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GI bleed

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with synthesis of which vitamin and may lead to hypoprothrombinemia?

a)

Vitamin A

b)

Vitamin D

c)

Vitamin E

d)

Vitamin K

2.

When evaluating a male client for complications of acute pancreatitis, the nurse would observe for:

a)

Increased intracranial pressure

b)

decreased urine output

c)

bradycardia

d)

hypertension

3.

A male client with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse position the client for this test initially?

a)

Lying on right side with legs straight

b)

Lying on left side with knees bent

c)

Prone with torso elevated

d)

Bent over with hands touching the floor

4.

A male client with extreme weakness, pallor, weak peripheral pulses, and disorientation is admitted to the emergency department. His wife reports that he has been “spitting up blood.” A Mallory-Weiss tear is suspected, and the nurse begins taking a client history from the client’s wife. The question by the nurse that demonstrates her understanding of Mallory-Weiss tearing is:

a)

Tell me about your husband's alcohol usage

b)

Is your husband being treated for tuberculosis?

c)

Has your husband recently fallen or injured his chest?

d)

Describe spices and condiments your husband uses on food.

5.

Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube?

a)

Change the tube feeding solutions and tubing at least every 24 hours

b)

Maintain head of bed at 15 degree continuously

c)

Check the gastrostomy tube for position every 2 days

d)

maintain client on bed rest during feedings

6.

A male client is recovering from a small-bowel resection. To relieve pain, the physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours. How soon after administration should meperidine onset of action occur?

a)

5-10 minutes

b)

15-30 minutes

c)

30-60 minutes

d)

2-4 hours

7.

The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?

a)

dyspnea and fatigue

b)

ascites and orthopnea

c)

purpura and petechiae

d)

gynecomastia and testicular atrophy

8.

Which condition is most likely to have a nursing diagnosis of fluid volume deficit?

a)

appendicitis

b)

pancreatitis

c)

cholecystitis

d)

gastric ulcer

9.

While a female client is being prepared for discharge, the nasogastric (NG) feeding tube becomes cloggeD. To remedy this problem and teach the client’s family how to deal with it at home, what should the nurse do?

a)

irrigate the tube with cola

b)

advance the tube into the intestine

c)

apply intermittent suction to the tube

d)

withdraw the obstruction with a 30 ml syringe

10.

In terms of location, gastrointestinal (GI) bleeding is generally classified as which of the following?

a)

hematemesis and hematochezia

b)

acute and chronic

c)

upper and lower

d)

internal and external

11.

Upper gastrointestinal bleeding may be caused by all of the following conditions EXCEPT:

a)

gastritis

b)

colitis

c)

peptic ulcers

d)

Mallory-Weiss tears(tear where esophagus joins the stomach)

12.

What is the most common cause of upper gastrointestinal bleed (UGIB)?

a)

peptic ulcers

b)

esophagitis

c)

cancers

d)

fistulas

13.

Which of the following conditions is NOT a cause of lower gastrointestinal bleeding (LGIB)?

a)

hemorrhoids

b)

colorectal cancer

c)

diverticular disease

d)

esophageal varices

14.

dark tarry stools are associated with ___________gastrointestinal bleeding

a)

upper

b)

lower

15.

Which of these listed is the medical term for vomiting of blood?

a)

hematochezia

b)

hematuria

c)

hematemesis

d)

hemoptysis

16.

An enlarged, bulging vein in the esophagus can rupture at any time resulting in massive bleeding.

What's the medical term for bulging esophageal veins?

a)

esophageal fistula

b)

esophageal atresia

c)

esophageal stricture

d)

esophageal varices

17.

Apart from blood in the stool, which of the following may cause black, tarry stools?

a)

diarrhea

b)

use of beets and red food dyes

c)

use of iron pills, Pepto-bismol, or blueberries

d)

Gall stones, resulting in obstruction to flow of bile into the GI tract

18.

Which of these drugs can predispose to gastrointestinal bleeding?

a)

ibuprofen

b)

dulcolax

c)

colace

d)

milk of magnesia

19.

Which of the following microorganisms is a common cause of gastric ulcers

a)

H-pylori

b)

E coli

c)

clostridium

d)

salmonella

20.

Not every person with a gastrointestinal bleed will experience a change in stool color. For some individuals, blood in the stool can only be detected through laboratory assessment for occult blood. True or False?

a)

True

b)

False

21.

Which of the following procedures can be done to determine the cause and sometimes stop upper gastrointestinal bleed?

a)

esophogastroduodenoscopy

b)

colonoscopy

c)

bronchoscopy

d)

sigmoidoscopy

22.

Which of these causes of lower gastrointestinal bleed can lead to colorectal cancer if not detected and treated early?

a)

diverticulitis

b)

colon polyps

c)

vascular malformation

d)

hemorrhoids

23.

Treatment of massive gastrointestinal bleeding may include all of the following EXCEPT:

a)

transfusion of blood and blood products

b)

antihypertensive medication

c)

medications to reduce stomach acid

d)

emergency surgery

24.

Prevention of gastrointestinal bleed may include all of the following EXCEPT:

a)

Use of non steroidal anti inflammatory drugs before meals.

b)

Life style changes such as alcohol and smoking cessation.

c)

Stress management

d)

Use of antibiotics to treat helicobacter pilori infection.