ATI MED SURG 1 MEDICAL SURGICAL
GASTROINTESTINAL CHAPTER 45
/. A nurse is having difficulty arousing a client following EGD Which of the following is
the priority action by the nurse - Answer-Inspect the clients airway
/.A nurse in a clinic is instructing a client about a fecal occult blood test which requires
mailing 3 specimens Which indicates understanding? - Answer-THIS TEST CAN BE
DONE AT HOME
/.A nurse is reinforcing teaching with a client who will undergo a sigmoidiscopy. Which
of the following information about the procedure should the nurse reinforce? - Answer-
NI Npo status should be maintained until after the procedure INCREASED flatulence
can occur following the procedure
/.A nurse is reviewing the health record of a client who has a suspected tumor of the
jejunum. The nurse should expect a prescription for which of following tests? - Answer-
GASTROINTESTINAL XRAY WITH CONTRAST, SMALL BOWEL CAPSULE
ENDOSCOPY M2A
GS GS GS GS
/.A nurse is monitoring a client following a paracentesis. Which of the following findings
indicate the bowel was perforated during the procedure - Answer-Temperature
Elevation
/.A nurse is assisting with the plan of care for a client who has a prescription for TPN
Which of the following interventions should the nurse recommend? - Answer-MME MME
MME Measure acapillary blood glucose 4 times daily, Monitor Vital signs 3 times during
12 hours shiuft Change the TPN IV tubing every 24 hours
/.A nurse is providing care to a clinet who is 1 day post op following a parecentesis The
nurse observes clear pale yellow fluid leaking from the operative site Wich of the
follolwoing is an approprIate nursing intervention - Answer-APPLY A DRYYYY
STERILE DRESSING
/.A nurse is reinforcing discharge teaching with a client who is 3 days post op following
a transverse colostomy. Which of the following should the nurse reinforce in teaching -
Answer-STOMA SHOULD BE MOIST AND PINK
/.A nurse is assisting with the care of a client who is receiveng TPN solution The current
bag was hung 24 hours ago.... - Answer-REMOVE THE CURRENT BAG AND HANG A
NEW BAG
, /.A nurse is caring for a client who has a new diagnosis Oof GERD The nurse should
expect prescriptions for which of the following medications - Answer-ANTACIDS,
HISTAMINE receptor antagonists PPIS HAPP HAPP HAPP HAPP
/.A nurse is assisting with the care of a newly admitted client who has a bleeding
esophageal varices. The nurse should anticipate a prescription for which of the following
medications - Answer-VASOPRESSIN
/.A nurse is collecting data on a client who has GERD Which of the following is an
expected finding? - Answer-PAINFUL SWALLOWING
/.A urse is reinfircing teaching with a client whop has hiatal hernia Which of the followng
statements indicates an understanding - Answer-PEPPERMINT TEA WILL INCREASE
MY INDIGESTION
/.A nurse is reinforcing teaching dx who is post op Which of the following indicates
understanding - Answer-I WILL ELEVATE THE HEAD OF THE BED ON BLOCKS
/.A nurse is collecting data from a cl,ioent who has suspected perforation due to peptic
ulcer. Which of the following findings should the nurse expect? - Answer-RRT RRT RRT
RRT RRT RIGID ABDOMEN,REBOUND TENDERNESS, TACHYCARDIA
/.A nurse is reinforcing teaching with a client who has dumping syndrome following
gastric surgery Which of the following information she should include in teaching -
Answer-INCREASE PROTEIN IN THE DIET
/.A nurse is reinforcing teaching Dx to a client with Helicobacter pylori Which of the
following statements by the client indicates understanding - Answer-I WILL TAKE A
COMBINATION OF MEDICATIONS FOR TX
/.A nurse is collecting data from a client who has gastric ulcer Which of the following
findings should she expect - Answer-CLIENT REPORTS A SENSE OF BLOATING,
CLIENT STATES THAT PAIN OCCURS 30 minutes TO 1 HOUR AFTER MEALS,
CLIENT EXPERIENCES PAIN UPON PALPATION OF THE EPIGASTRIC REGION
/.A nurse is reinforcing teaching client who has duodenal ulcer and new prescription for
omeprazole SATA - Answer-LT LT LT Limit NSAID WHEN TAKING THIS MEDICATION
AND TAKE THE MEDICATION 1 HOUR BEFORE A MEAL
/.A Nurse reinforcing teachimng client schedule for a colonoscopy UPPER Which
instructions can she do - Answer-YOPU SHULD HAVE OTHING TO EAT OR DRINK 8
