GI nutrition Exam With Complete Solution

GI nutrition Exam With Complete Solution A nurse is precepting a new graduate nurse who is caring for a client with a paralytic ileus and a Salem sump tube attached to continuous suction. The precepto r should intervene when the graduate nurse performs which interventions? Select all that apply. 1. Checks for residual every 4 hours 2. Places client in semi-Fowler's position 3. Plugs the air vent if gastric content refluxes 4. Provides mouth care every 4 hours 5. Turns off suction when auscultating bowel sounds - Answer 1,3 The post-anesthesia care unit nurse receives report on a client after abdominal surgery . What sounds would the nurse expect to hear when auscultating the bowel? 1. Absent bowel sounds 2. Borborygmi sounds 3. High-pitched and gurgling sounds 4. Swishing or buzzing sounds - Answer 1 A healthy 50-year-old client asks the nurse, "What must I do in preparation for my screening colonoscopy?" Which statements by the nurse correctly answer the client's question? Select all that apply. 1. "No food or drink is allowed 8 hours prior to the test." 2. "Prophylactic antibiotics are taken as prescribed." 3. "Smoking must be avoided after midnight." 4. "The day prior to the procedure your diet will be clear liquids." 5. "You will drink polyethylene glycol as directed the day before." - Answer 1,4 ,5 When assessing a client with cholelithiasis and acute cholecystitis, which findings might the nurse note during the health history and physical examination? Select all that app ly. 1. Flank pain radiating to the groin 2. High-protein food ingestion before the onset of pain 3. Low-grade fever with chills 4. Pain at the umbilicus 5. Right upper-quadrant (RUQ) pain radiating to the right shoulder - Answe r 3,5 The nurse is caring for a client who has undergone a colonoscopy. Which client assessment finding should most concern the nurse? 1. Abdominal cramping 2. Frequent, watery stools 3. Positive rebound tenderness 4. Recurring flatus - Answer 3 The nurse will implement which nursing actions when caring for a client recently diagnosed with a hiatal hernia? Select all that apply. 1. Elevate the head of the hospital bed 2. Instruct the client to avoid tobacco and caffeine 3. Offer small, frequent, low-fat meals 4. Provide a girdle to reduce the hernia 5. Teach the client to avoid lifting or straining - Answer 1,2,3,5 The nurse assessing a client with an upper gastrointestinal bleed would expect the client's stool to have which appearance? 1. Black tarry 2. Bright red bloody 3. Light gray "clay-colored" 4. Small, dry, rocky-hard masses - Answer 1 The nurse is caring for an alert client with jaundice, scleral icterus, and a bilirubin level of 12.3 mg/dL (210 µmol/L). Which instruction would be most important to include whe n delegating the client's morning hygiene tasks to unlicensed assistive personnel? 1. Do not leave the client alone in the shower 2. Use cool water in the shower 3. Use hot water in the shower 4. Wash client with antibacterial soap - Answer 2 The nurse who is caring for a client with acute diverticulitis will immediately report which finding to the health care provider? 1. Abdominal pain has progressed to the left upper quadrant 2. Hemoglobin of 11.2 g/dL (112 g/L) 3. Lying on side with knees drawn up to abdomen and trunk flexed 4. White blood cell count of 12,000/mm3 (12.0 x 109/L) - Answer 1 The nurse teaching a group of clients about celiac disease will include which meal in the teaching plan? 1. Baked salmon with rice, steamed vegetables, and dinner roll 2. Breaded pork chops, corn on the cob, and steamed snow peas 3. Grilled chicken, green beans, and mashed potatoes 4. Spaghetti with Italian tomato sauce and meatballs - Answer 3 A client with ascites due to cirrhosis has increasing shortness of breath and abdominal pain. The health care provider (HCP) requests that the nurse prepare the client for a paracentesis. Which nursing actions would the nurse implement prior to the procedure? Select all that apply. 1. Immediately place the client on nothing- by-mouth (NPO) status 2. Obtain informed consent for the procedure 3. Place the client in high Fowler's position 4. Request that the client empty the bladder 5. Take baseline vital signs and weight - Answer 3,4,5 A client with a history of cirrhosis has a new prescription for lactulose 30 mL four times a day. What does the nurse explain to the client about this medication? 1. It will decrease intestinal absorption of ammonia 2. It will facilitate diuresis of excess fluid 3. It will promote renal excretion of bilirubin 4. It will reduce portal pressure contributing to esophageal varices - Answer 1 A client is 1-day postoperative abdominoplasty and is discharged to go home with a Jackson-Pratt (JP) closed-wound system drain in place. The nurse teaches the client how to care for the drain and empty the collection bulb. Which statement indicates tha t the client needs further instruction? 1. "I'll empty the JP bulb when it is totally full so that I don't have to unp lug it so many times." 2. "I'll pull the plug on the JP bulb and pour the drainage into the measu rable specimen cup." 3. "I'll squeeze the JP bulb from side- to-side as I hold it in my hand." 4. "While the JP bulb is totally compressed, I'll clean the spout with alcohol and rep lace the plug." - Answer 1 The nurse is caring for a client with end-stage liver failure from hepatitis C who is being seen in the clinic for worsening ascites. The client is treated in the infusion center with intravenous (IV) albumin, IV furosemide, and oral spironolactone. The following day th e nurse checks the client's labs. Which of the following lab findings is most important for the nurse to communicate to the health care provider? 1. Albumin 2.5 g/dL (25 g/L) 2. INR 1.4 3. Potassium 3.0 mEq/L (3.0 mmol/L) 4. Sodium 131 mEq/L (131 mmol/L) - Answer 3 The nurse understands that which of the following body substances are modes of transmission for hepatitis B? Select all that apply. 1. Blood 2. Feces 3. Saliva 4. Semen 5. Urine 6. Vaginal secretions - Answer 1,3,4,6 A client with diabetes receiving peritoneal dialysis experiences chills and abdominal discomfort. The nurse assesses the client's abdomen by pressing one hand firmly into the abdominal wall. The client experiences pain when the nurse quickly withd raws the