Med/Surg Adult Health/Gastro
Study online at https://quizlet.com/_b72yy1
1. A client diagnosed with acute pancreatitis is experiencing severe pain from
the disorder. The nurse would instruct the client to avoid which position that
could aggravate the pain?: Lying flat
2. A client with a diagnosis of acute pancreatitis is experiencing severe pain.
After noting an absence of an analgesic prescription on the primary health
care provider prescription sheet, the nurse would suggest contacting the
primary health care provider to request a prescription for which medication?-
: Hydromorphone
3. The nurse is reinforcing discharge instructions to a client with a hiatal her-
nia. Which considerations would the nurse include in the teaching session?
Select all that apply.: 134
4. The nurse is caring for a client with fatty liver disease who is scheduled for
a paracentesis to treat ascites. The client has an indwelling urinary catheter
in place to aid in the healing of a sacral pressure injury. The nurse assesses
the client and would notify the registered nurse regarding which priority
finding?: The client has pink-tinged urine in the indwelling urinary drainage bag.
5. The nurse is caring for a client following an esophagogastroduodenoscopy
(EGD) done to confirm the diagnosis of esophageal stricture. Which assess-
ment is priority after this procedure to promote client safety?: Gag reflex
6. The nurse is reinforcing discharge instructions to a client after a gastrec-
tomy. Which measure would the nurse include during client teaching to help
prevent dumping syndrome?: Limit the fluids taken with meals.
7. A primary health care provider asks the nurse to obtain a Salem sump tube
for gastric intubation. The nurse would correctly select which tube from the
unit storage area?: A tube with a larger lumen and an air vent
8. A primary health care provider asks the licensed practical nurse (LPN) to
reinforce preprocedure instructions to a client who will undergo a barium
swallow (esophagography) in a few days. The LPN would include which in-
struction in this discussion?: Remove all metal and jewelry before the test.
9. The client arrives at an emergency department complaining of severe ab-
dominal pain. The initial diagnosis is acute abdomen, and an x-ray and an
abdominal ultrasonogram are prescribed to be obtained immediately. The
nurse prepares the client for these diagnostic tests and reviews the primary
health care provider's prescriptions. Which prescription would the nurse most
likely question if written on the primary health care provider's prescription
form?: Administration of an opioid analgesic
10. A client has a diagnosis of asymptomatic diverticular disease. Which type
of diet would the nurse anticipate being prescribed?: High-fiber diet
, Med/Surg Adult Health/Gastro
Study online at https://quizlet.com/_b72yy1
11. The nurse is providing dietary instructions to a client with a diagnosis
of ulcerative colitis. The client is prescribed to follow a low residue diet
during episodes of diarrhea. Which food would the nurse instruct the client
to avoid?: Fresh corn on the cob
12. The nurse is collecting admission data on the client with a diagnosis of
hepatitis. Which finding would the nurse recognize to be a direct result of this
client's condition?: Drowsiness
13. After the deflation of the balloon of a client's Sengstaken-Blakemore tube,
the nurse would monitor the client closely for which priority esophageal
complication?: Hemorrhage
14. The nurse has given the client diagnosed with hepatitis instructions about
post discharge management during convalescence. The nurse determines a
need for further teaching if the client makes which statement:
15. A client with cirrhosis admitted to the hospital diagnosed with severe
jaundice is having diagnostic testing. Because the client has no complaints
of fatigue, the client is encouraged to ambulate in the hall to maintain muscle
strength. The client paces around the room but will not enter the hall. The
nurse would determine which concern is most likely the reason for the client's
reluctance to walk in the hall?: Feeling self-conscious about appearance
16. The client in an emergency department reports right lower quadrant ab-
dominal pain. After noting a white blood cell count of 16,500 cells/mm3, the
nurse should question which prescriptions? Select all that apply.: 1,2
17. The nurse is teaching a client with irritable bowel syndrome (IBS) about
food items that may exacerbate the condition. The nurse identifies a need
for further teaching if the client states which food item is acceptable to
consume?: Cauliflower
18. A client receiving a high cleansing enema complains of pain and cramping.
Which corrective action is most appropriate for the nurse to take?: Clamp the
tubing for 30 seconds and restart the flow at a slower rate.
19. The nurse has been providing care for a client with a Sengstaken-Blake-
more tube. While the tube is inflated the nurse would monitor for which priority
sign/symptom?: Respiratory distress
20. A client diagnosed with peptic ulcer disease and scheduled for a pyloro-
plasty asks the nurse about the procedure. The nurse would base the response
on which information?: A pyloroplasty involves an incision and resuturing of the
pylorus to relax the muscle and enlarge the opening from the stomach to the
duodenum.
