GI- Questions With All Correct Answers
The nurse assesses a client who is receiving a tube feeding. Which situation
would require prompt intervention from the nurse? correct answer -The
feeding that is infusing has been hanging for 8 hours.
A client is admitted to the hospital with an exacerbation of his chronic
gastritis. What recommendation should the nurse make when evaluating his
nutritional status? correct answer -Consume yogurt with probiotics daily.
A nurse is caring for a client with a retroperitoneal abscess who is receiving
gentamicin 300 mg intravenously every 8 hours. Which client data would the
nurse monitor? Select all that apply. correct answer -• Urine output
• Hearing
• BUN and serum creatinine levels
The nurse administers fat emulsion solution during TPN as prescribed based
on the understanding that this type of solution: correct answer -provides
essential fatty acids.
Which sign or symptom is related primarily to small-bowel obstruction rather
than large-bowel obstruction? correct answer -profuse vomiting
A 53-year-old client undergoes colonoscopy for colorectal cancer screening. A
polyp was removed during the procedure. Which nursing interventions are
necessary when caring for the client immediately after colonoscopy? Select all
that apply. correct answer -• Monitor vital signs frequently until they are
stable.
• Observe the client closely for signs and symptoms of bowel perforation.
• Inform the client that there may be blood in the stool and to report excessive
blood immediately.
TPN is ordered for a client with Crohn's disease. The TPN solution is having an
intended outcome when: correct answer -the client's nutritional needs are
met.
A physician orders spironolactone, 50 mg by mouth four times daily, for a
client with fluid retention caused by cirrhosis. Which finding indicates that the
, drug is producing a therapeutic effect? correct answer -Loss of 2.2 lb (1
kg) in 24 hours
A client with gastric cancer is having a resection. What is the nursing
management priority for this client? correct answer -Correcting
nutritional deficits
Which position would be appropriate for a client with severe ascites?
correct answer -Fowler's
A client has severe diarrhea that has lasted for 2 days. The nurse should now
assess the client for: correct answer -arrhythmia.
An adolescent girl with severe malnutrition is admitted to an acute care
facility. After a thorough examination, the physician diagnoses anorexia
nervosa. When developing the care plan for this client, the nurse is most likely
to include which nursing diagnosis? correct answer -Chronic low self-
esteem
A nurse must administer an enema to an adult client. The appropriate depth
for inserting an enema into an average-sized adult is: correct answer -3″ to
4″
A nurse is assisting with the removal a of central venous access device
(CVAD). The nurse should: correct answer -instruct the client to take a
deep breath and hold it
A nurse is caring for a client with cirrhosis. The nurse assesses the client at
noon and discovers that the client is difficult to arouse. The client's morning
ammonia level is 110 mcg/dl. The nurse should suspect which situation?
correct answer -The client's hepatic function is decreasing.
One hour before a client is to undergo abdominal surgery, the physician
orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be
administered. How should the nurse respond? correct answer -Atropine
decreases salivation and gastric secretions."
The nurse assesses a client who is receiving a tube feeding. Which situation
would require prompt intervention from the nurse? correct answer -The
feeding that is infusing has been hanging for 8 hours.
A client is admitted to the hospital with an exacerbation of his chronic
gastritis. What recommendation should the nurse make when evaluating his
nutritional status? correct answer -Consume yogurt with probiotics daily.
A nurse is caring for a client with a retroperitoneal abscess who is receiving
gentamicin 300 mg intravenously every 8 hours. Which client data would the
nurse monitor? Select all that apply. correct answer -• Urine output
• Hearing
• BUN and serum creatinine levels
The nurse administers fat emulsion solution during TPN as prescribed based
on the understanding that this type of solution: correct answer -provides
essential fatty acids.
Which sign or symptom is related primarily to small-bowel obstruction rather
than large-bowel obstruction? correct answer -profuse vomiting
A 53-year-old client undergoes colonoscopy for colorectal cancer screening. A
polyp was removed during the procedure. Which nursing interventions are
necessary when caring for the client immediately after colonoscopy? Select all
that apply. correct answer -• Monitor vital signs frequently until they are
stable.
• Observe the client closely for signs and symptoms of bowel perforation.
• Inform the client that there may be blood in the stool and to report excessive
blood immediately.
TPN is ordered for a client with Crohn's disease. The TPN solution is having an
intended outcome when: correct answer -the client's nutritional needs are
met.
A physician orders spironolactone, 50 mg by mouth four times daily, for a
client with fluid retention caused by cirrhosis. Which finding indicates that the
, drug is producing a therapeutic effect? correct answer -Loss of 2.2 lb (1
kg) in 24 hours
A client with gastric cancer is having a resection. What is the nursing
management priority for this client? correct answer -Correcting
nutritional deficits
Which position would be appropriate for a client with severe ascites?
correct answer -Fowler's
A client has severe diarrhea that has lasted for 2 days. The nurse should now
assess the client for: correct answer -arrhythmia.
An adolescent girl with severe malnutrition is admitted to an acute care
facility. After a thorough examination, the physician diagnoses anorexia
nervosa. When developing the care plan for this client, the nurse is most likely
to include which nursing diagnosis? correct answer -Chronic low self-
esteem
A nurse must administer an enema to an adult client. The appropriate depth
for inserting an enema into an average-sized adult is: correct answer -3″ to
4″
A nurse is assisting with the removal a of central venous access device
(CVAD). The nurse should: correct answer -instruct the client to take a
deep breath and hold it
A nurse is caring for a client with cirrhosis. The nurse assesses the client at
noon and discovers that the client is difficult to arouse. The client's morning
ammonia level is 110 mcg/dl. The nurse should suspect which situation?
correct answer -The client's hepatic function is decreasing.
One hour before a client is to undergo abdominal surgery, the physician
orders atropine, 0.6 mg I.M. The client asks the nurse why this drug must be
administered. How should the nurse respond? correct answer -Atropine
decreases salivation and gastric secretions."
