GI EXAM 2 QUESTIONS AND ANSWERS.

GI EXAM 2 QUESTIONS AND ANSWERS

The nurse is inspecting a patient's oral cavity and notices reddened areas on the
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gums, several teeth with cavities, and multiple loose teeth. Which finding is of
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greatest safety concern to the nurse? - ANSWER: Loose teeth concern due to
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possible aspiration and airway blockage. nutrition status
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The nurse is providing care for a patient whose nasogastric (NG) tube is attached to
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low intermittent suction for decompression of a bowel obstruction. The nurse notes
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the NG tube is not draining. After checking placement, which action should the nurse
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take? - ANSWER: Irrigate the NG tube with 30 milliliters of normal saline.
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During the inspection of a patient's abdomen, which data finding is most unlikely
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indicative of a serious disorder? - ANSWER: Silver-colored lines
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The nurse is auscultating the bowel sounds of a patient who is severely constipated
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and exhibits a swollen abdomen and pain. Which bowel sounds cause the nurse to
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suspect a bowel obstruction? - ANSWER: A high-pitched tinkling sound
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The nurse is providing care for a patient who has just undergone a needle biopsy to
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rule out liver disease. Which nursing intervention is most critical following the
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procedure? - ANSWER: Remain position on right side for two hours
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A patient is being prepared for an upper understands the preparation for this test?
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gastrointestinal (GI) series involving a barium swallow. Which statement indicates that
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the patient - ANSWER: "I can't have anything to eat or drink for 6 hours before the
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procedure."
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The nurse is ready to begin a tube feeding via an NG feeding tube for a patient who
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is comatose. What action should the nurse take before starting the feeding? -
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ANSWER: Check the pH of gastric aspirate.
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The nurse reviews the results of a patient's stool occult blood test, which tests
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positive. Which additional data is unlikely to cause a false positive for the testing? -
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ANSWER: Oral laxatives
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The nurse is caring for a patient who has a nonvented NG tube. Which suction setting
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should the nurse select? - ANSWER: Low intermittent suction
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The nurse is planning to reinforce teaching to a patient regarding the function of the
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organs in the GI tract. Which information is correct? - ANSWER: The duodenum is
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where the common bile and pancreatic duct enters the small intestine.
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, Which information is least likely to be included in best practice recommendations?
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The nurse is performing research to obtain best practice information on the topic of
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enteral - ANSWER: Measurement of residual volumes reflect gastric emptying and
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aspiration risk.
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The nurse understands The nurse is providing care for a client who requires gastric
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irrigation the use of an orogastric tube requires incision requires regular wound care.
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which intervention? - ANSWER: The tube is temporary and is removed following
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treatment
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The nurse is palpating the abdomen of a patient reporting mild abdominal pain in the
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upper right quadrant. How deep should the nurse depress this patient's abdomen? -
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ANSWER: 1 inch
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The nurse is gathering data from a client in a physician's office. The client reports
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severe diarrhea, nausea, and abdominal pain. Which additional data information will
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cause the nurse to report possible Clostridium difficile to the HCP? - ANSWER:
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Recent hospitalization for treatment of pneumonia
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The nurse is preparing to perform an abdominal examination. For which reason will
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the nurse perform auscultation before palpation and percussion? - ANSWER:
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Palpation will alter or stimulate bowel sounds
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The nurse is providing care for a client one day after major abdominal surgery. Those
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clients after minute to send it in thousands are absent. What treatment is a nurse
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expect the HCP to prescribe - ANSWER: placement of NG tube for decompression
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The nurse is caring for a patient admitted with Mel nutrition related to gastric disease
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the HCP orders parental nutrition. What information does the nurse consider
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regarding insulin therapy for this patient - ANSWER: temporary insulin coverage uses
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regular insulin
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A patient has been scheduled for a barium swallow test to rule out esophageal
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strictures and gastric ulcer . Which pre-testing information will the nurse provide for
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the patient - ANSWER: Do not smoke on the morning of the test
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The nurse is providing care for a client prescribed to undergo a basal cell secretion
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test. Which nursing action is incorrect - ANSWER: The NG tube is left unconnected
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between specimens
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The nurse is providing care for a client who had surgical repair of a paraesophageal
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hernia. The nurse observes that the patient exhibits signs of dysphagia during the
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first postoperative meal. Which action does the nurse take? - ANSWER: Report
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observation to the health care provider
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