21. The nurse caring for a client diagnosed with acute pancreatitis and has
a history of alcoholism is monitoring the client for complications. The nurse
, Med/Surg Adult Health/Gastro
Study online at https://quizlet.com/_b72yy1
determines that which data collected is most likely indicative of paralytic
ileus?: Inability to pass flatus
22. The nurse is providing education to a client regarding foods that can
aggravate the symptoms of gastroesophageal reflux disease (GERD). The
nurse identifies a need for further teaching when the client states which foods
are acceptable to consume? Select all that apply.: 135
23. A client has been diagnosed with acute gastroenteritis. Which diet would
the nurse anticipate to be prescribed for the client?: Low fiber
24. The nurse is reviewing the medication record of a client with a diagnosis of
acute gastritis. Which medication noted on the client's record would the nurse
most likely question?: Ibuprofen
25. The nurse is assisting in caring for a client who suffered blows to the
face with a baseball bat and a gunshot wound to the abdomen. The nurse
is reviewing the prescriptions in the client's medical record and determines
there is a need for follow-up with the primary health care provider if which
prescription is noted?: Nasogastric tube insertion
26. A client that is postgastrectomy being discharged from the hospital tells
the nurse, "I hope my stomach problems are over. I need to get back to work
right away. I've missed a lot of work, and I may lose my job." Based on the
client's statement, the nurse would determine that at this time, it is most
appropriate to discuss which topic?: Reducing stressors in life
27. The nurse is caring for a client in the emergency department who has right
lower quadrant abdominal pain. After noting a white blood cell count of 16,500
cells/mm3, the nurse would question which prescription?: Milk of magnesia
28. The nurse is preparing to administer an intermittent tube feeding to a client.
The nurse aspirates and is unable to obtain any residual tube feeding. Which
action would the nurse take next?: Turn the client to the side and attempt to
aspirate again.
29. A client with ulcerative colitis had a new colostomy created 2 days earlier
and is beginning to pass malodorous flatus from the stoma. What is the correct
interpretation by the nurse?: This is a normal, expected event.
30. A calcium supplement is prescribed for a client diagnosed with hy-
poparathyroidism in the management of hypocalcemia. The client arrives at
the clinic for a follow-up visit and complains of chronic constipation, and the
nurse reinforces instructions to the client about measures to alleviate the
constipation. Which comment by the client would indicate a need for further
teaching?: "I need to add 0.5 ounce of mineral oil to my daily diet."
Study online at https://quizlet.com/_b72yy1
1. A client diagnosed with acute pancreatitis is experiencing severe pain from
the disorder. The nurse would instruct the client to avoid which position that
could aggravate the pain?: Lying flat
2. A client with a diagnosis of acute pancreatitis is experiencing severe pain.
After noting an absence of an analgesic prescription on the primary health
care provider prescription sheet, the nurse would suggest contacting the
primary health care provider to request a prescription for which medication?-
: Hydromorphone
3. The nurse is reinforcing discharge instructions to a client with a hiatal her-
nia. Which considerations would the nurse include in the teaching session?
Select all that apply.: 134
4. The nurse is caring for a client with fatty liver disease who is scheduled for
a paracentesis to treat ascites. The client has an indwelling urinary catheter
in place to aid in the healing of a sacral pressure injury. The nurse assesses
the client and would notify the registered nurse regarding which priority
finding?: The client has pink-tinged urine in the indwelling urinary drainage bag.
5. The nurse is caring for a client following an esophagogastroduodenoscopy
(EGD) done to confirm the diagnosis of esophageal stricture. Which assess-
ment is priority after this procedure to promote client safety?: Gag reflex
6. The nurse is reinforcing discharge instructions to a client after a gastrec-
tomy. Which measure would the nurse include during client teaching to help
prevent dumping syndrome?: Limit the fluids taken with meals.
7. A primary health care provider asks the nurse to obtain a Salem sump tube
for gastric intubation. The nurse would correctly select which tube from the
unit storage area?: A tube with a larger lumen and an air vent
8. A primary health care provider asks the licensed practical nurse (LPN) to
reinforce preprocedure instructions to a client who will undergo a barium
swallow (esophagography) in a few days. The LPN would include which in-
struction in this discussion?: Remove all metal and jewelry before the test.
