NUR 325 Adaptive quiz GI

NUR 325 Adaptive quiz GI
1. Which information would the nurse include regarding appliance care and maintenance,
when teaching a client with a new colostomy? Select all that apply.
1
Change the ostomy pouch on a routine basis.
2
Replace the ostomy wafer weekly or sooner as needed.
3
Remove the ostomy pouch when showering.
4
Empty the ostomy pouch when three-quarters full of stool or gas.
5
Empty the ostomy pouch before exercise and at bedtime.
Answer
125
2. After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested
medications and reports severe epigastric and abdominal pain. The client has absent bowel
sounds, rigid abdomen, a pulse rate of 134, and shallow respirations of 32 per minute. The
primary healthcare provider has been contacted.What should be the nurse's next priority?
1
Keep the client nothing by mouth (NPO)
2
Teach the client coughing and deep breathing
3
Inquire whether any red or black stools have been noted
4
Place the client in the supine position with the legs elevated
Answer
1
3. A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client
reports frequent nausea, pain that increases after meals, and black, tarry stools. The client
recently joined Alcoholics Anonymous. The nurse should give priority to which client history
item?
1
Black, tarry stools
2
Frequent nausea
3
Joining Alcoholics Anonymous
4
Pain that increases after meals
Answer
1