NCLEX - GI Day1

The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.

• Apple juice
• Chicken broth
• Cranberry juice
• Cream of chicken soup
• Unsweetened tea

Which group of food selections would be appropriate for a client on a full liquid diet 3 days after bariatric surgery?

• Apple juice, mashed potatoes, and chocolate pudding
• Chicken broth, low-fat cheese omelet, and strawberry ice cream
• Creamy wheat cereal, blended cream of chicken soup, and a protein shake
• Low-fat vanilla yogurt, smooth peanut butter, and vegetable juice
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The nurse is talking with a client who is scheduled for a screening colonoscopy. The client asks, "What should I know about this procedure?" Which of the following information should the nurse include? Select all that apply.

• The procedure is not painful, and you will be sedated.
• Your abdomen should feel firm and distended after the procedure.
• You will need to avoid consuming red liquids prior to the procedure.
• Colonoscopies are performed to screen for colon cancer and colon polyps.
• You will be given laxatives before the procedure to completely empty your colon.

The nurse is caring for a client with celiac disease who started a gluten-free diet 4 weeks ago. The client reports continuation of symptoms. Which of the following responses would be most appropriate for the nurse to make?

• I can request a referral to the dietitian.
• Tell me what you had to eat yesterday.
• You may not be following your diet correctly.
• You will need to read food labels more carefully.
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The nurse is caring for a client who has undergone a colonoscopy. Which client assessment finding should most concern the nurse?

• Abdominal cramping
• Frequent, watery stools
• Positive rebound tenderness
• Recurring flatus
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The nurse is caring for a debilitated client with a percutaneous endoscopic gastrostomy (PEG) tube that was inserted 3 days ago for the long-term administration of enteral feedings and medications. While the nurse is preparing to administer the feeding, the tube becomes dislodged. What is the most appropriate intervention?

• Insert a Foley catheter into the existing tract and inflate the balloon
• Insert a small-bore nasointestinal tube to administer feedings and medications
• Notify the health care provider who inserted the PEG tube
• Reinsert the PEG tube into the existing tract immediately
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The nurse teaching a group of clients about celiac disease will include which meal in the teaching plan?

• Baked salmon with rice, steamed vegetables, and dinner roll
• Breaded pork chops, corn on the cob, and steamed snow peas
• Grilled chicken, green beans, and mashed potatoes
• Spaghetti with Italian tomato sauce and meatballs
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The nurse assesses for cancer risk factors during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.

• A few years ago, I switched from smoking cigarettes to smoking cigars 1 or 2 times a week.
• I am proud that I was able to lose 10 lb, but I'm still considered obese for my height.
• I drink 3 or 4 beers nightly to relax, but I did switch to light beer recently.
• I have struggled with daily episodes of acid reflux for years, especially at nighttime.
• I snack on a lot of salted foods like popcorn and peanuts.

The nurse cares for a client with intractable nausea and vomiting after a total colectomy who has a new prescription for total parenteral nutrition (TPN). Which of the following nursing interventions are appropriate? Select all that apply.

• Administer TPN through a central venous access device
• Ensure that dextrose 10% in water IV solution is available
• Obtain a prescription for blood glucose checks every 4-6 hours
• Provide a loading dose so the client receives the necessary nutrients
• Weigh daily with strict documentation of intake and output

The nurse assessing a client's pain would expect the client to make which statement when describing the abdominal pain associated with appendicitis?

• My pain is a burning sensation in my upper abdomen.
• My pain is an 8 out of 10 and on my left side below my belly button.
• My pain is excruciating in my lower abdomen above my right hip.
• My pain is intermittent in my abdomen and right shoulder.
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