9. The client arrives at an emergency department complaining of severe ab-
dominal pain. The initial diagnosis is acute abdomen, and an x-ray and an
abdominal ultrasonogram are prescribed to be obtained immediately. The
nurse prepares the client for these diagnostic tests and reviews the primary
health care provider's prescriptions. Which prescription would the nurse most
likely question if written on the primary health care provider's prescription
form?: Administration of an opioid analgesic
10. A client has a diagnosis of asymptomatic diverticular disease. Which type
of diet would the nurse anticipate being prescribed?: High-fiber diet
, Med/Surg Adult Health/Gastro
Study online at https://quizlet.com/_b72yy1
11. The nurse is providing dietary instructions to a client with a diagnosis
of ulcerative colitis. The client is prescribed to follow a low residue diet
during episodes of diarrhea. Which food would the nurse instruct the client
to avoid?: Fresh corn on the cob
12. The nurse is collecting admission data on the client with a diagnosis of
hepatitis. Which finding would the nurse recognize to be a direct result of this
client's condition?: Drowsiness
13. After the deflation of the balloon of a client's Sengstaken-Blakemore tube,
the nurse would monitor the client closely for which priority esophageal
complication?: Hemorrhage
14. The nurse has given the client diagnosed with hepatitis instructions about
post discharge management during convalescence. The nurse determines a
need for further teaching if the client makes which statement:
15. A client with cirrhosis admitted to the hospital diagnosed with severe
jaundice is having diagnostic testing. Because the client has no complaints
of fatigue, the client is encouraged to ambulate in the hall to maintain muscle
strength. The client paces around the room but will not enter the hall. The
nurse would determine which concern is most likely the reason for the client's
reluctance to walk in the hall?: Feeling self-conscious about appearance
16. The client in an emergency department reports right lower quadrant ab-
dominal pain. After noting a white blood cell count of 16,500 cells/mm3, the
nurse should question which prescriptions? Select all that apply.: 1,2
17. The nurse is teaching a client with irritable bowel syndrome (IBS) about
food items that may exacerbate the condition. The nurse identifies a need
for further teaching if the client states which food item is acceptable to
consume?: Cauliflower
18. A client receiving a high cleansing enema complains of pain and cramping.
Which corrective action is most appropriate for the nurse to take?: Clamp the
tubing for 30 seconds and restart the flow at a slower rate.
19. The nurse has been providing care for a client with a Sengstaken-Blake-
more tube. While the tube is inflated the nurse would monitor for which priority
sign/symptom?: Respiratory distress
20. A client diagnosed with peptic ulcer disease and scheduled for a pyloro-
plasty asks the nurse about the procedure. The nurse would base the response
on which information?: A pyloroplasty involves an incision and resuturing of the
pylorus to relax the muscle and enlarge the opening from the stomach to the
duodenum.
21. The nurse caring for a client diagnosed with acute pancreatitis and has
a history of alcoholism is monitoring the client for complications. The nurse
, Med/Surg Adult Health/Gastro
Study online at https://quizlet.com/_b72yy1
determines that which data collected is most likely indicative of paralytic
ileus?: Inability to pass flatus
22. The nurse is providing education to a client regarding foods that can
aggravate the symptoms of gastroesophageal reflux disease (GERD). The
nurse identifies a need for further teaching when the client states which foods
are acceptable to consume? Select all that apply.: 135
23. A client has been diagnosed with acute gastroenteritis. Which diet would
the nurse anticipate to be prescribed for the client?: Low fiber
24. The nurse is reviewing the medication record of a client with a diagnosis of
acute gastritis. Which medication noted on the client's record would the nurse
most likely question?: Ibuprofen
25. The nurse is assisting in caring for a client who suffered blows to the
face with a baseball bat and a gunshot wound to the abdomen. The nurse
is reviewing the prescriptions in the client's medical record and determines
there is a need for follow-up with the primary health care provider if which
prescription is noted?: Nasogastric tube insertion
26. A client that is postgastrectomy being discharged from the hospital tells
the nurse, "I hope my stomach problems are over. I need to get back to work
right away. I've missed a lot of work, and I may lose my job." Based on the
client's statement, the nurse would determine that at this time, it is most
appropriate to discuss which topic?: Reducing stressors in life
27. The nurse is caring for a client in the emergency department who has right
lower quadrant abdominal pain. After noting a white blood cell count of 16,500
cells/mm3, the nurse would question which prescription?: Milk of magnesia
28. The nurse is preparing to administer an intermittent tube feeding to a client.
The nurse aspirates and is unable to obtain any residual tube feeding. Which
action would the nurse take next?: Turn the client to the side and attempt to
aspirate again.
29. A client with ulcerative colitis had a new colostomy created 2 days earlier
and is beginning to pass malodorous flatus from the stoma. What is the correct
interpretation by the nurse?: This is a normal, expected event.
30. A calcium supplement is prescribed for a client diagnosed with hy-
poparathyroidism in the management of hypocalcemia. The client arrives at
the clinic for a follow-up visit and complains of chronic constipation, and the
nurse reinforces instructions to the client about measures to alleviate the
constipation. Which comment by the client would indicate a need for further
teaching?: "I need to add 0.5 ounce of mineral oil to my daily diet."
