NURSING 121 Unit 2- GI || with True Solutions.
A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid
therapy. When teaching the client about the therapy, what does the nurse reinforce?
A. Antacids should be taken 1 hour before meals.
B. These should be scheduled at 4-hour intervals.
C. Antacid tablets are just as fast and effective as the liquid form.
D. Antacids commonly interfere with the absorption of other drugs. correct answers D. Antacids
commonly interfere with the absorption of other drugs
A nurse is instructing a client with peptic ulcer disease (PUD) about the diet that should be
followed during the acute phase. Which type of diet should the nurse stress?
A. Bland foods
B. Regular diet
C. Gluten-free foods
D. Low-carbohydrate foods correct answers A. Bland Foods
A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours
after a subtotal gastrectomy. What should the nurse do first?
A. Clamp the nasogastric tube.
B. Irrigate the tube gently with normal saline.
C. Record the observation and continue to monitor the drainage from the tube.
D. Reduce the pressure of the suction and record observations of the drainage characteristics.
correct answers C
A client is hospitalized after four days of epigastric pain, nausea, and vomiting. The nurse
reviews the laboratory test results: plasma pH 7.51, Pco2 50 mm Hg, bicarbonate 58 mEq/L (58
mmol/L), chloride 55 mEq/L (55 mmol/L), sodium 132 mEq/L (132 mmol/L), and potassium 3.8
mEq/L (3.8 mmol/L). What condition does the nurse determine the results to indicate?
A. Hypernatremia
B. Hyperchloremia
C. Metabolic alkalosis
D. Respiratory acidosis correct answers C
A client who recently experienced a brain attack (cerebrovascular accident, CVA) and who has
limited mobility reports constipation. What is most important for the nurse to determine when
collecting information about the constipation?
A. Presence of distention
B. Extent of weight gained
C. Amount of high-fiber food consumed
D. Length of time this problem has existed correct answers D
, A client with gastroesophageal reflux disease reports having difficulty sleeping at night. What
should the nurse instruct the client to do?
A. Drink a glass of milk before retiring.
B. Elevate the head of the bed on blocks.
C. Eliminate carbohydrates from the diet.
D. Take antacids, such as sodium bicarbonate. correct answers B
Which client responses does the nurse determine represent the highest risk for the development
of pressure ulcers?
A. Incontinence and inability to move independently
B. Periodic diaphoresis and occasional sliding down in bed
C. Reaction to just painful stimuli and receiving tube feedings
D. Adequate nutritional intake and spending extensive time in a wheelchair correct answers A
A client who is suspected of having salmonellosis asks the nurse how the diagnosis is confirmed.
The nurse responds that the medical diagnosis is established with what laboratory test?
A. Urinalysis
B. Stool culture
C. Febrile agglutinin test
D. Complete blood count correct answers B
A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse
encourage the client to add to the diet to help normalize bowel function after surgery?
A. Vitamins
B. Whole bran
C. Cod liver oil
D. Amino acids correct answers B
A healthcare provider prescribes dietary and medication therapy for a client with the diagnosis of
gastroesophageal reflux disease (GERD). What is most appropriate for the nurse to teach the
client about meal management?
A. Snack daily in the evenings
B. Divide food into four to six meals a day
C. Eat the last of three daily meals by 8:00 PM
D. Suck a peppermint candy after each meal correct answers B
The nurse is caring for an Asian client who had a laparoscopic cholecystectomy six hours ago.
When asked whether there is pain, the client smiles and says, "No." What should the nurse do?
A. Monitor for nonverbal cues of pain
A client diagnosed with gastroesophageal reflux disease (GERD) is being treated with antacid
therapy. When teaching the client about the therapy, what does the nurse reinforce?
A. Antacids should be taken 1 hour before meals.
B. These should be scheduled at 4-hour intervals.
C. Antacid tablets are just as fast and effective as the liquid form.
D. Antacids commonly interfere with the absorption of other drugs. correct answers D. Antacids
commonly interfere with the absorption of other drugs
A nurse is instructing a client with peptic ulcer disease (PUD) about the diet that should be
followed during the acute phase. Which type of diet should the nurse stress?
A. Bland foods
B. Regular diet
C. Gluten-free foods
D. Low-carbohydrate foods correct answers A. Bland Foods
A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours
after a subtotal gastrectomy. What should the nurse do first?
A. Clamp the nasogastric tube.
B. Irrigate the tube gently with normal saline.
C. Record the observation and continue to monitor the drainage from the tube.
D. Reduce the pressure of the suction and record observations of the drainage characteristics.
correct answers C
A client is hospitalized after four days of epigastric pain, nausea, and vomiting. The nurse
reviews the laboratory test results: plasma pH 7.51, Pco2 50 mm Hg, bicarbonate 58 mEq/L (58
mmol/L), chloride 55 mEq/L (55 mmol/L), sodium 132 mEq/L (132 mmol/L), and potassium 3.8
mEq/L (3.8 mmol/L). What condition does the nurse determine the results to indicate?
A. Hypernatremia
B. Hyperchloremia
C. Metabolic alkalosis
D. Respiratory acidosis correct answers C
A client who recently experienced a brain attack (cerebrovascular accident, CVA) and who has
limited mobility reports constipation. What is most important for the nurse to determine when
collecting information about the constipation?
A. Presence of distention
B. Extent of weight gained
C. Amount of high-fiber food consumed
D. Length of time this problem has existed correct answers D
, A client with gastroesophageal reflux disease reports having difficulty sleeping at night. What
should the nurse instruct the client to do?
A. Drink a glass of milk before retiring.
B. Elevate the head of the bed on blocks.
C. Eliminate carbohydrates from the diet.
D. Take antacids, such as sodium bicarbonate. correct answers B
Which client responses does the nurse determine represent the highest risk for the development
of pressure ulcers?
A. Incontinence and inability to move independently
B. Periodic diaphoresis and occasional sliding down in bed
C. Reaction to just painful stimuli and receiving tube feedings
D. Adequate nutritional intake and spending extensive time in a wheelchair correct answers A
A client who is suspected of having salmonellosis asks the nurse how the diagnosis is confirmed.
The nurse responds that the medical diagnosis is established with what laboratory test?
A. Urinalysis
B. Stool culture
C. Febrile agglutinin test
D. Complete blood count correct answers B
A client is admitted to the hospital for a laparoscopic cholecystectomy. What should the nurse
encourage the client to add to the diet to help normalize bowel function after surgery?
A. Vitamins
B. Whole bran
C. Cod liver oil
D. Amino acids correct answers B
A healthcare provider prescribes dietary and medication therapy for a client with the diagnosis of
gastroesophageal reflux disease (GERD). What is most appropriate for the nurse to teach the
client about meal management?
A. Snack daily in the evenings
B. Divide food into four to six meals a day
C. Eat the last of three daily meals by 8:00 PM
D. Suck a peppermint candy after each meal correct answers B
The nurse is caring for an Asian client who had a laparoscopic cholecystectomy six hours ago.
When asked whether there is pain, the client smiles and says, "No." What should the nurse do?
A. Monitor for nonverbal cues of pain
