Medical-surgical: gastrointestinal questions and answers already passed

Medical-surgical: gastrointestinal questions and answers already passed A nurse is reinforcing teaching with a client who has Barrett's esophagus and is scheduled to undergo an esophagogastroduodenoscopy(EGD). Which of the following statements should the nurse include in the teaching? -Answer This procedure can determine how well the lower part of your esophagus works A community health nurse is planning an educational program about hepatitis A. When preparing the materials, the nurse should identify that which of the following groups is most at risk for developing hepatitis A? -Answer Children and young adults Rationale: the hepatitis A virus can be contracted from the feces, bile, and blood of infected clients. The usual motor trans mission is the fecal oral route. Children and young adults are the two groups most often affected by the hepatitis A virus. Typically, a child or young adult acquires the infection at school, through poor hygiene, hand to mouth contact, or another form of close contact. A nurse is assisting with the care of a client who has a history of cirrhosis and is admitted with manifestations of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory test to determine the possibility of recent excessive alcohol use? -Answer Gamma-glutamyl transferase (GGT) 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? -Answer Wheat toast A nurse is caring for a client who is two days postoperative following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial meeting? -Answer Clear liquids A nurse is reinforcing teaching with a group of community residents about hepatitis B. Which of the following statements should the nurse include in the teaching? -Answer A hepatitis B immunization is given to infants and children A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first? -Answer Place the client in semi Fowler's position. A client who is receiving a PEG tube feedings should be positioned with the head of the bed elevated at least 30° during and after feedings to decrease the risk of aspiration. A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? -Answer Prothrombin time A major complication following a liver biopsy is hemorrhage. Many clients who have liver disease have clotting defects and are at risk for bleeding. Along with the PT, the activated partial thromboplastin time and a platelet count should be monitored. A nurse is collecting data from a client who is in the early stages of hepatitis A. Which of the following manifestations should the nurse expect? -Answer Anorexia Anorexia is an early manifestation of hepatitis A and is often severe. It is thought to result from the release of toxin by the damaged liver or by the failure of the damage liver cells to detoxify an abnormal product. A nurse is assisting with the admission of a client who has fulminate hepatic failure. Which of the following procedures should the nurse expect for this client? -Answer Liver transplant