RN TARGETED GASTROINTESTINAL NEWEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

RN TARGETED GASTROINTESTINAL NEWEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following to the provider? - ANSWER-Dark purple stoma The nurse should instruct the client to contact the provider if the stoma is a dark purple color, which is an indication of bowel ischemia. A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse expect? - ANSWER-The client reports that the pain occurs during the night Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5 to 3 hr after meals and during the night. A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the following findings should the nurse expect? - ANSWER-Increased amylase Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell injury. 2 | P a g e 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 made by the client indicates an understanding of the teaching - ANSWER-"I should eat foods that are low in fiber The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the inflammation subsides, the client should consume foods that are high in fiber. A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The nurse should plan to monitor for which of the following adverse effects? - ANSWER-Ataxia The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and should report any of these findings to the provider. A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses should the nurse make - ANSWER-"The CEA determines the efficacy of your chemotherapy"