NUR 511 - GI NCLEX Q AND A

NUR 511 - GI NCLEX Q AND A
ISM:gkFinitegkM Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
ath odels




Whilenjpreparingnjanjpatientnjfornjannjesophagogastroduodenoscopynj(EGD),njthenjnursenjshouldnjimpleme
whichnjintervention?
A.njInformnjthenjpatientnjofnjthenjadministrationnjofnjanjpre-procedurenjsedative.
B.njInstructnjthenjpatientnjtonjbenjonnjanjclearnjliquidnjdietnjfornj24njhoursnjbeforenjthenjprocedure.
C.njInstructnjthenjpatientnjthatnjeatingnjandnjdrinkingnjisnjpermittednjimmediatelynjafternjthenjprocedure.
D.njAdministernjanjpreparationnjtonjcleansenjthenjGlnjtract,njsuchnjasnjGolytelynjornjFleetsnjPhosphaSoda.nj-
njanswer--A:njInformnjthenjpatientnjofnjthenjadministrationnjofnjanjpre-procedurenjsedative.


Thenjnursenjisnjassessingnjanjpatientnjwithnjgastroesophagealnjrefluxnjdiseasenj(GERD)njwhonjisnjexperienci
njincreasingnjdiscomfort.njWhichnjpatientnjstatementnjindicatesnjadditionalnjpatientnjeducationnjaboutnjGERD
snjneeded?
A.nj"lnjeatnjthreenjmealsnjanjdaynjandnjhavenjanjbedtimenjsnack."
B.nj"lnjquitnjsmokingnjseveralnjyearsnjago,njbutnjInjstillnjchewnjgum."
C.nj"lnjtakenjantacidsnjbetweennjmealsnjandnjatnjbedtimenjeachnjnight."
D.nj"lnjsleepnjwithnjthenjheadnjofnjmynjbednjelevatednjonnj4-inchnjblocks."nj-njanswer--
A:nj"Injeatnjthreenjmealsnjanjdaynjandnjhavenjanjbedtimenjsnack."

Thenjclinicnjnursenjwillnjanticipatenjteachingnjanjpatientnjwhonjhasnjrecentlynjbeennjexperiencingnjfrequentnjhe
rtburnnjrelatednjtonjgastroesophagealnjrefluxnjdiseasenjaboutnjwhichnjofnjthenjfollowing?
A.njBariumnjswallow.nj
B.njRadionuclidenjtests.nj
C.njEndoscopynjprocedures.
D.njProtonnjpumpnjinhibitors.nj-njanswer--D:njProtonnjpumpnjinhibitors.

Thenjnursenjisnjprovidingnjmedicationnjteachingnjtonjanjpatientnjrecentlynjprescribednjantacidsnjandnjsucralfa
(Carafate),njanjcytoprotectivenjagent,njfornjtreatmentnjofnjthenjpatient'snjpepticnjulcer.njWhatnjshouldnjthenjnur
njinstructnjthenjpatientnjrelatednjtonjspacingnjofnjthesenjmedications?
A.njAntacidsnj30njminutesnjbeforenjmeals.
B.njSucralfatenjatnjbedtimenjandnjantacidsnjbeforenjmeals.
C.njSucralfatenjandnjantacidsnjtogethernjonenjhournjbeforenjeachnjmeal.
D.njAntacidsnjonenjhournjafternjmealsnjandnjatnjbedtimenjandnjsucralfatenjonenjhournjbeforenjmeals.nj-njanswe
B:njSucralfatenjatnjbedtimenjandnjantacidsnjbeforenjmeals.

Thenjnursenjisnjadministeringnjintravenousnjfluidnjbolusesnjatnj500njmL/
hrnjandnjnasogastricnjirrigationnjtonjanjpatientnjwithnjacutenjgastrointestinalnj(GI)njbleedingnjcausednjbynjanjpe
cnjulcer.njWhichnjassessmentnjfindingnjisnjmostnjimportantnjfornjthenjnursenjtonjcommunicatenjtonjthenjhealthn
renjprovider?
A.njBowelnjsoundsnjarenjhyperactivenjinnjallnjfournjquadrants.
B.njThenjpatient'snjlungsnjhavenjcracklesnjaudiblenjtonjthenjmid-
chest.njC.njThenjnasogastricnjsuctionnjisnjreturningnjcoffee-
groundnjmaterial.njD.njThenjpatient'snjbloodnjpressurenjhasnjincreasednjtonj1nj32/84njmmnjHg.nj-njanswer--
C:njThenjnasogastricnjsuctionnjisnjreturningnjcoffee-groundnjmaterial.

Thenjnursenjisnjreviewingnjthenjmedicalnjrecordnjofnjanjpatientnjdiagnosednjwithnjchronicnjgastritis.njThenjnurs
wouldnjexpectnjtonjnotenjwhichnjofnjthenjfollowingnjinnjthenjpatient'snjmedicalnjrecord?
A.njEatingnjspicynjfoods.njB.njAlcoholnjconsumption.njC.njAnjdemanding,njstressfulnjjob.