Nursing Interventions for Gastrointestinal Issues

Front

A nurse is caring for a patient recovering from bariatric surgery. Which of the following instructions is appropriate to help prevent dehydration? A. Encourage the patient to drink 240 mL of water at once after meals B. Give 30 ml periodically but not with meals C. Allow unlimited fluid intake during meals D. Limit fluid intake to only when the patient feels thirst

Back

Give 30 ml periodically but not with meals

Front

A nurse is educating a post-gastric bypass patient about how to prevent dumping syndrome. Which of the following is an appropriate recommendation? A. Drink fruit juice or soda with meals B. Eat large, high-carb and protein meals C. Lie flat immediately after eating D. Eat small, frequent meals throughout the day

Back

Eat small, frequent meals throughout the day

Front

In which of the following situations is it not appropriate to give medication in liquid form? A. A patient with a feeding tube who needs medications administered enterally B. A patient with severe nausea and vomiting who cannot keep pills down C. A patient with difficulty swallowing due to a stroke D. A patient who requests liquid meds but has no swallowing issues

Back

A patient who requests liquid meds but has no swallowing issues

Front

A patient is admitted with a bowel obstruction. Which of the following treatments should the nurse question? A. Initiation of enteral tube feeding to maintain nutrition
B. Possible surgical intervention to relieve the obstruction
C. Administration of IV fluids and electrolyte replacement
D. Consideration of parenteral nutrition if prolonged NPO status is expected

Back

Initiation of enteral tube feeding to maintain nutrition

Front

Which of the following is the most appropriate nursing action when discontinuing a patient's Total Parenteral Nutrition (TPN)?
A. Stop the TPN infusion immediately and flush the line with saline
B. Switch to an enteral feeding tube immediately to maintain nutrition
C. Begin a 10% dextrose (D10W) infusion to prevent hypoglycemia
D. Clamp the central line- do not flush

Back

Begin a 10% dextrose (D10W) infusion to prevent hypoglycemia

Front

What should a patient expect after undergoing an esophagogastroduodenoscopy (EGD)? A. Soreness in the throat B. Mild bloating or gas C. Difficulty breathing D. Slow or absent gag reflex

Back

Difficulty breathing

Front

A patient presents with bright red rectal bleeding. Which action by the nurse should be questioned? A) Assess the patient's blood pressure to check for shock
B) Notify the healthcare provider immediately
C) Encourage the patient to rest and continue to monitor bleeding
D) Ensure the patient has an intravenous (IV) line in place for potential fluid resuscitation.

Back

Encourage the patient to rest and continue to monitor bleeding.

Front

Which of the following order would the nurse question for a diabetic patient with a recent amputation? A. Maintain good blood sugar control B. Ensure adequate vitamin C and zinc C. Proper debridement as needed D. Decrease oral intake of water to under 1 liter a day

Back

Decrease oral intake of water to under 1 liter a day

Front

MRSA can occur in various parts of the body except: B. Healthy, unbroken skin

Back

Healthy, unbroken skin

Front

A nurse is caring for a patient with an elevated white blood cell (WBC) count. All of the following are appropriate nursing considerations except: A) Monitor for signs of infection, sepsis, or clinical deterioration B) Assess vital signs regularly C) Review WBC differential trends to help identify the underlying cause D) Give WBC transfusions

Back

Give WBC transfusions