GI Evolve- Questions With All Correct Answers
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
The nurse should monitor the client for which complications? (Select all that
apply.)
1
Phlebitis
2
Infection
3
Hepatitis
4
Anorexia
5
Dysrhythmias correct answer -Phlebitis
Infection
A client eats a meal that contains 13 g of fat, 31 g of carbohydrates, and 5 g of
protein. What is this client's total caloric intake for this meal? Record your
answer using a whole number. ______ kilocalories correct answer -2
A client with a 20-year history of excessive alcohol use is admitted to the
hospital with jaundice and ascites. A priority nursing action during the first 48
hours after the client's admission is to:
1
Monitor the client's vital signs
2
Increase the client's fluid intake
3
Improve the client's nutritional status
4
Determine the client's reasons for drinking correct answer -Monitor the
client's vital signs
A day after surgery to create an ileostomy, a 68-year-old male client remarks
to the nurse, "It will be difficult for my wife to care for a helpless old man."
Which conflict of Erikson's developmental stages is reflected by this
comment?
,1
Trust versus mistrust
2
Integrity versus despair
3
Industry versus inferiority
4
Generativity versus stagnation correct answer -Integrity versus despair
A client with a recent colostomy expresses concern about the inability to
control the passage of gas. The nurse should teach the client to:
1
Eliminate foods high in cellulose
2
Decrease fluid intake at mealtimes
3
Avoid foods that in the past caused flatus
4
Adhere to a bland diet before social events correct answer -
An 18-year-old is admitted with an acute onset of right lower quadrant pain at
McBurney's point. Appendicitis is suspected. For which clinical indicator
should the nurse assess the client to determine if the pain is secondary to
appendicitis?
1
Urinary retention
2
Gastric hyperacidity
3
Rebound tenderness
4
Increased lower bowel motility correct answer -Rebound tenderness
Which food selections by a client with malabsorption syndrome indicate that
the nurse's dietary teaching was successful? (Select all that apply.)
1
Green beans
2
Baked potato
,3
Noodle pudding
4
Turkey sandwich
5
Whole wheat cerea correct answer -Green beans
Baked potato
A client with cholecystitis is placed on a low fat, high protein diet. What
nutrient should the nurse teach the client is included with this diet?
1
Skim milk
2
Boiled beef
3
Poached eggs
4
Steamed broccoli correct answer -Skim milk
A client was diagnosed with cancer of the head of the pancreas two months
ago. The client is admitted to the hospital with weight loss, severe epigastric
pain, and jaundice. When performing the client's assessment, the nurse
expects the client's stool to be what color?
1
Green
2
Brown
3
Red-tinged
4
Clay-colored correct answer -Clay-colored
A client complains of pain four hours after a liver biopsy. The nurse identifies
that there is a leakage of a large amount of bile on the dressing over the biopsy
site. What should the nurse do first?
1
Tell the client to remain flat on the back.
2
Medicate the client for pain as prescribed.
, 3
Notify the client's health care provider immediately.
4
Monitor the client's vital signs every 10 minutes correct answer -Notify
the client's health care provider immediately.
A client with dementia and a percutaneous endoscopic gastrostomy (PEG)
tube is being cared for at home. Which action provides evidence that a family
member is effectively managing the client's care?
1
Empty feeding bag stays attached to the tubing.
2
Tube is flushed with air after medication is given.
3
Replacement of the tube is done on a weekly basis.
4
Head of the bed remains elevated after the feeding. correct answer -Head
of the bed remains elevated after the feeding.
A nurse is caring for a client with cholelithiasis. Which clinical manifestation
does the nurse expect if the client develops obstructive jaundice?
1
Yellow sclera
2
Pain on urination
3
Dark brown stools
4
Coffee-ground emesis correct answer -Yellow sclera
A client is admitted to the hospital with a diagnosis of cirrhosis of the liver.
For which classic signs of hepatic coma should the nurse assess this client?
(Select all that apply.)
1
Mental confusion
2
Increased cholesterol
3
Brown-colored stools
A nurse is caring for a client who is receiving total parenteral nutrition (TPN).
