Category Archives: 515

Gastrointestinal System Disorders Q 111

A client with a peptic ulcer reports epigastric pain that frequently awakens her at night, a feeling of fullness in the abdomen, and a feeling of anxiety about her health. Based on this information, which nursing diagnosis would be most appropriate?        A. Imbalanced Nutrition: Less than Body Requirements related to anorexia.     B. Disturbed… Read More »

Gastrointestinal System Disorders Q 112

A patient has a severe exacerbation of ulcerative colitis. Long-term medications will probably include:        A. Antacids     B. Antibiotics     C. Corticosteroids     D. Histamine2-receptor blockers           Correct Answer: C. Corticosteroids Medications to control inflammation such as corticosteroids are used for long-term treatment. First-line treatment is sulfasalazine and 5-aminosalicylates, given orally… Read More »

Gastrointestinal System Disorders Q 113

The nurse is preparing a discharge teaching plan for the male client who had umbilical hernia repair. What should the nurse include in the plan?        A. Irrigating the drain     B. Avoiding coughing     C. Maintaining bed rest     D. Restricting pain medication           Correct Answer: B. Avoiding coughing. Coughing is… Read More »

Gastrointestinal System Disorders Q 114

While caring for a client with peptic ulcer disease, the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings, which nursing actions would be most appropriate for the nurse to take? Select all that apply.        A. Administering an antacid hourly until… Read More »

Gastrointestinal System Disorders Q 115

A male client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse’s first response is to:        A. Call the physician.     B. Place saline-soaked sterile dressings on the wound.     C. Take blood pressure and pulse.     D. Pull the dehiscence closed.           Correct Answer:… Read More »

Gastrointestinal System Disorders Q 116

Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?        A. “You’ll need to lie on your stomach during the test.”     B. “You’ll need to lie on your right side after the test.”     C. “During the biopsy, you’ll be… Read More »

Gastrointestinal System Disorders Q 117

In a client with Crohn’s disease, which of the following symptoms should not be a direct result of antibiotic therapy?        A. Decrease in bleeding.     B. Decrease in temperature.     C. Decrease in body weight.     D. Decrease in the number of stools.           Correct Answer: C. Decrease in body weight… Read More »

Gastrointestinal System Disorders Q 118

A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of… Read More »

Gastrointestinal System Disorders Q 119

The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient’s diet?        A. Meats and beans     B. Butter and gravies     C. Potatoes and pasta     D. Cakes and pastries           Correct Answer: A. Meats and beans Meats… Read More »

Gastrointestinal System Disorders Q 120

The nurse is instructing the male client who has an inguinal hernia repair how to reduce postoperative swelling following the procedure. What should the nurse tell the client?        A. Limit oral fluid     B. Elevate the scrotum     C. Apply heat to the abdomen     D. Remain in a low-fiber diet        … Read More »