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MED SURG GASTROINTESTINAL NCLEX EXAM WITH CORRECT ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED ANSWERS LATEST 2024 – 2025 ALREADY GRADED A+ $17.99
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MED SURG GASTROINTESTINAL NCLEX
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
The nurse is assisting a client with Crohn's disease to ambulate to the bathroom.
After the client has a bowel movement, the nurse should assess the stool for
which characteristic that is expected with this disease?
A. Blood in the stool
B. Chalky gray stool
C. Loose, watery stool
D. Dry, hard, constipated stool - ANSWERS-C. Loose, watery stool
Rationale:
Crohn's disease is characterized by nonbloody diarrhea of usually not more than 4
or 5 stools daily. Over time, the episodes of diarrhea increase in frequency,
,duration, and severity. Options 1, 2, and 4 are not characteristics of the stool in
Crohn's disease.
The nurse is assessing a client with a duodenal ulcer. The nurse interprets that
which sign or symptom is most consistent with the typical presentation of
duodenal ulcer?
A. Weight loss
B. Nausea and vomiting
C. Pain that is relieved by food intake
D. Pain that radiates down the right arm - ANSWERS-C. Pain that is relieved by
food intake
Rationale:
The most typical finding with duodenal ulcer is pain that is relieved by food
intake. The pain is often described as a burning, heavy, sharp, or "hunger pang"
pain that often localizes in the midepigastric area. It does not radiate down the
right arm. The client with duodenal ulcer does not usually experience weight loss
or nausea and vomiting; these symptoms are more typical in the client with a
gastric ulcer.
The nurse teaches a preoperative client about the use of a nasogastric (NG) tube
for the planned surgery. Which statement indicates to the nurse that the client
understands when the tube can be removed in the postoperative period?
,A. "When I can tolerate food without vomiting."
B. "When my gastrointestinal system is healed enough."
C. "When my health care provider says the tube can come out."
D. "When my bowels begin to function again, and I begin to pass gas." -
ANSWERS-D. "When my bowels begin to function again, and I begin to pass gas."
Rationale:
NG tubes are discontinued when normal function returns to the gastrointestinal
(GI) tract. Food would not be administered unless bowel function returns. The
tube will be removed before GI healing. Although the health care provider (HCP)
determines when the NG tube will be removed, it does not determine
effectiveness of teaching and the need for the NG tube.
The nurse is planning to teach a client with gastroesophageal reflux disease
(GERD) about substances to avoid. Which items should the nurse include on this
list? Select all that apply.
A. Coffee
B. Chocolate
C. Peppermint
D. Nonfat milk
E. Fried chicken
F. Scrambled eggs - ANSWERS-A. Coffee
B. Chocolate
, C. Peppermint
E. Fried chicken
Rationale:
Foods that decrease lower esophageal sphincter (LES) pressure and irritate the
esophagus will increase reflux and exacerbate the symptoms of GERD and
therefore should be avoided. Aggravating substances include coffee, chocolate,
peppermint, fried or fatty foods, carbonated beverages, and alcohol. Options 4
and 6 do not promote this effect.
A client has undergone esophagogastroduodenoscopy. The nurse should place
highest priority on which item as part of the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex - ANSWERS-4. Assessing for the return
of the gag reflex
Rationale:
The nurse places highest priority on assessing for return of the gag reflex. This
assessment addresses the client's airway. The nurse also monitors the client's
vital signs and for a sudden increase in temperature, which could indicate
perforation of the gastrointestinal tract. This complication would be accompanied
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