of the liver and has developed abdominal pain and ascites. The nurse must administer certain medications, but the client refuses. Which of the following responses from the nurse best indicates that the nurse is acting in a paternalistic manner?

The nurse recognizes which is a common cause of esophageal varices?

Nursing care of the patient with a three-lumen, double balloon esophageal tube includes all of the following except:

In assessing the patient’s health status, the nurse should know that hematemesis is most commonly caused by: