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WorksheetsMore GI questions
Total questions: 26
Worksheet time: 13mins
The nurse asks a client to point to where the abdominal pain is located. The client asks why this is important. What is the nurse’s best response?
"This determines the pain medication to be
ordered."
"Often the area of pain is referred from
another area."
"The area may determine the severity of the
pain."
"If I massage over the painful area, the pain may subside.
A client is experiencing swallowing difficulties and is now scheduled to receive a nasogastric feeding. The client has the following medications prescribed: furosemide (Lasix), digoxin, enteric coated aspirin (Ecotrin), and Metamucil. What order should be clarified?
digoxin
furosimide
metamucil
enteric coated aspirin
A client is admitted for a liver disease. All of the following medications are prescribed. Which prescription should be clarified?
multivitamins
acetaminophen
docusate sodium
atenolol
A client with cholelithiasis has a gallstone lodged in the common bile duct. What does the nurse expect upon assessment?
jaundiced skin
pale yellow urine
black tarry stools
large palpable mass in the RUQ of abdomen
Which of the following actions is most appropriate for a client after removal of a nasogastric tube?
offer ginger ale
auscultate bowel sounds
provide mouth care
percuss the abdomen
A client comes to the emergency room complaining of nausea, vomiting, and severe right upper quadrant pain. The temperature is 101.3° F (38.5° C) and an abdominal X-ray reveals an enlarged gall bladder and surgery is scheduled. Which of the following actions should the nurse take FIRST?
Ensure that the client signs the operative consent.
Ask the client if he/she ever had a surgical procedure before
Assess the client's dietary habits
Evaluate the client's fluid and electrolyte status.
A client returns to the medical surgical unit following a colon resection. The client has IV fluids of Lactated Ringers at 100 ml/hour, a nasogastric tube to low intermittent suction and a Jackson Pratt drain. Four hours later, the nurse notes that the client has vomited. The initial nursing intervention is to:
assess bowel sounds.
check the placement of the nasogastric tube
inspect the abdominal dressing
administer prescribed antiemetic
A client has been discharged with a peripherally inserted central catheter (PICC)for Total Parenteral Nutrition (TPN). With each home visit the nurses should monitor which of the following parameters most closely?
blood pressure and pulse
breath sounds and bowel sounds
temperature and weight.
appetite and color of bowel movements
A client’s spouse reports that the client has been incontinent of loose stools and has a painful perineum. What is the most appropriate nursing action at this time?
Provide the spouse with moisture barrier
Increase the client's fluid intake
Administer antidiarrheal medications
Assess the perineum
The physician has ordered 1000 ml of TPN in 12 hours to be infused via a subclavian catheter. When preparing the equipment it would be most important for the nurse to obtain:
A saline flush
microtubing
Central line dressing kit
An infusion pump
Immediately following a gastrectomy, the nurse in the recovery room notes blood clots in the nasogastric tube drainage. What should the nurse do next?
Clamp the tube
Continue to monitor
Immediately notify the surgeon
Irrigate the tube with iced saline
To determine when a client who had a gastrectomy is ready to begin oral feedings after surgery, the nurse must assess which of the following?
Amount of incisional pain
Presence of flatulence
Occurrence of dumping syndrome
Amount of drainage from the closed suction device
The nurse is teaching a client about care of the ileostomy. Which of the following statements indicate that teaching has been successful?
“I should be able to return to weight lifting in 3 weeks.”
"I should notify all healthcare providers as certain medications may not be effective."
“I can return to work in 2 weeks”.
“I will need to avoid getting my stoma wet while bathing.”
A client is diagnosed with hepatitis A. The information from that health history that is most likely linked to this diagnosis is:
Working as a plumber
Washing dishes at a restaurant
Working on a hemodialysis unit
Sharing needles
A staff nurse is assigned to the following team of clients. Which client should be assessed first?
A client with N/G tube to LIS which has 50 cc of yellowish green drainage during the past hour
A client with a T-Tube draining thick yellow drainage of 25 mL during the last hour
A client with an enteral tube feeding and a residual of 100 mls.
A client who had an appendectomy who now has a temperature of 100.8
Before administering a nasogastric feeding, the nurse checks for gastric contents and obtains 50ml residual. The nurse should:
Discard the residual and give the feeding
Replace the residual and give the feeding
Hold all feeding for 4 hours.
Notify the healthcare provider
The physician has left a prn order for a laxative for a client. The nurse knows that this order should not be carried out for client who is:
reporting nausea and vomiting
Confused and lethargic
recovering from an acute episode of chest pain
experiencing abdominal pain of unknown origin
During report from the night shift, the nurse receives information about the following clients. Who should the nurse assess first?
A client post ileostomy surgery reporting pain as 5/10
A client post colon resection with a WBC of 11,000/cm
A client scheduled for elective gastrostomy at 8am who has a blood pressure of 100/60
A client post laparoscopic cholycystectomy reporting gas and bloating
Following gastrectomy surgery, a nurse is discussing dietary modifications with a client. What is the best information the nurse can give this client?
Take a walk after meals
Avoid drinking fluids with meals
Increase your intake of carbohydrates
It is best to eat 3 meals each day
12. The nurse is teaching a class about modification of risk factors to clients with Gastroesophageal Reflux Disease (GERD). Which of the following behaviors from the clients’ history should be modified?
Going to aerobics class 3 times each week.
Choosing to maintain a vegetarian diet.
Being 25 pounds overweight.
Taking daily calcium supplements.
A client recovering from gastric bypass surgery accidentally removes the nasogastric tube. What should the nurse do next?
notify the surgeon
reinsert the NGT
assess bowel sounds
offer the patient an antiemetic
A nurse is caring for a client following abdominal surgery and notes the following medication order:
Ondansetron (Zofran) 4 mg IV push q. 8 hours. When should this medication be given
nausea
pain
Abdominal distention
urinary retentions
A nurse is teaching a client about psyllium (Metamucil). The nurse evaluates that that teaching was effective if the client makes which statement?
“It is important to supplement my diet with a multivitamin”.
"I need to avoid daily products and lactose products".
"It is normal to have diarrhea for 24 hours after starting this medication"
“I should increase my fluid intake when I take this medication.”
A nurse is giving instructions to a client with a new colostomy. The client states, “I am so tired today; I just can’t concentrate.” What should the nurse do next?
Reschedule the session at a time when the client is rested.
Give the client written instructions and tell the client to call with questions.
Ask the client to try to concentrate because teaching is important.
Teach the spouse about ostomy care instead of the client.
A client is admitted with a diagnosis of Hepatitis B and reports fatigue and jaundice. Which of the following nursing orders should be written in the plan of care?
“Perform neurological checks every shift”.
“Restrict fluids to 1 liter/day.”
“Apply warm compresses to right side of abdomen each shift.”
“Allow the client frequent rest periods during the day.”
A client is being discharged on bolus gastrostomy tube feedings. The nurse would be concerned if which of the following was observed?
Checking for residual prior to feeding
Lying down and resting after the feeding
Instilling the feeding at room temperature
Washing around the gastrostomy with soap and water
