GI Practice Test Question and answers already solved 2023

GI Practice Test Question and answers already solved 2023The nurse is assessing a client who describes "stomach discomfort." The most appropriate sequence for conducting the physical examination of the abdomen is Inspection, auscultation, percussion, palpation. EX: Assess the abdomen in the following sequence: inspection, auscultation, percussion, and palpation. Before determining the absence of bowel sounds, the nurse must auscultate the abdomen for 5 minutes. EX: To determine the absence of bowel sounds, the nurse must listen a total of 5 minutes, or at least 1 minute per abdominal quadrant. A client has returned to the nursing unit after an upper gastrointestinal (GI) series and anxiously informs the nurse that her bowel movement was white. The nurse's best response would be "The white color is expected after this examination. Your stool should return to the normal color in 72 hours." EX: Initially, the client's stool is white in color, but it should return to its normal brown color within 72 hours. Constipation with a distended abdomen may indicate a barium impaction. For a client having all the following GI tests, the nurse schedules as the last test the Barium swallow. EX: Ultrasound, abdominal scan, and colonoscopy, if indicated, should be performed first, because the barium interferes with these tests. A 65-year-old client who had a barium study of the bowel 4 days earlier calls the nurse in the GI clinic to ask, "Is there anything I can do about my constipation? I have not had a bowel movement since the x-ray, and my stomach is so big that I look pregnant." The most appropriate response for the nurse to make is "You need to be examined in the clinic today." EX: The nurse should instruct the client to contact the physician immediately if constipation and abdominal distention occur, because these may be manifestations of a barium impaction. Preparing a client for an upper GI series, the nurse includes the information that Nothing by mouth is allowed for 6 to 8 hours before the study. EX: A laxative is given afterward to help expel the barium. The client must drink the medium, and the procedure lasts about 45 minutes. The nurse administers an anticholinergic drug to a client scheduled for an endoscopy in order to provide Decreased secretions. EX: Anticholinergic medications may be given to decrease oropharyngeal secretions. In a client admitted with possible small bowel obstruction, the nurse would assess for Pain that is intermittent or colicky. EX: Characteristics of intestinal obstruction include distended abdomen, no bowel movements or flatus, intermittent or colicky pain, right upper quadrant pain radiating to shoulder associated with gallbladder, pain near umbilicus associated with small bowel, and lumbar pain associated with colon. For a client taking a histamine H2 blocker to reduce clinical manifestations of gastritis, the nurse would clarify that the client is at risk for a possible deficiency of Vitamin B12. EX: In a possible nutrient interaction, histamine H2 blockers may cause decreased vitamin B12 absorption.