WorksheetsNR341 W7_Gastrointestinal Function and Hormonal & Glucose Regula
Total questions: 38
Worksheet time: 19mins
Which action would the nurse in the emergency department anticipate for a young adult patient who has had several acute episodes of bloody diarrhea?
Obtain a stool specimen for culture.
Administer antidiarrheal medication.
Provide teaching about antibiotic therapy.
Teach the adverse effects of acetaminophen (Tylenol).
A young adult patient is hospitalized with massive abdominal trauma from a motor vehicle crash. The patient asks about the purpose of receiving famotidine (Pepcid). Which information would the nurse explain about the action of the medication?
“It decreases nausea and vomiting.”
“It inhibits development of stress ulcers.”
“It lowers the risk for H. pylori infection.”
“It prevents aspiration of gastric contents.”
Which diagnostic test would the nurse anticipate for an older patient who is vomiting “coffee-ground” emesis?
Endoscopy
Angiography
Barium studies
Gastric analysis
Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of famotidine (Pepcid)?
“Famotidine absorbs the excess gastric acid.”
“Famotidine decreases gastric acid secretion.”
“Famotidine constricts the blood vessels near the ulcer.”
“Famotidine covers the ulcer with a protective material.”
Which statement by a patient with chronic atrophic gastritis indicates that the nurse‘s teaching regarding cobalamin injections has been effective?
“The cobalamin injections will prevent gastric inflammation.”
“The cobalamin injections will prevent me from becoming anemic.”
These injections will increase the hydrochloric acid in my stomach.”
“These injections will decrease my risk for developing stomach cancer.”
A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. What would the nurse ask the patient about to determine possible risk factors for gastritis?
The amount of saturated fat in the diet
A family history of gastric or colon cancer
Use of nonsteroidal antiinflammatory drugs
A history of a large recent weight gain or loss
A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen, which action would the nurse take?
Irrigate the NG tube.
Check the vital signs.
Give the ordered antacid.
Elevate the foot of the bed.
A patient who underwent a gastroduodenostomy (Billroth I) 12 hours ago reports increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red nasogastric (NG) drainage in the past hour. Which nursing action is the highest priority?
Monitor drainage.
Contact the surgeon.
Irrigate the NG tube.
Give prescribed morphine.
A patient who takes a nonsteroidal anti-inflammatory drug (NSAID) daily for the management of severe rheumatoid arthritis has recently developed melena. What would the nurse anticipate teaching the patient?
Substitution of acetaminophen (Tylenol) for the NSAID
Use of enteric-coated NSAIDs to reduce gastric irritation
Reasons for using corticosteroids to treat the rheumatoid arthritis
Misoprostol (Cytotec) to protect the gastrointestinal (GI) mucosa
The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a patient‘s peptic ulcer. Which medication schedule would the nurse teach the patient?
Sucralfate at bedtime and antacids before each meal
Sucralfate and antacids together 0 minutes before meals
Antacids 30 minutes before each dose of sucralfate is taken
Antacids after meals and sucralfate 30 minutes before meals
Which assessment would the nurse perform first for a patient who just vomited bright red blood?
Measuring the quantity of emesis
Palpating the abdomen for distention
Auscultating the chest for breath sounds
Taking the blood pressure (BP) and pulse
Which prescribed action will the nurse implement first for a patient who has vomited 1100 mL of blood?
Give an IV H2 receptor antagonist.
Draw blood for type and crossmatch.
Administer 1 L of lactated Ringer‘s solution.
Insert a nasogastric (NG) tube and connect to suction.
The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?
The bowel sounds are hyperactive in all four quadrants.
The patient‘s lungs have crackles audible to the midchest.
The nasogastric (NG) suction is returning coffee-ground material.
The patient‘s blood pressure (BP) has increased to 142/84 mm Hg.
An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?
Sucralfate (Carafate)
Aluminum hydroxide
Omeprazole (Prilosec)
Metoclopramide (Reglan)
A patient with blunt abdominal trauma from a motor vehicle crash undergoes peritoneal lavage. If the lavage returns brown fecal drainage, which action will the nurse plan to take next?
Auscultate the bowel sounds.
Prepare the patient for surgery.
Check the patient‘s oral temperature.
Obtain information about the accident.
A young adult patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action would the nurse take?
Assist the patient to cough and deep breathe.
Palpate the abdomen for rebound tenderness.
Suggest the patient lie on the side, flexing the right leg.
Encourage the patient to sip clear, noncarbonated liquids.
Which action will the nurse include in the plan of care for a 25-yr-old male patient with a new diagnosis of irritable bowel syndrome (IBS)?
Encourage the patient to express concerns and ask questions about IBS.
Suggest that the patient increase the intake of milk and other dairy products.
Teach the patient to avoid using nonsteroidal antiinflammatory drugs (NSAIDs).
Teach the patient about the use of alosetron (Lotronex) to reduce IBS symptoms.
A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 bloody stools a day. Which intervention would the nurse include in the patient‘s plan of care?
Administer oral metoclopramide.
Instruct the patient not to eat or drink.
Administer cobalamin (vitamin B ) injections.
each the patient about total colectomy surgery.
Which nursing action will the nurse include in the plan of care for a patient admitted with an exacerbation of inflammatory bowel disease (IBD)?
Restrict IV fluid intake.
Monitor stools for blood.
