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Exam3 AH > GI IBD/Peptic Ulcer > Flashcards

GI IBD/Peptic Ulcer Flashcards

1
Q

Which sign/symptom should the nurse expect to find in a client diagnosed with ulcerative colitis?

  1. Twenty bloody stools a day.
  2. Oral temperature of 102°F.
  3. Hard, rigid abdomen.
  4. Urinary stress incontinence.
A
  1. Twenty bloody stools a day.
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2
Q

The client with type 2 diabetes is prescribed prednisone, a steroid, for an acute exacerbation of inflammatory bowel disease (IBD). Which intervention should the nurse discuss with the client?

  1. Take this medication on an empty stomach.
  2. Notify the HCP if experiencing a moon face.
  3. Take the steroid medication as prescribed.
  4. Notify the HCP if the blood glucose is
    over 160.
A
  1. Take the steroid medication as prescribed.
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3
Q

The client diagnosed with inflammatory bowel disease has a serum potassium level of 3.4 mEq/L. Which action should the nurse implement first?

  1. Notify the health-care provider (HCP).
  2. Assess the client for muscle weakness.
  3. Request telemetry for the client.
  4. Prepare to administer potassium IV.
A
  1. Assess the client for muscle weakness.
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4
Q

The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

  1. Provide a low-residue diet.
  2. Rest the client’s bowel.
  3. Assess vital signs daily.
  4. Administer antacids orally.
A
  1. Rest the client’s bowel.
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5
Q

The client diagnosed with IBD is prescribed total parenteral nutrition (TPN). Which intervention should the nurse implement?

  1. Check the client’s glucose level.
  2. Administer an oral hypoglycemic.
  3. Assess the peripheral intravenous site. 4. Monitor the client’s oral food intake.
A
  1. Check the client’s glucose level.
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6
Q

The client is diagnosed with an acute exacerbation of IBD. Which priority intervention should the nurse implement?

  1. Weigh the client daily and document in the
    client’s chart.
  2. Teach coping strategies such as dietary
    modifications.
  3. Record the frequency, amount, and color of
    stools.
  4. Monitor the client’s oral fluid intake every shift.
A
  1. Record the frequency, amount, and color of
    stools.
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7
Q

The client diagnosed with Crohn’s disease
is crying and tells the nurse, “I can’t take it anymore. I never know when I will get sick and end up here in the hospital.” Which statement is the nurse’s best response?

  1. “I understand how frustrating this must be for you.”
  2. “You must keep thinking about the good things in your life.”
  3. “I can see you are very upset. I’ll sit down and we can talk.”
  4. “Are you thinking about doing anything like committing suicide?”
A
  1. “I can see you are very upset. I’ll sit down and we can talk.”
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8
Q

Theclientdiagnosedwithulcerativecolitishasan ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?

  1. “My stoma should be pink and moist.”
  2. “I will irrigate my ileostomy every morning.”
  3. “If I get a red, bumpy, itchy rash I will call my
    HCP.”
  4. “I will change my pouch if it starts leaking.”
A
  1. “I will irrigate my ileostomy every morning.”
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9
Q

The client diagnosed with IBD is prescribed sulfasalazine (Asulfidine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

  1. It is administered rectally to help decrease
    colon inflammation.
  2. This medication slows gastrointestinal (GI)
    motility and reduces diarrhea.
  3. This medication kills the bacteria causing the
    exacerbation.
  4. It acts topically on the colon mucosa to
    decrease inflammation.
A
  1. It acts topically on the colon mucosa to
    decrease inflammation.
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10
Q

The client is diagnosed with Crohn’s disease, also known as regional enteritis. Which statement by the client supports this diagnosis?

  1. “My pain goes away when I have a bowel
    movement.”
  2. “I have bright red blood in my stool all the
    time.”
  3. “I have episodes of diarrhea and constipation.”
  4. “My abdomen is hard and rigid and I have
    a fever.”
A
  1. “My pain goes away when I have a bowel
    movement.”
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11
Q

The client diagnosed with ulcerative colitis
is prescribed a low-residue diet. Which meal selection indicates the client understands the diet teaching?

  1. Grilled hamburger on a wheat bun and fried potatoes.
  2. A chicken salad sandwich and lettuce and tomato salad.
  3. Roast pork, white rice, and plain custard.
  4. Fried fish, whole grain pasta, and fruit salad.
A
  1. Roast pork, white rice, and plain custard.
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12
Q

***Peptic Ulcer Disease

Which assessment data supports the client’s diagnosis of gastric ulcer to the nurse?

