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WorksheetsGI bleed
Total questions: 24
Worksheet time: 12mins
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?
Vitamin A
Vitamin D
Vitamin E
Vitamin K
When evaluating a male client for complications of acute pancreatitis, the nurse would observe for:
Increased intracranial pressure
decreased urine output
bradycardia
hypertension
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?
Lying on right side with legs straight
Lying on left side with knees bent
Prone with torso elevated
Bent over with hands touching the floor
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:
Tell me about your husband's alcohol usage
Is your husband being treated for tuberculosis?
Has your husband recently fallen or injured his chest?
Describe spices and condiments your husband uses on food.
Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube?
Change the tube feeding solutions and tubing at least every 24 hours
Maintain head of bed at 15 degree continuously
Check the gastrostomy tube for position every 2 days
maintain client on bed rest during feedings
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?
5-10 minutes
15-30 minutes
30-60 minutes
2-4 hours
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?
dyspnea and fatigue
ascites and orthopnea
purpura and petechiae
gynecomastia and testicular atrophy
Which condition is most likely to have a nursing diagnosis of fluid volume deficit?
appendicitis
pancreatitis
cholecystitis
gastric ulcer
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?
irrigate the tube with cola
advance the tube into the intestine
apply intermittent suction to the tube
withdraw the obstruction with a 30 ml syringe
In terms of location, gastrointestinal (GI) bleeding is generally classified as which of the following?
hematemesis and hematochezia
acute and chronic
upper and lower
internal and external
Upper gastrointestinal bleeding may be caused by all of the following conditions EXCEPT:
gastritis
colitis
peptic ulcers
Mallory-Weiss tears(tear where esophagus joins the stomach)
What is the most common cause of upper gastrointestinal bleed (UGIB)?
peptic ulcers
esophagitis
cancers
fistulas
Which of the following conditions is NOT a cause of lower gastrointestinal bleeding (LGIB)?
hemorrhoids
colorectal cancer
diverticular disease
esophageal varices
dark tarry stools are associated with ___________gastrointestinal bleeding
upper
lower
Which of these listed is the medical term for vomiting of blood?
hematochezia
hematuria
hematemesis
hemoptysis
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?
esophageal fistula
esophageal atresia
esophageal stricture
esophageal varices
Apart from blood in the stool, which of the following may cause black, tarry stools?
diarrhea
use of beets and red food dyes
use of iron pills, Pepto-bismol, or blueberries
Gall stones, resulting in obstruction to flow of bile into the GI tract
Which of these drugs can predispose to gastrointestinal bleeding?
ibuprofen
dulcolax
colace
milk of magnesia
Which of the following microorganisms is a common cause of gastric ulcers
H-pylori
E coli
clostridium
salmonella
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?
True
False
Which of the following procedures can be done to determine the cause and sometimes stop upper gastrointestinal bleed?
esophogastroduodenoscopy
colonoscopy
bronchoscopy
sigmoidoscopy
Which of these causes of lower gastrointestinal bleed can lead to colorectal cancer if not detected and treated early?
diverticulitis
colon polyps
vascular malformation
hemorrhoids
Treatment of massive gastrointestinal bleeding may include all of the following EXCEPT:
transfusion of blood and blood products
antihypertensive medication
medications to reduce stomach acid
emergency surgery
Prevention of gastrointestinal bleed may include all of the following EXCEPT:
Use of non steroidal anti inflammatory drugs before meals.
Life style changes such as alcohol and smoking cessation.
Stress management
Use of antibiotics to treat helicobacter pilori infection.
