MEDICAL SURGICAL ATI
GASTROINTESTINAL QUIZ WITH CORRECT
AND DETAILED ANSWERS (JUST
RELEASED).
A nurse is preparing a community education program about Hep B. Which
of the following statements should the nurse include in the teaching? -
CorreCt Answers -Hepatitis B immune globulin is given as part of the
standard childhood immunizations. It can be administered as early as birth,
especially in infants born to hepatitis B surface antigen (HBsAg) negative
mothers. These infants should receive the second dose between 1 and 4
months of age.
A nurse is providing dietary teaching to a client who has diverticulitis about
preventing acute attacks. Which of the following foods should the nurse
recommend? - CorreCt Answers -The result of long-term, low-fiber eating
habits along with increased intracolonic pressure lead to straining during
bowel movements, causing the development of diverticula. High-fiber foods
help strengthen and maintain active motility of the gastrointestinal tract.
A nurse is caring for a client who has celiac disease. Which of the following
foods should the nurse remove from the clients meal tray? - CorreCt
Answers -Celiac disease is an autoimmune disorder characterized by a
permanent intolerance to wheat, barley, and rye. Wheat toast contains
gluten and should be removed from the client's tray.
A nurse is caring or a client who is dehydrated and is receiving continuous
tube feedings through a pump at 75mL/hr. When the nurse assess the client
at 0800, which of the following findings requires intervention by the nurse?
- CorreCt Answers -The head of the bed should be elevated at least 30°
(semi-Fowler's position) while the tube feeding is administered. This
, position uses gravity to help the feeding move down through the digestive
system and lessens the possibility of regurgitation.
A nurse is caring for a client who is 4hrs post op following a laparoscopic
cholecystectomy. Which of the following findings should the nurse expect? -
CorreCt Answers -The client can experience pain in the right upper
shoulder due to gas (carbon dioxide) injected into the abdominal cavity
during the laparoscopic procedure, which can irritate the diaphragm and
cause referred pain in the shoulder area. The pain disappears in 1 to 2 days.
Mild analgesics and a recumbent position can help with client comfort.
A nurse is caring for a client who has a hx of cirrhosis and is admitted with
manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following lab tests to determine the possibility
of recent excessive alcohol use? - CorreCt Answers -The GGT laboratory
test is specific to the hepatobiliary system in which levels can be raised by
alcohol and hepatotoxic drugs. Therefore, it is useful for monitoring drug
toxicity and excessive alcohol use.
A nurse is caring for a client who has a PEG tube and is receiving
intermittent feedings. Prior to initiating the feeding, which of the following
actions should the nurse take first? - CorreCt Answers -The nurse should
apply the ABC priority-setting framework. This framework emphasizes the
basic core of human functioning: having an open airway, being able to
breathe in adequate amounts of oxygen, and circulating oxygen to the
body's organs via the blood. An alteration in any of these can indicate a
threat to life and is therefore the nurse's priority concern. When applying
the ABC priority-setting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur.
Breathing is the second priority in the ABC priority-setting framework
because adequate ventilatory effort is essential for oxygen exchange to
occur. Circulation is the third priority in the ABC priority-setting
GASTROINTESTINAL QUIZ WITH CORRECT
AND DETAILED ANSWERS (JUST
RELEASED).
A nurse is preparing a community education program about Hep B. Which
of the following statements should the nurse include in the teaching? -
CorreCt Answers -Hepatitis B immune globulin is given as part of the
standard childhood immunizations. It can be administered as early as birth,
especially in infants born to hepatitis B surface antigen (HBsAg) negative
mothers. These infants should receive the second dose between 1 and 4
months of age.
A nurse is providing dietary teaching to a client who has diverticulitis about
preventing acute attacks. Which of the following foods should the nurse
recommend? - CorreCt Answers -The result of long-term, low-fiber eating
habits along with increased intracolonic pressure lead to straining during
bowel movements, causing the development of diverticula. High-fiber foods
help strengthen and maintain active motility of the gastrointestinal tract.
A nurse is caring for a client who has celiac disease. Which of the following
foods should the nurse remove from the clients meal tray? - CorreCt
Answers -Celiac disease is an autoimmune disorder characterized by a
permanent intolerance to wheat, barley, and rye. Wheat toast contains
gluten and should be removed from the client's tray.
A nurse is caring or a client who is dehydrated and is receiving continuous
tube feedings through a pump at 75mL/hr. When the nurse assess the client
at 0800, which of the following findings requires intervention by the nurse?
- CorreCt Answers -The head of the bed should be elevated at least 30°
(semi-Fowler's position) while the tube feeding is administered. This
, position uses gravity to help the feeding move down through the digestive
system and lessens the possibility of regurgitation.
A nurse is caring for a client who is 4hrs post op following a laparoscopic
cholecystectomy. Which of the following findings should the nurse expect? -
CorreCt Answers -The client can experience pain in the right upper
shoulder due to gas (carbon dioxide) injected into the abdominal cavity
during the laparoscopic procedure, which can irritate the diaphragm and
cause referred pain in the shoulder area. The pain disappears in 1 to 2 days.
Mild analgesics and a recumbent position can help with client comfort.
A nurse is caring for a client who has a hx of cirrhosis and is admitted with
manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following lab tests to determine the possibility
of recent excessive alcohol use? - CorreCt Answers -The GGT laboratory
test is specific to the hepatobiliary system in which levels can be raised by
alcohol and hepatotoxic drugs. Therefore, it is useful for monitoring drug
toxicity and excessive alcohol use.
A nurse is caring for a client who has a PEG tube and is receiving
intermittent feedings. Prior to initiating the feeding, which of the following
actions should the nurse take first? - CorreCt Answers -The nurse should
apply the ABC priority-setting framework. This framework emphasizes the
basic core of human functioning: having an open airway, being able to
breathe in adequate amounts of oxygen, and circulating oxygen to the
body's organs via the blood. An alteration in any of these can indicate a
threat to life and is therefore the nurse's priority concern. When applying
the ABC priority-setting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur.
Breathing is the second priority in the ABC priority-setting framework
because adequate ventilatory effort is essential for oxygen exchange to
occur. Circulation is the third priority in the ABC priority-setting