  1. Presence of blood in the client’s stool for the past month.
  2. Reports of a burning sensation moving like a wave.
  3. Sharp pain in the upper abdomen after eating a heavy meal.
  4. Complaints of epigastric pain 30 to 60 minutes after ingesting food.
A
  1. Complaints of epigastric pain 30 to 60 minutes after ingesting food.
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13
Q

The nurse is caring for a client diagnosed with rule-out peptic ulcer disease. Which test confirms this diagnosis?

  1. Esophagogastroduodenoscopy.
  2. Magnetic resonance imaging (MRI).
  3. Occult blood test.
  4. Gastric acid stimulation.
A

Esophagogastroduodenoscopy

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14
Q

Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?

  1. History of side effects experienced from all
    medications.
  2. Use of nonsteroidal anti-inflammatory drugs
    (NSAIDs).
  3. Any known allergies to drugs and
    environmental factors.
  4. Medical histories of at least three (3)
    generations.
A
  1. Use of nonsteroidal anti-inflammatory drugs
    (NSAIDs).
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15
Q

Which physical examination should the nurse implement first when assessing the client diagnosed with peptic ulcer disease?

  1. Auscultate the client’s bowel sounds in all four
    quadrants.
  2. Palpate the abdominal area for tenderness.
  3. Percuss the abdominal borders to identify
    organs.
  4. Assess the tender area progressing to
    nontender.
A
  1. Auscultate the client’s bowel sounds in all four
    quadrants.
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16
Q

Which problems should the nurse include in the plan of care for the client diagnosed with peptic ulcer disease to observe for physiological complications?

  1. Alteration in bowel elimination patterns.
  2. Knowledge deficit in the causes of ulcers.
  3. Inability to cope with changing family roles.
  4. Potential for alteration in gastric emptying.
A
  1. Potential for alteration in gastric emptying.
17
Q

The nurse is caring for a client diagnosed with hemorrhaging duodenal ulcer. Which collaborative interventions should the nurse implement? Select all that apply.

  1. Perform a complete pain assessment.
  2. Assess the client’s vital signs frequently.
  3. Administer a proton pump inhibitor
    intravenously.
  4. Obtain permission and administer blood
    products.
  5. Monitor the intake of a soft, bland diet.
A
  1. Administer a proton pump inhibitor
    intravenously.
  2. Obtain permission and administer blood
    products.
18
Q

Which expected outcome should the nurse include for a client diagnosed with peptic ulcer disease?

  1. The client’s pain is controlled with the use of
    NSAIDs.
  2. The client maintains lifestyle modifications.
  3. The client has no signs and symptoms of
    hemoptysis.
  4. The client takes antacids with each meal.
A
  1. The client maintains lifestyle modifications.
19
Q

The nurse has been assigned to care for a client diagnosed with peptic ulcer disease. Which assessment data require further intervention?

  1. Bowel sounds auscultated 15 times in one (1)
    minute.
  2. Belching after eating a heavy and fatty meal
    late at night.
  3. A decrease in systolic blood pressure (BP) of
    20 mm Hg from lying to sitting.
  4. A decreased frequency of distress located in
    the epigastric region.
A
  1. A decrease in systolic blood pressure (BP) of
    20 mm Hg from lying to sitting.
20
Q

Which assessment data indicate to the nurse the client’s gastric ulcer has perforated?

  1. Complaints of sudden, sharp, substernal pain.
  2. Rigid, boardlike abdomen with rebound
    tenderness.
  3. Frequent, clay-colored, liquid stool.
  4. Complaints of vague abdominal pain in the
    36.
    right upper quadrant.
A
  1. Rigid, boardlike abdomen with rebound
    tenderness.
21
Q

The client with a history of peptic ulcer disease
is admitted into the intensive care department with frank gastric bleeding. Which priority intervention should the nurse implement?

  1. Maintain a strict record of intake and output.
  2. Insert a nasogastric (N/G) tube and begin
    saline lavage.
  3. Assist the client with keeping a detailed
    calorie count.
  4. Provide a quiet environment to promote rest.
A
  1. Insert a nasogastric (N/G) tube and begin
    saline lavage.

Exam3 AH (8 decks)

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