The client who has undergone the creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client: A. Watch the nurse empty the colostomy bag. B. Look at the ostomy site. C.… Read More »
The client with GERD complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions? A. Development of laryngeal cancer. B. Irritation of the esophagus. C. Esophageal scar tissue formation. D. Aspiration of gastric contents. … Read More »
What information is correct about stomach cancer? A. Stomach pain is often a late symptom. B. Surgery is often a successful treatment. C. Chemotherapy and radiation are often successful treatments. D. The patient can survive for an extended time with TPN. Correct Answer: A. Stomach pain is… Read More »
The nurse is assessing a male client 24 hours following a cholecystectomy. The nurse noted that the T-tube has drained 750 mL of green-brown drainage since the surgery. Which nursing intervention is appropriate? A. Clamp the T-tube B. Irrigate the T-tube C. Notify the physician D. Document the findings … Read More »
A female client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? A. The client doesn’t exhibit rectal tenesmus. B. The client is free from esophagitis and achalasia. C. The client reports diminished duodenal inflammation. D. The client has normal gastric structures. … Read More »
You have a patient with achalasia (incomplete muscle relaxation of the GI tract, especially sphincter muscles). Which medications do you anticipate to administer? A. isosorbide dinitrate (Isordil) B. digoxin (Lanoxin) C. captopril (Capoten) D. propranolol (Inderal) Correct Answer: A. isosorbide dinitrate (Isordil) Achalasia is characterized by incomplete… Read More »
Which of the following associated disorders may a client with ulcerative colitis exhibit? A. Gallstones B. Hydronephrosis C. Nephrolithiasis D. Toxic megacolon Correct Answer: D. Toxic megacolon Toxic megacolon is extreme dilation of a segment of the diseased colon caused by paralysis of the colon, resulting in… Read More »
The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred? A. Sunken and hidden stoma B. Dark- and bluish-colored stoma C. Narrowed and flattened stoma D. Protruding stoma Correct Answer: D. Protruding… Read More »
Which of the following dietary measures would be useful in preventing esophageal reflux? A. Eating small, frequent meals. B. Increasing fluid intake. C. Avoiding air swallowing with meals. D. Adding a bedtime snack to the dietary plan. Correct Answer: A. Eating small, frequent meals. Esophageal reflux worsens… Read More »
Dark, tarry stools indicate bleeding in which location of the GI tract? A. Upper colon B. Lower colon C. Upper GI tract D. Small intestine Correct Answer: C. Upper GI tract Melena is the passage of dark, tarry stools that contain a large amount of digested blood.… Read More »