NCLEX Gastrointestinal review Saunders Questions

NCLEX Gastrointestinal review (Saunders Questions and Answers)2023

After a liver biopsy, the nurse should place the client in which position? - ANSWER A right side-lying position with a small pillow or folded towel under the puncture site The nurse is assisting with the insertion of a nasogastric tube into a client. The nurse should place the client in which position for insertion? - ANSWER High-Fowler's position The nurse is checking a client for the correct placement of a nasogastric (NG) tube.The nurse aspirates the client's stomach contents and checks its pH level. Which pH value indicates the correct placement of the tube? - ANSWER 3.5 A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with removing a nasogastric (NG) tube from the client. The LPN should reinforce instructing the client to perform which action? - ANSWER Take and hold a deep breath.The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? - ANSWER Vitamin B12 The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure.On review of the postoperative prescriptions, which should the nurse clarify? - ANSWER Irrigating the nasogastric (NG) tube The nurse is reinforcing discharge instructions to a client after a gastrectomy.Which measure should the nurse include in client teaching to help prevent dumping syndrome? - ANSWER Limit the fluids taken with meals.The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence? - ANSWER Sweating and pallor The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record - ANSWER Diarrhea The nurse is reviewing the prescriptions of a client admitted to the hospital with a

diagnosis of acute pancreatitis. Which interventions should the nurse expect to note? Select all that apply - ANSWER -Administer antacids, as prescribed.-Encourage coughing and deep breathing -Administer anticholinergics, as prescribed It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing? - ANSWER Hepatitis A The nurse is reviewing the health care provider's prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription should the nurse verify if noted in the client's chart? - ANSWER Position the client supine and flat A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? - ANSWER Lying recumbent after meals The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred? - ANSWER Protruding and swollen Before administering an intermittent tube feeding through a nasogastric tube, the nurse checks for gastric residual volume. Which is the best rationale for checking gastric residual volume before administering the tube feeding? - ANSWER Evaluate absorption of the last feeding.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? - ANSWER Use diluted mouthwash and water to rinse the mouth after brushing teeth.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? - ANSWER Lying flat The 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? - ANSWER Turkey and lettuce sandwich

A client is admitted to the hospital with acute viral hepatitis. Which sign/symptom should the nurse expect to note based on this diagnosis? - ANSWER Fatigue Which infection control method should be the priority to include in the plan of care to prevent hepatitis B in a client considered to be at high risk for exposure? - ANSWER Hepatitis B vaccine A client is admitted to the hospital with viral hepatitis and is complaining of a loss of appetite. In order to provide adequate nutrition, which action does the nurse encourage the client to take? - ANSWER Increase intake of fluids.The nurse is caring for a client with acute pancreatitis and a history of alcoholism and is monitoring the client for complications. Which data should be indicative of paralytic ileus? - ANSWER Inability to pass flatus A client with viral hepatitis has no appetite, and food makes the client nauseated.Which nursing intervention should be appropriate? - ANSWER Offer small, frequent meals.The nurse is participating in a health screening clinic and is preparing materials about colorectal cancer. The nurse plans to include which risk factor for colorectal cancer in the material? - ANSWER Personal history of ulcerative colitis or gastrointestinal (GI) polyps A client has undergone esophagogastroduodenoscopy (EGD). The nurse places highest priority on which action as part of the client's care plan? - ANSWER Checking for return of a gag reflex The 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 made by the client supports the diagnosis of gastric ulcer? - ANSWER "My pain comes shortly after I eat, maybe a half hour or so later." A client has been diagnosed with acute gastroenteritis. Which diet should the nurse anticipate to be prescribed for the client? - ANSWER Low fiber A client has asymptomatic diverticular disease. Which type of diet should the nurse anticipate being prescribed? - ANSWER High-fiber diet

The nurse is caring for a client suspected of having appendicitis. Which should the nurse anticipate will be prescribed for this client? - ANSWER No oral intake of liquids or food

The nurse has given the client with hepatitis instructions about postdischarge management during convalescence. The nurse determines that the client needs further teaching if the client makes which statement? - ANSWER "I should resume a full activity level within 1 week."

The nurse is assigned to care for a client who had a Sengstaken-Blakemore tube inserted when more conservative treatment failed to alleviate the condition. The nurse should suspect that the client has which diagnosis? - ANSWER Esophageal varices

The nurse has been caring for a client with a Sengstaken-Blakemore tube. The health care provider arrives on the nursing unit and deflates the esophageal balloon. Following deflation of the balloon, the nurse should monitor the client closely for which? - ANSWER Hematemesis

A health care provider places a Miller-Abbott tube in a client who has a bowel obstruction. Six hours later, the nurse measures the length of the tube outside of the nares and notes that the tube has advanced 6 cm since it was first placed.Based on this finding, which action should the nurse take next? - ANSWER Document the finding in the client's record.

The nurse is collecting data on a client with a diagnosis of peptic ulcer disease.Which history is least likely associated with this disease? - ANSWER History of the use of acetaminophen (Tylenol) for pain and discomfort

A client had a Miller-Abbott tube inserted 24 hours ago. The nurse is asked to check the client to determine whether the tube is in the appropriate location at this time. Which finding would indicate adequate location of the tube? - ANSWER The aspirate from the tube has a pH of 7.45.