The nurse should monitor the client for which complications? (Select all that
apply.)
1
Phlebitis
2
Infection
3
Hepatitis
4
Anorexia
5
Dysrhythmias correct answer -Phlebitis
Infection
A client eats a meal that contains 13 g of fat, 31 g of carbohydrates, and 5 g of
protein. What is this client's total caloric intake for this meal? Record your
answer using a whole number. ______ kilocalories correct answer -2
A client with a 20-year history of excessive alcohol use is admitted to the
hospital with jaundice and ascites. A priority nursing action during the first 48
hours after the client's admission is to:
1
Monitor the client's vital signs
2
Increase the client's fluid intake
3
Improve the client's nutritional status
4
Determine the client's reasons for drinking correct answer -Monitor the
client's vital signs
A day after surgery to create an ileostomy, a 68-year-old male client remarks
to the nurse, "It will be difficult for my wife to care for a helpless old man."
Which conflict of Erikson's developmental stages is reflected by this
comment?
,1
Trust versus mistrust
2
Integrity versus despair
3
Industry versus inferiority
4
Generativity versus stagnation correct answer -Integrity versus despair
A client with a recent colostomy expresses concern about the inability to
control the passage of gas. The nurse should teach the client to:
1
Eliminate foods high in cellulose
2
Decrease fluid intake at mealtimes
3
Avoid foods that in the past caused flatus
4
Adhere to a bland diet before social events correct answer -
An 18-year-old is admitted with an acute onset of right lower quadrant pain at
McBurney's point. Appendicitis is suspected. For which clinical indicator
should the nurse assess the client to determine if the pain is secondary to
appendicitis?
1
Urinary retention
2
Gastric hyperacidity
3
Rebound tenderness
4
Increased lower bowel motility correct answer -Rebound tenderness
Which food selections by a client with malabsorption syndrome indicate that
the nurse's dietary teaching was successful? (Select all that apply.)
1
Green beans
2
Baked potato
,3
Noodle pudding
4
Turkey sandwich
5
Whole wheat cerea correct answer -Green beans
Baked potato
A client with cholecystitis is placed on a low fat, high protein diet. What
nutrient should the nurse teach the client is included with this diet?
1
Skim milk
2
Boiled beef
3
Poached eggs
4
Steamed broccoli correct answer -Skim milk
A client was diagnosed with cancer of the head of the pancreas two months
ago. The client is admitted to the hospital with weight loss, severe epigastric
pain, and jaundice. When performing the client's assessment, the nurse
expects the client's stool to be what color?
1
Green
2
Brown
3
Red-tinged
4
Clay-colored correct answer -Clay-colored
A client complains of pain four hours after a liver biopsy. The nurse identifies
that there is a leakage of a large amount of bile on the dressing over the biopsy
site. What should the nurse do first?
1
Tell the client to remain flat on the back.
2
Medicate the client for pain as prescribed.
, 3
Notify the client's health care provider immediately.
4
Monitor the client's vital signs every 10 minutes correct answer -Notify
the client's health care provider immediately.
A client with dementia and a percutaneous endoscopic gastrostomy (PEG)
tube is being cared for at home. Which action provides evidence that a family
member is effectively managing the client's care?
1
Empty feeding bag stays attached to the tubing.
2
Tube is flushed with air after medication is given.
3
Replacement of the tube is done on a weekly basis.
4
Head of the bed remains elevated after the feeding. correct answer -Head
of the bed remains elevated after the feeding.
A nurse is caring for a client with cholelithiasis. Which clinical manifestation
does the nurse expect if the client develops obstructive jaundice?
1
Yellow sclera
2
Pain on urination
3
Dark brown stools
4
Coffee-ground emesis correct answer -Yellow sclera
A client is admitted to the hospital with a diagnosis of cirrhosis of the liver.
For which classic signs of hepatic coma should the nurse assess this client?
(Select all that apply.)
1
Mental confusion
2
Increased cholesterol
3
Brown-colored stools
