ATI targeted GI Flashcards
A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?
A. Bloody diarrhea
B. Board-like abdomen
C. Periumbilical cyanosis
D. Increased bowel sounds
B. Board like abdomen
a board-like, distended abdomen is an expected finding in this client
A nurse is assessing a client who has acute hepatitis “B”. Which of the following findings should the nurse expect?
A. Joint pain
B. Obstipation
C. Abdominal distention
D. Periumbilical discoloration
A. Joint pain
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect?
A. Negative fecal occult blood test
B. Decreased serum carcinoembryonic antigen (CEA) level
C. Hematocrit 43%
D. Hemoglobin 9.1 g/dL
D. hemoglobin 9.1g/dL
decreased hemoglobin is an expected finding in a client who has colorectal cancer because of occult intestinal bleeding.
A nurse is developing a plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan?
A. Measure the client’s abdominal girth daily.
B. Check mental status once daily.
C. Provide a daily intake of 4 g of sodium for the client.
D. Assess the client’s breath sounds every 12 hr.
A. Measure the client’s abdominal girth daily
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following statements by the client indicates an understanding of the teaching?
A. “I will avoid alcohol until I’m no longer contagious.”
B. “I will avoid medications that contain acetaminophen.”
C. “I will decrease my intake of calories.”
D. “I can donate blood once when I am in remission.”
B. “I will avoid medications that contain acetaminophen.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the following instructions should the nurse include in the teaching?
A. “Refrain from eating or drinking for 2 hr prior to the procedure.”
B. “Stop taking aspirin the day before the procedure.”
C. “Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6 hr before the procedure.”
D. “Drink the oral liquid preparation for bowel cleansing slowly the night before the procedure.”
C. “Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6 hr before the procedure.”
the nurse should instruct the client to drink clear liquids for 24 hr prior to colonoscopy to promote adequate bowel cleansing. maintaining NPO status for 4 to 6 hr prior to colonoscopy preserves the bowel’s cleansed state
A nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. Which of the following prescriptions should the nurse clarify with the provider?
A. 0.45% sodium chloride IV
B. Magnesium hydroxide
C. Ciprofloxacin
D. Potassium
B. Magnesium hydroxide (AKA milk of amnesia)
the nurse should clarify a prescription for milk of magnesia with the provider. this medication increases gastrointestinal motility, which can increase the client’s risk for an electrolyte imbalance.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following findings to the provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination
C. Dark purple stoma
A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse take first?
A. Insert a nasogastric tube for the client.
B. Administer ceftazidime to the client.
C. Identify the client’s current level of pain.
D. Instruct the client to remain NPO.
C. Identify the client’s current level of pain
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of the following foods should the nurse encourage the client to include in their diet to reduce the risk for dumping syndrome?
A. Ice cream
B. Eggs
C. Grape juice
D. Honey
B. Eggs
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect?
A. Blood glucose 110 mg/dL
B. Increased amylase
C. WBC count 9,000/mm3
D. Decreased bilirubin
B. Increased amylase
serum amylase levels are increased in a client who has acute pancreatitis because of the pancreatic cell injury.
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac disease. Which of the following statements by the client indicates an understanding of the teaching?
A. “I can return to my regular diet when I am free of symptoms.”
B. “I will need to avoid taking vitamin supplements while on this diet.”
C. “I will eat beans to ensure I get enough fiber in my diet.”
D. “I need to avoid drinking liquids with my meals while on this diet.”
C. “I will eat beans to ensure I get enough fiber in my diet.”
Clients who have celiac disease must maintain a gluten-free diet which eliminates fiber-rich whole wheat products. Clients should eat beans, nuts, fruits, and vegetables to ensure an adequate intake of fiber.
A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following food selections by the client indicates an understanding of the teaching?
A. 8 oz (0.24 L) whole milk
B. One slice of beef bologna
C. 1 oz (28.3 g) cheddar
D. 1 cup (0.24 L) sliced banana
D. 1 cup (0.24 L) sliced banana
this food selection by the client indicates the teaching was effective. low-fat options, such as bananas, are recommended due to the decreased risk for causing manifestations of pancreatitis
A nurse is assessing a client who has Crohn’s disease. Which of the following findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
C. Weight gain
D. Sharp epigastric pain
A. fatty diarrheal stools
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the following laboratory findings should the nurse report to the provider?
A. Albumin 4.0 g/dL
B. INR 1.0
C. Direct bilirubin 0.5 mg/dL
D. Ammonia 180 mcg/dL
D. Ammonia 180 mcg/dL
the nurse should report an increased serum ammonia level because it can indicate portal-systemic encephalopathy
