GI DISORDER NCLEX - A right side-lying position with a small pillow...

GI DISORDER NCLEX

COMPREHENSIVE STUDY GUIDE

2022/2023

A right side-lying position with a small pillow or folded towel under the puncture site After a liver biopsy, the nurse places the client in which of the following positions?Left Sims' position A nurse is administering a cleansing enema to a client with a fecal impaction. Before administering the enema, the nurse assists the client to which of the following positions?High Fowler's position A nurse is assisting with the insertion of a nasogastric tube into a client. The nurse places the client in which position for insertion?

4.0 A nurse is checking a client for the correct placement of a nasogastric (NG) tube. The nurse aspirates the client's stomach contents and checks their pH level. Which of the following pH values indicates the correct placement of the tube?Take and hold a deep breath.A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with removing a nasogastric (NG) tube from the client. The LPN would instruct the client to do which of the following?Hold the feeding A nurse is preparing to administer an intermittent tube feeding to a client with a nasogastric tube.

The nurse checks the residual and obtains an amount of 200 mL. The nurse would:

Left Sims' position A nurse is teaching the client about an upcoming colonoscopy procedure. The nurse would include in the instructions that the client will be placed in which of the following positions for the procedure?Lie on the right side for 2 hours

A nurse provides instructions to a client after a liver biopsy. The nurse tells the client to: Vitamin B12 A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that this client is at risk for which vitamin deficiency?Irrigating the nasogastric (NG) tube A nurse is caring for a client after a Billroth II procedure. On review of the postoperative prescriptions, which of the following, if prescribed, would the nurse question and verify?Limit the fluids taken with meals.The nurse is providing discharge instructions to a client after gastrectomy. Which measure will the nurse instruct the client to follow to help prevent dumping syndrome?Sweating and pallor A nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which of the following symptoms indicate this occurrence?Diarrhea nurse is reviewing the record of a client with Crohn's disease. Which of the following stool characteristics would the nurse expect to see documented in the record Upright A client with ascites is scheduled for a paracentesis. The nurse is assisting the health care provider in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure?Requires the client to lie still for short intervals An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of

cholecystitis. The nurse explains to the client that this test:

Hepatitis A It has been determined that a client with hepatitis has contracted the infection from contaminated food. What type of hepatitis is this client most likely experiencing?Position the client supine and flat nurse is reviewing the health care provider's prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription would the nurse verify if noted on the client's chart?Lying recumbent after meals

A client with hiatal hernia chronically experiences heartburn after meals. The nurse would teach the client to avoid which of the following, which is contraindicated with hiatal hernia?Protruding and swollen A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse would observe which of the following appearances in the stoma if prolapse occurred Administer antacids, as prescribed,Encourage coughing and deep breathing,Administer anticholinergics, as prescribed A nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Choose the interventions that the nurse would expect to be prescribed for the client.Evaluate absorption of the last feeding Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. The nurse understands that the rationale for checking gastric residual

volume before administering the tube feeding is to:

70 mcg/dL An adult client with hepatic encephalopathy has a serum ammonia level of 120 mcg/dL and receives treatment with lactulose (Chronulac) syrup. The nurse determines that the client has the best and most optimal response if the level changes to which of the following after medication administration?The nizatidine (Axid) will cause me to produce less stomach acid." A nurse provides medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy?Apply disposable gloves,Lubricate the enema tube and insert it approximately 4 inches,Clamp the tubing if the client expresses discomfort during the procedure,Ensure that the temperature of the solution is between 100° F (37.8° C) and 105° F (40.5° C).A nurse is preparing to administer an enema to an adult client. Choose the interventions that the nurse would perform for this procedure Brush the client's teeth frequently. Use diluted mouthwash and water to rinse the mouth The nurse observes that a client with a nasogastric tube connected to continuous gastric suction is mouth breathing, has dry mucous membranes, and has a foul breath odor. In planning care, which nursing intervention would be best to maintain the integrity of this client's oral mucosa?Lying flat A client with acute pancreatitis is experiencing severe pain from the disorder. The nurse tells the client to avoid which position that could aggravate the pain?

Turkey and lettuce sandwich A nurse is evaluating the effect of dietary counseling on the client with cholecystitis. The nurse determines that the client understands the instructions given if the client states that which food item is acceptable to include in the diet?Fatigue A client is admitted to the hospital with acute viral hepatitis. Which signs or symptoms would the nurse expect to note, based upon this diagnosis?Hepatitis B vaccine Of the following infection control methods, which would be the priority to include in the plan of care to specifically prevent hepatitis B in a client considered to be at high risk for exposure?Increase intake of fluids.A client is admitted to the hospital with viral hepatitis and is complaining of a loss of appetite. In

order to provide adequate nutrition, the nurse encourages the client to:

Inability to pass flatus A nurse is caring for a client with acute pancreatitis and a history of alcoholism and is monitoring the client for complications. Which of the following data would be a sign of paralytic ileus?Offer small, frequent meals A client with viral hepatitis has no appetite, and food makes the client nauseated. Which nursing intervention would be appropriate Personal history of ulcerative colitis or gastrointestinal (GI) polyps A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. The nurse would plan to include which risk factor for colorectal cancer in the material?Checking for return of a gag reflex A client has undergone esophagogastroduodenoscopy (EGD). The nurse places highest priority on which of the following items as part of the client's care plan?My pain comes shortly after I eat, maybe a half hour or so later A nurse is collecting data from a client admitted to the hospital with a diagnosis of suspected gastric ulcer and is asking the client questions about pain. Which statement, if made by the client, would support the diagnosis of gastric ulcer?Low fiber