Comprehensive Review NCLEX-RN Exam Med-Surg GI Questions and Answers
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Course
RN Comprehensive
Institution
RN Comprehensive
1. List 4 nursing interventions for the client with a hiatal hernia. - Answer-Sit up while eating and one hour after eating. Eat small, frequent meals. Eliminate foods that are problematic.
2. List 3 categories of medications used in the tx of PUD. - Answer-Antacids, Histamine-2, receptor-blocke...
Comprehensive Review NCLEX-RN
Exam Med-Surg GI Questions and
Answers
1. List 4 nursing interventions for the client with a hiatal hernia. - Answer-Sit up while
eating and one hour after eating. Eat small, frequent meals. Eliminate foods that are
problematic.
2. List 3 categories of medications used in the tx of PUD. - Answer-Antacids, Histamine-
2, receptor-blockers, mucosal healing agents, proton pump inhibitors.
3. List the symptoms of upper and lower GI bleeding. - Answer-Upper GI: Melena,
hematemesis, tarry stools. Lower GI: Bloody stools, tarry stools. Similar: Tarry stools.
4. What bowel sound disruptions occur with an intestinal obstruction? - Answer-Early
mechanical obstruction: high-pitched sounds; late mechanical obstruction: diminished or
absent bowel sounds.
5. List 4 nursing interventions for postoperative care of the client with a colostomy. -
Answer-irrigate daily at same time; Use warm water for irrigations; Wash around stoma
with milk soap/water after each ostomy bag cange; Pouch opening should extend at
least 1/8 inch around the stoma
6. List the common clinical manifestations of jaundice. - Answer-Sclera-icteric (yellow
sclera), dark urine, chalky or clay-colored stools.
7. What are the common food intolerances for clients with cholelitheiasis? - Answer-
Fried, spicy, and/or fatty foods.
8. List 5 symptoms indicative of colon cancer. - Answer-Rectal bleeding, change in
bowel habits, sense of incomplete evacuation, abdominal pain with nausea, weight loss.
9. In a client with cirrhosis, it is imperative to prevent further bleeding and observe for
bleeding tendencies. List 6 relevant nursing interventions. - Answer-Avoid injections, se
small bore needles for IV insertion, maintain pressure for minutes on all venipuncture
sites, use electric razor, use soft-bristle toothbrush for mouth care, check stools and
emesis for occult blood.
10. What is the main site effect of lactulose, which is used to reduce ammonia levels in
clients with cirrhosis? - Answer-Diarrhea
11. List 4 groups who have a high risk of contracting hepatitis. - Answer-Homosexual
males; IV drug sers, recent ear piercing or tattoos in, and healthcare workers.
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