Category Archives: 519

Gastrointestinal System Disorders Q 311

An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?        A. Prepare 750 ml of irrigating solution warmed to 100° F.     B. Question the physician about the order.     C. Provide privacy and explain the procedure to the client.     D. Assist the client… Read More »

Gastrointestinal System Disorders Q 312

Which of the following tests can be used to diagnose ulcers?        A. Abdominal x-ray     B. Barium swallow     C. Computed tomography (CT) scan     D. Esophagogastroduodenoscopy (EGD)           Correct Answer: D. Esophagogastroduodenoscopy (EGD) The EGD can visualize the entire upper GI tract as well as allow for tissue specimens and… Read More »

Gastrointestinal System Disorders Q 313

Nathaniel has severe pruritus due to having hepatitis B. What is the best intervention for his comfort?        A. Give tepid baths.     B. Avoid lotions and creams.     C. Use hot water to increase vasodilation.     D. Use cold water to decrease the itching.           Correct Answer: A. Give tepid baths.… Read More »

Gastrointestinal System Disorders Q 314

A nurse is preparing to remove a nasogastric tube from a female client. The nurse should instruct the client to do which of the following just before the nurse removes the tube?        A. Exhale     B. Inhale and exhale quickly     C. Take and hold a deep breath     D. Perform a Valsalva maneuver… Read More »

Gastrointestinal System Disorders Q 315

The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?        A. Dyspnea and fatigue     B. Ascites and orthopnea     C. Purpura and petechiae     D. Gynecomastia and testicular atrophy           Correct Answer: C.… Read More »

Gastrointestinal System Disorders Q 316

You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?        A. A reservoir is created that exits through the abdominal wall.     B. A second surgery is required 12 months after the first surgery.     C. A permanent ileostomy is created.… Read More »

Gastrointestinal System Disorders Q 317

Which of the following types of diets is implicated in the development of diverticulosis?        A. Low-fiber diet     B. High-fiber diet     C. High-protein diet     D. Low-carbohydrate diet           Correct Answer: A. Low-fiber diet Low-fiber diets have been implicated in the development of diverticula because these diets decrease the bulk… Read More »

Gastrointestinal System Disorders Q 318

The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?        A. Fast for 8 hours before the test.     B. Eat a regular supper and breakfast.     C.… Read More »

Gastrointestinal System Disorders Q 319

Which of the following best describes the method of action of medications, such as ranitidine (Zantac), which are used in the treatment of peptic ulcer disease?        A. Neutralize acid.     B. Reduce acid secretions.     C. Stimulate gastrin release.     D. Protect the mucosal barrier.           Correct Answer: B. Reduce acid… Read More »

Gastrointestinal System Disorders Q 320

Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He’s jaundiced and reports weakness. Which intervention will you include in his care?        A. Regular exercise.     B. A low-protein diet.     C. Allow the patient to select his meals.     D. Rest period after small, frequent meals.… Read More »