NU373 EAQ Evolve Elsevier: HESI Prep Gastrointestinal
Study online at https://quizlet.com/_ai0jmz
1. After a transurethral resection o Prevents bleeding
of the prostate, the retention
catheter is pulled taut and se- · Pressure of the balloon against small blood vessels of the
cured to the client's leg. The prostatic fossa causes them to constrict, thereby preventing
client reports a feeling of pres- bleeding. The taut catheter may cause discomfort or bladder
sure and asks why this is neces- spasms. The tautness of the catheter does not promote uri-
sary. Which rationale would the nary drainage.
nurse include in a response to
this question?
o Prevents bleeding
o Limits discomfort
o Reduces bladder spasms
o Promotes urinary drainage
2. The nurse discusses the regain- o Irrigation routine
ing of bowel control with a
client who recently had surgery · Colostomy irrigations done daily at the same time help
for a colostomy in the descend- establish a regular pattern of bowel evacuation. Although ad-
ing colon. Which is important to equate fluid intake is important to prevent hard stools, it will
emphasize in the teaching? not help the client regain bowel control. Progressive exercise
has no relationship to bowel control for a client with a distal
o Irrigation routine colostomy; however, exercise does help prevent constipation.
o Management of fluid intake A soft, low-residue diet is not necessary.
o Progressive exercise pro-
gram
o Maintenance of a low-residue
diet
3. A client is transferred to the o Turning the client onto the side
postanesthesia care unit after
abdominal surgery. The client · The side-lying position promotes drainage of emesis and
1/6
, NU373 EAQ Evolve Elsevier: HESI Prep Gastrointestinal
Study online at https://quizlet.com/_ai0jmz
begins vomiting. Which nursing secretions from the mouth, reducing the risk of aspiration.
action is most important when Although accurate assessment of intake and output is im-
caring for this client? portant, prevention of aspiration is the priority. Dehiscence
is not probable at this time; it is more common 5 to 7 days
o Turning the client onto the after surgery. Although the antiemetic may prevent additional
side vomiting, the nurse's priority is to prevent aspiration.
o Measuring the amount of
vomitus
o Assessing the wound for de-
hiscence
o Administering the prescribed
antiemetic to the client
4. A client with Laënnec cirrhosis o Providing for the client's physical safety
experiences ascites, jaundice,
and confusion. Which is a nurs- · Hepatic encephalopathy, related to high ammonia levels, re-
ing priority when caring for this sults in central nervous system derangement; physical safety
client? is the priority. Although correcting nutritional deficiencies is
important, it is not the priority. Although measuring abdomi-
o Correcting nutritional defi- nal girth is important, it is not the priority. The high-Fowler
ciencies position will be uncomfortable because of the pressure of
o Measuring abdominal girth the distended abdomen against the legs. The semi-Fowler
every day position is more appropriate, and it promotes respiration.
o Providing for the client's phys-
ical safety
o Placing the client in the
high-Fowler position
5. A client experiences occasional o Fried chicken and buttered corn
right upper quadrant pain at-
tributed to cholecystitis. To pre- · Cholecystitis is often accompanied by intolerance to fatty
vent or minimize dyspepsia, the foods, including fried foods and butter. Nuts and popcorn
have a high fiber content but have less fat than fried foods;
2/6
Study online at https://quizlet.com/_ai0jmz
1. After a transurethral resection o Prevents bleeding
of the prostate, the retention
catheter is pulled taut and se- · Pressure of the balloon against small blood vessels of the
cured to the client's leg. The prostatic fossa causes them to constrict, thereby preventing
client reports a feeling of pres- bleeding. The taut catheter may cause discomfort or bladder
sure and asks why this is neces- spasms. The tautness of the catheter does not promote uri-
sary. Which rationale would the nary drainage.
nurse include in a response to
this question?
o Prevents bleeding
o Limits discomfort
o Reduces bladder spasms
o Promotes urinary drainage
2. The nurse discusses the regain- o Irrigation routine
ing of bowel control with a
client who recently had surgery · Colostomy irrigations done daily at the same time help
for a colostomy in the descend- establish a regular pattern of bowel evacuation. Although ad-
ing colon. Which is important to equate fluid intake is important to prevent hard stools, it will
emphasize in the teaching? not help the client regain bowel control. Progressive exercise
has no relationship to bowel control for a client with a distal
o Irrigation routine colostomy; however, exercise does help prevent constipation.
o Management of fluid intake A soft, low-residue diet is not necessary.
o Progressive exercise pro-
gram
o Maintenance of a low-residue
diet
3. A client is transferred to the o Turning the client onto the side
postanesthesia care unit after
abdominal surgery. The client · The side-lying position promotes drainage of emesis and
1/6
, NU373 EAQ Evolve Elsevier: HESI Prep Gastrointestinal
Study online at https://quizlet.com/_ai0jmz
begins vomiting. Which nursing secretions from the mouth, reducing the risk of aspiration.
action is most important when Although accurate assessment of intake and output is im-
caring for this client? portant, prevention of aspiration is the priority. Dehiscence
is not probable at this time; it is more common 5 to 7 days
o Turning the client onto the after surgery. Although the antiemetic may prevent additional
side vomiting, the nurse's priority is to prevent aspiration.
o Measuring the amount of
vomitus
o Assessing the wound for de-
hiscence
o Administering the prescribed
antiemetic to the client
4. A client with Laënnec cirrhosis o Providing for the client's physical safety
experiences ascites, jaundice,
and confusion. Which is a nurs- · Hepatic encephalopathy, related to high ammonia levels, re-
ing priority when caring for this sults in central nervous system derangement; physical safety
client? is the priority. Although correcting nutritional deficiencies is
important, it is not the priority. Although measuring abdomi-
o Correcting nutritional defi- nal girth is important, it is not the priority. The high-Fowler
ciencies position will be uncomfortable because of the pressure of
o Measuring abdominal girth the distended abdomen against the legs. The semi-Fowler
every day position is more appropriate, and it promotes respiration.
o Providing for the client's phys-
ical safety
o Placing the client in the
high-Fowler position
5. A client experiences occasional o Fried chicken and buttered corn
right upper quadrant pain at-
tributed to cholecystitis. To pre- · Cholecystitis is often accompanied by intolerance to fatty
vent or minimize dyspepsia, the foods, including fried foods and butter. Nuts and popcorn
have a high fiber content but have less fat than fried foods;
2/6