HOURS BEFORE THE PROCEDURE
GASTROINTESTINAL CHAPTER 45
/. A nurse is having difficulty arousing a client following EGD Which of the following is
the priority action by the nurse - Answer-Inspect the clients airway
/.A nurse in a clinic is instructing a client about a fecal occult blood test which requires
mailing 3 specimens Which indicates understanding? - Answer-THIS TEST CAN BE
DONE AT HOME
/.A nurse is reinforcing teaching with a client who will undergo a sigmoidiscopy. Which
of the following information about the procedure should the nurse reinforce? - Answer-
NI Npo status should be maintained until after the procedure INCREASED flatulence
can occur following the procedure
/.A nurse is reviewing the health record of a client who has a suspected tumor of the
jejunum. The nurse should expect a prescription for which of following tests? - Answer-
GASTROINTESTINAL XRAY WITH CONTRAST, SMALL BOWEL CAPSULE
ENDOSCOPY M2A
GS GS GS GS
/.A nurse is monitoring a client following a paracentesis. Which of the following findings
indicate the bowel was perforated during the procedure - Answer-Temperature
Elevation
/.A nurse is assisting with the plan of care for a client who has a prescription for TPN
Which of the following interventions should the nurse recommend? - Answer-MME MME
MME Measure acapillary blood glucose 4 times daily, Monitor Vital signs 3 times during
12 hours shiuft Change the TPN IV tubing every 24 hours
/.A nurse is providing care to a clinet who is 1 day post op following a parecentesis The
nurse observes clear pale yellow fluid leaking from the operative site Wich of the
follolwoing is an approprIate nursing intervention - Answer-APPLY A DRYYYY
STERILE DRESSING
/.A nurse is reinforcing discharge teaching with a client who is 3 days post op following
a transverse colostomy. Which of the following should the nurse reinforce in teaching -
Answer-STOMA SHOULD BE MOIST AND PINK
/.A nurse is assisting with the care of a client who is receiveng TPN solution The current
bag was hung 24 hours ago.... - Answer-REMOVE THE CURRENT BAG AND HANG A
NEW BAG
, /.A nurse is caring for a client who has a new diagnosis Oof GERD The nurse should
expect prescriptions for which of the following medications - Answer-ANTACIDS,
HISTAMINE receptor antagonists PPIS HAPP HAPP HAPP HAPP
/.A nurse is assisting with the care of a newly admitted client who has a bleeding
esophageal varices. The nurse should anticipate a prescription for which of the following
medications - Answer-VASOPRESSIN
/.A nurse is collecting data on a client who has GERD Which of the following is an
expected finding? - Answer-PAINFUL SWALLOWING
/.A urse is reinfircing teaching with a client whop has hiatal hernia Which of the followng
statements indicates an understanding - Answer-PEPPERMINT TEA WILL INCREASE
MY INDIGESTION
/.A nurse is reinforcing teaching dx who is post op Which of the following indicates
understanding - Answer-I WILL ELEVATE THE HEAD OF THE BED ON BLOCKS
/.A nurse is collecting data from a cl,ioent who has suspected perforation due to peptic
ulcer. Which of the following findings should the nurse expect? - Answer-RRT RRT RRT
RRT RRT RIGID ABDOMEN,REBOUND TENDERNESS, TACHYCARDIA
/.A nurse is reinforcing teaching with a client who has dumping syndrome following
gastric surgery Which of the following information she should include in teaching -
Answer-INCREASE PROTEIN IN THE DIET
/.A nurse is reinforcing teaching Dx to a client with Helicobacter pylori Which of the
following statements by the client indicates understanding - Answer-I WILL TAKE A
COMBINATION OF MEDICATIONS FOR TX
/.A nurse is collecting data from a client who has gastric ulcer Which of the following
findings should she expect - Answer-CLIENT REPORTS A SENSE OF BLOATING,
CLIENT STATES THAT PAIN OCCURS 30 minutes TO 1 HOUR AFTER MEALS,
CLIENT EXPERIENCES PAIN UPON PALPATION OF THE EPIGASTRIC REGION
/.A nurse is reinforcing teaching client who has duodenal ulcer and new prescription for
omeprazole SATA - Answer-LT LT LT Limit NSAID WHEN TAKING THIS MEDICATION
AND TAKE THE MEDICATION 1 HOUR BEFORE A MEAL
/.A Nurse reinforcing teachimng client schedule for a colonoscopy UPPER Which
instructions can she do - Answer-YOPU SHULD HAVE OTHING TO EAT OR DRINK 8
HOURS BEFORE THE PROCEDURE