Ambulate six times daily.
Increase dietary fiber intake.
Which prescribed intervention for a patient with chronic short bowel syndrome would the nurse question?
Senna 1 tablet daily
Ferrous sulfate 325 mg daily
Psyllium (Metamucil) 3 times daily
Diphenoxylate with atropine (Lomotil) PRN loose stools
A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that the nurse‘s teaching about skin integrity has been effective?
The patient uses incontinence briefs to contain loose stools.
The patient uses witch hazel compresses to soothe irritation.
The patient asks for antidiarrheal medication after each stool.
The patient cleans the perianal area with soap after each stool.
Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD) indicates a need for more teaching?
Scrambled eggs
White toast and jam
Oatmeal with cream
Pancakes with syrup
After a total proctocolectomy and permanent ileostomy, the patient tells the nurse, “I cannot manage all this. I don‘t want to look at the stoma.” Which action would the nurse take?
Reassure the patient that ileostomy care will become easier.
Ask the patient about the concerns with stoma management.
Postpone any teaching until the patient adjusts to the ileostomy.
Develop a detailed written list of ostomy care tasks for the patient.
After having frequent diarrhea and a weight loss of 10 lb (4.5 kg) over 2 months, a patient has a new diagnosis of Crohn‘s disease. What would the nurse plan to teach the patient?
Medication use
Fluid restriction
Enteral nutrition
Activity restrictions
A young woman with Crohn‘s disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. Which information will the nurse add to a teaching plan about UTIs for this patient that goes beyond a general teaching plan for UTIs?
Fistulas can form between the bowel and bladder.
Bacteria in the perianal area can enter the urethra.
Drink adequate fluids to maintain normal hydration.
Empty the bladder before and after sexual intercourse.
Which finding is likely in the nurse‘s assessment of a patient who has a large bowel obstruction?
Referred back pain
Metabolic alkalosis
Projectile vomiting
Abdominal distention
Which screening test would the nurse plan to teach a 45-yr-old male about during an annual wellness exam?
Endoscopy
Colonoscopy
Computerized tomography
Carcinoembryonic antigen (CEA)
The nurse is providing preoperative teaching for a patient scheduled for an abdominal-perineal resection. Which information will the nurse include?
The patient will need to be on bedrest for three days after surgery.
An ileal-anal reservoir will be surgically created in 8 to 12 weeks.
The patient will have a temporary colostomy for 6-12 months.
The site for the stoma will be marked on the abdomen before surgery.
Which action would the nurse plan when admitting a patient with acute diverticulitis plan for initial care?
Administer IV fluids.
Prepare for colonoscopy.
Encourage a high-fiber diet.
Give stool softeners and enemas.
Which topic would the nurse plan to teach to a patient with Crohn‘s disease who has megaloblastic anemia?
Iron dextran infusions
Oral ferrous sulfate tablets
Routine blood transfusions
Cobalamin (B ) supplements
The nurse is assessing a patient with abdominal pain. How will the nurse document ecchymosis around the area of umbilicus?
Cullen‘s sign
Rovsing sign
McBurney‘s sign
Grey-Turner‘s sign
A critically ill patient with sepsis is frequently incontinent of watery stools. Which action by the nurse will prevent complications associated with ongoing incontinence?
Apply incontinence briefs.
Use a fecal management system.
Insert a rectal tube with a drainage bag.
Assist the patient to a commode frequently.
Which question from the nurse would help determine if a patient‘s abdominal pain might indicate irritable bowel syndrome (IBS)?
“Have you been passing a lot of gas?”
“What foods affect your bowel patterns?”
“Do you have any abdominal distention?”
“How long have you had abdominal pain?”
A patient in the emergency department has just been diagnosed with peritonitis from a ruptured diverticulum. Which prescribed intervention will the nurse implement first?
Send the patient for a CT scan.
Insert a urinary catheter to drainage.
Infuse metronidazole (Flagyl) 500 mg IV.
Place a nasogastric tube to intermittent low suction.
A patient is admitted to the emergency department with severe abdominal pain and rebound tenderness. Vital signs include temperature 102°F (38.3°C), pulse 120 beats/min, respirations 32 breaths/min, and blood pressure (BP) 82/54 mm Hg. Which prescribed intervention would the nurse implement first?
Administer IV ketorolac 15 mg for pain relief.
Send a blood sample for a complete blood count (CBC).
Infuse a liter of lactated Ringer‘s solution over 30 minutes.
Send the patient for an abdominal computed tomography (CT) scan.
Four hours after a bowel resection, a 74-yr-old male patient with a nasogastric tube to suction reports nausea and abdominal distention. Which action would the nurse take first?
Auscultate for hypotonic bowel sounds.
Notify the patient‘s health care provider.
Check for tube placement and reposition it.
Remove the tube and replace it with a new one.
A 19-yr-old woman is brought to the emergency department with a knife handle protruding from her abdomen. Which action would the nurse take during the initial assessment of the patient?
Remove the knife and assess the wound.
Determine the presence of Rovsing sign.
Check for circulation and tissue perfusion.
Insert a urinary catheter and assess for hematuria.
Which activity in the care of a patient with a new colostomy could the nurse delegate to assistive personnel (AP)?
Document the appearance of the stoma.
Place a pouching system over the ostomy.
Drain and measure the output from the ostomy.
Check the skin around the stoma for breakdown.
