RN Targeted Medical Surgical Gastrointestinal
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A nurse is providing discharge teaching for a client who
has GERD. Which of the following statements by the client
indicates an understanding of the teaching? - Answer-"I
will decrease the amount of carbonated beverages I drink"
The nurse should instruct the client to limit or eliminate
fatty foods, coffee, tea, carbonated beverages, and
chocolate from the diet because they irritate the lining of
the stomach.
A nurse is providing discharge teaching for a client who
has chronic hepatitis C. Which of the following statements
by the client indicates understanding of the teaching? -
Answer-"I will avoid medications that contain
acetaminophen"
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A client who has hepatitis C should avoid medications that
contain acetaminophen, which can cause additional liver
damage.
A nurse is assessing a client who has upper
gastrointestinal bleeding. Which of the following findings
should the nurse expect? - Answer-Hypotension
A client who has upper gastrointestinal bleeding is at risk
for hemorrhagic shock. Hypotension is a manifestation of
hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who
has colorectal cancer. Which of the following findings
should the nurse expect? - Answer-Hemoglobin 9.1 g.dL
A hemoglobin level of 9.1 g/dL is below the expected
reference range. Decreased hemoglobin is an expected
finding in a client who has colorectal cancer due to occult
intestinal bleeding.
A nurse is providing discharge teaching for a client who
has an new colostomy and is concerned about flatus and
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odor. Which of the following foods should the nurse
recommend to the client? - Answer-Yogurt
The nurse should recommend yogurt, crackers, and toast,
which can prevent flatus and stool odor.
A nurse is caring for a client who has ulcerative colitis. the
client has several exacerbations over the past 3 years.
Which of the following instructions should the nurse
include in the plan of care to minimize the risk of further
exacerbations? - Answer-Use progressive relaxation
techniques
Progressive relaxation techniques, a form of biofeedback,
are recommended to help the client minimize stress, which
can precipitate an exacerbation.
Arrange activities to allow for daily rest periods
Daily rest periods decrease stress and reduce intestinal
motility.
Restrict intake of carbonated beverages
The client should avoid gastrointestinal stimulants, such
as carbonated beverages, nuts, peppers, and smoking
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A nurse is admitting a client who has acute pancreatitis.
Which of the following actions should the nurse take first?
- Answer-Identify the clients current level of pain
The first action the nurse should take when using the
nursing process is to assess the client. Clients who have
acute pancreatitis often have severe abdominal pain. By
assessing the client's level of pain, the nurse can identify
the need for and implement interventions to alleviate the
client's pain.
A nurse is teaching a client to prepare for a colonoscopy.
Which of the following instructions should the nurse
include in the teaching - Answer-"Drink clear liquids for 24
hr prior to the procedure, then take nothing by mouth for 6
hr before the procedure
The nurse should instruct the client to drink clear liquids
for 24 hr prior to the colonoscopy to promote adequate
bowel cleansing.
A nurse is providing discharge teaching for a client who
has mild diverticulitis. Which of the following statements