Med Surg Gastrointestinal NCLEX Questions| RECENT
UPDATE|COMPREHENSIVE QUESTIONS AND VERIFIED
SOLUTIONS |GET IT 100% ACCURATE!!
A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate
for this client? Select all that apply.
A. Administer stool softeners as prescribed.
B. Instruct the client to limit fluid intake to avoid urinary retention.
C. Encourage a high-fiber diet to promote bowel movements without straining.
D. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
E. Help the client to a Fowler's position to place pressure on the rectal area and
decrease bleeding.
A. Administer stool softeners as prescribed.
C. Encourage a high-fiber diet to promote bowel movements without straining.
D. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
Rationale:
Nursing interventions after a hemorrhoidectomy are aimed at management of pain and
avoidance of bleeding and incision rupture. Stool softeners and a high-fiber diet will
help the client to avoid straining, thereby reducing the chances of rupturing the incision.
An ice pack will increase comfort and decrease bleeding. Options 2 and 5 are
incorrect
interventions.
,The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about
substances to avoid. Which items should the nurse include on this list? Select all that
apply.
A. Coffee
B. Chocolate
C. Peppermint
D. Nonfat milk
E. Fried chicken
F. Scrambled eggs
A. Coffee
B. Chocolate
C. Peppermint
E. Fried chicken
Rationale:
Foods that decrease lower esophageal sphincter (LES) pressure and irritate the
esophagus will increase reflux and exacerbate the symptoms of GERD and therefore
should be avoided. Aggravating substances include coffee, chocolate, peppermint, fried
or fatty foods, carbonated beverages, and alcohol. Options 4 and 6 do not promote this
effect.
,A client has undergone esophagogastroduodenoscopy. The nurse should place
highest priority on which item as part of the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex
4. Assessing for the return of the gag
reflex Rationale:
The nurse places highest priority on assessing for return of the gag reflex. This
assessment addresses the client's airway. The nurse also monitors the client's vital
signs and for a sudden increase in temperature, which could indicate perforation of
the gastrointestinal
tract. This complication would be accompanied by other signs as well, such as pain.
Monitoring for sore throat and heartburn are also important; however, the client's
airway is the priority.
, The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis.
The nurse instructs the client to include which foods rich in vitamin B12 in the diet? Select
all that apply.
A. Nuts
B. Corn
C. Liver
D. Apples
E. Lentils
F. Bananas
A. Nuts
C. Liver
E. Lentils
Rationale:
Chronic gastritis causes deterioration and atrophy of the lining of the stomach, leading to
the loss of function of the parietal cells. The source of intrinsic factor is lost, which results
in an inability to absorb vitamin B12, leading to development of pernicious anemia. Clients
must increase their intake of vitamin B12 by increasing consumption of foods rich in this
vitamin, such as nuts, organ meats, dried beans, citrus fruits, green leafy vegetables, and
yeast.
UPDATE|COMPREHENSIVE QUESTIONS AND VERIFIED
SOLUTIONS |GET IT 100% ACCURATE!!
A client has just had a hemorrhoidectomy. Which nursing interventions are appropriate
for this client? Select all that apply.
A. Administer stool softeners as prescribed.
B. Instruct the client to limit fluid intake to avoid urinary retention.
C. Encourage a high-fiber diet to promote bowel movements without straining.
D. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
E. Help the client to a Fowler's position to place pressure on the rectal area and
decrease bleeding.
A. Administer stool softeners as prescribed.
C. Encourage a high-fiber diet to promote bowel movements without straining.
D. Apply cold packs to the anal-rectal area over the dressing until the packing is removed.
Rationale:
Nursing interventions after a hemorrhoidectomy are aimed at management of pain and
avoidance of bleeding and incision rupture. Stool softeners and a high-fiber diet will
help the client to avoid straining, thereby reducing the chances of rupturing the incision.
An ice pack will increase comfort and decrease bleeding. Options 2 and 5 are
incorrect
interventions.
,The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) about
substances to avoid. Which items should the nurse include on this list? Select all that
apply.
A. Coffee
B. Chocolate
C. Peppermint
D. Nonfat milk
E. Fried chicken
F. Scrambled eggs
A. Coffee
B. Chocolate
C. Peppermint
E. Fried chicken
Rationale:
Foods that decrease lower esophageal sphincter (LES) pressure and irritate the
esophagus will increase reflux and exacerbate the symptoms of GERD and therefore
should be avoided. Aggravating substances include coffee, chocolate, peppermint, fried
or fatty foods, carbonated beverages, and alcohol. Options 4 and 6 do not promote this
effect.
,A client has undergone esophagogastroduodenoscopy. The nurse should place
highest priority on which item as part of the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex
4. Assessing for the return of the gag
reflex Rationale:
The nurse places highest priority on assessing for return of the gag reflex. This
assessment addresses the client's airway. The nurse also monitors the client's vital
signs and for a sudden increase in temperature, which could indicate perforation of
the gastrointestinal
tract. This complication would be accompanied by other signs as well, such as pain.
Monitoring for sore throat and heartburn are also important; however, the client's
airway is the priority.
, The nurse is providing dietary teaching for a client with a diagnosis of chronic gastritis.
The nurse instructs the client to include which foods rich in vitamin B12 in the diet? Select
all that apply.
A. Nuts
B. Corn
C. Liver
D. Apples
E. Lentils
F. Bananas
A. Nuts
C. Liver
E. Lentils
Rationale:
Chronic gastritis causes deterioration and atrophy of the lining of the stomach, leading to
the loss of function of the parietal cells. The source of intrinsic factor is lost, which results
in an inability to absorb vitamin B12, leading to development of pernicious anemia. Clients
must increase their intake of vitamin B12 by increasing consumption of foods rich in this
vitamin, such as nuts, organ meats, dried beans, citrus fruits, green leafy vegetables, and
yeast.
