Exam (elaborations)
NURS4500 Final Exam Gastrointestinal Exam with Complete Solutions
- Course
- Institution
NURS4500 Final Exam Gastrointestinal Exam with Complete Solutions
[Show more]
Seller
Follow
Content preview
NURS4500 Final Exam Gastrointestinal Exam withComplete Solutions
The nurse is preparing a client diagnosed with GERD for discharge following an
esophagogastroduodenoscopy. Which statement indicates the client understands the
discharge instructions?
1. "I should not eat for at least one (1) day following this procedure."
2. "I can lie down whenever I want after a meal. It won't make a difference."
3. "The stomach contents won't bother my esophagus but will make me nauseous."
4. "I should avoid orange juice and eating tomatoes until my esophagus heals." Correct-4.
"I should avoid orange juice and eating tomatoes until my esophagus heals."
The nurse is planning the care of a client diagnosed with lower esophageal sphincter
dysfunction. Which dietary modifications should be included in the plan of care?
1. Allow any of the client's favorite foods as long as the amount is limited.
2. Have the client perform eructation exercises several times a day.
3. Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
,4. Encourage the client to consume a glass of red wine with one (1) meal a day. Correct-3.
Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
The nurse is caring for a client diagnosed with GERD. Which nursing interventions should be
implemented?
1. Place the client prone in bed and administer nonsteroidal anti-inflammatory medications.
2. Have the client remain upright at all times and walk for 30 minutes three (3) times a week.
3. Instruct the client to maintain a right lateral side-lying position and take antacids before
meals.
4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with the client.
Correct-4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with
the client.
The nurse is caring for an adult client diagnosed with GERD. Which condition is the most
common comorbid disease associated with GERD?
1. Adult-onset asthma.
2. Pancreatitis.
,3. Peptic ulcer disease.
4. Increased gastric emptying. Correct-1. Adult-onset asthma.
The male client tells the nurse he has been experiencing "heartburn" at night that awakens
him. Which assessment question should the nurse ask?
1. "How much weight have you gained recently?"
2. "What have you done to alleviate the heartburn?"
3. "Do you consume many milk and dairy products?"
4. "Have you been around anyone with a stomach virus?" Correct-2. "What have you done
to alleviate the heartburn?"
The nurse caring for a client diagnosed with GERD writes the client problem of "behavior
modification." Which intervention should be included for this problem?
1. Teach the client to sleep with a foam wedge under the head.
2. Encourage the client to decrease the amount of smoking.
3. Instruct the client to take over-the-counter medication for relief of pain.
, 4. Discuss the need to attend Alcoholics Anonymous to quit drinking. Correct-1. Teach the
client to sleep with a foam wedge under the head.
The nurse is administering morning medications at 0730. Which medication should have
priority?
1. A proton pump inhibitor.
2. A nonnarcotic analgesic.
3. A histamine receptor antagonist.
4. A mucosal barrier agent. Correct-4. A mucosal barrier agent.
The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants
notifying the HCP?
1. The client's Bernstein esophageal test was positive.
2. The client's abdominal x-ray shows a hiatal hernia.
3. The client's WBC count is 14,000/mm3.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller KarmaScores. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76449 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now