NURS 2600 Gastrointestinal System EAQ Questions and Answers- Texas A&M University
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NURS 2600
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NURS 2600
NURS 2600 Gastrointestinal System EAQ Questions and Answers- Texas A&M University/NURS 2600 Gastrointestinal System EAQ Questions and Answers- Texas A&M University/NURS 2600 Gastrointestinal System EAQ Questions and Answers- Texas A&M University/NURS 2600 Gastrointestinal System EAQ Questions and A...
nurs 2600 gastrointestinal system eaq questions and answers texas aampm universitynurs 2600 gastrointestinal system eaq questions and answers texas aampm universitynurs 2600 gastrointestinal s
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A client has symptoms associated with salmonellosis. Which data are most relevant for the
nurse to obtain from the client’s history?
Any rectal cancer in the family
All foods eaten in the past 24 hours
Any recent extreme emotional stress
An upper respiratory infection in the past 10 days
A client is instructed to avoid straining on defecation postoperatively. Which food item chosen
by the client indicates successful learning?
Ripe bananas
Milk products
Green vegetables
Creamed potatoes
A client with cancer of the colon is admitted to the hospital for a hemicolectomy. What does the
nurse expect the preoperative plan of care to include?
Giving oil-retention enemas daily for two days preoperatively
Administering cleansing enemas and then neomycin
Having a Sengstaken-Blakemore tube at the bedside
A high-protein and high-carbohydrate regular diet for two days preoperatively
A client has surgery for the creation of a colostomy. Postoperatively, what color does the nurse
expect a viable stoma to be?
Brick red
Pale pink
Light gray
Dark purple
A client had a gastric bypass procedure to treat morbid obesity. After surgery the client reports
weakness, sweating, palpitations, and dizziness after eating. What should the nurse encourage the
client to do?
Reduce the intake of protein-rich foods
Drink 8 ounces (240 mL) of water with meals
Divide the daily caloric intake into six smaller meals
Remain in an upright position for one hour after eating
A nurse assesses a client with the diagnosis of an intestinal obstruction in the descending colon.
When auscultating the midabdomen, what should the nurse expect to hear?
Tympany
Borborygmi
Abdominal bruit
Pleural friction rub
,A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours
after a subtotal gastrectomy. What should the nurse do first?
Clamp the nasogastric tube.
Irrigate the tube gently with normal saline.
Record the observation and continue to monitor the drainage from the tube.
Reduce the pressure of the suction and record observations of the drainage
characteristics.
A nurse is providing dietary teaching for a client with celiac disease. Which foods should the
nurse teach the client to avoid when following a gluten-free diet? Select all that apply.
Rye
Oats
Rice
Corn
Wheat
The nurse understands that research demonstrates that malnutrition occurs in as many as 50% of
hospitalized clients. The nurse should assess a postoperative client with anorexia for what sign of
malnutrition?
Dependent edema
Spoon-shaped nails
Loose, decayed teeth
Delayed wound healing
A client who had a choledochostomy to explore the common bile duct is returned to the surgical
unit with a T-tube in place. What is the priorityintervention when caring for this client?
Irrigate the T-tube as necessary
Protect the abdominal skin from bile drainage
Have the client wear a binder when out of bed
Empty the T-tube drainage bag every two hours
The nurse is taking care of a client with cirrhosis of the liver and ascites. Which lunch is
the best choice for a client with this disorder?
Ham sandwich with cheese, whole milk, and potato chips
Penne pasta, spinach, banana, and decaffeinated iced tea
Baked lasagna with sausage, salad, and milkshake
Hamburger, french fries, and cola
A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse should
monitor for which common complication associated with the biopsy?
Hemorrhage
Gastroparesis
, Pulmonary embolism
Tension pneumothorax
A client has a colon resection with an anastomosis. What assessments by the nurse support a
suspicion of impending shock? Select all that apply.
Oliguria
Lethargy
Irritability
Hypotension
Slurred speech
A client is admitted to the hospital with jaundiced skin and acute abdominal pain. What is the
nurse's most therapeutic response when the client refuses all visitors?
Listen to the client's fears
Encourage the client to socialize
Grant the client's request about visitors
Darken the client's room by pulling the drapes
A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. What should the
nurse advise the client to do to help prevent future hemorrhoidal episodes?
Exercise to improve circulation
Eat bland foods and avoid spices
Consume a high-fiber diet and drink adequate water
Use laxatives to avoid constipation and the Valsalva maneuver
After surgery for creation of an ileostomy, a client is to be discharged. Before discharge, what is
the primary nursing intervention?
Emphasizing that it is essential that the client can care for the ileostomy without assistance
Evaluating the client's ability to care for the ileostomy
Ensuring that the client understands the dietary limitations that must be followed
Ensuring that the client is competent at changing the dry sterile dressing on the incision
A client is diagnosed with hepatitis A. The nurse provides the client with information about
untoward signs and symptoms related to hepatitis. The nurse instructs the client to contact the
primary healthcare provider if the client develops what symptom?
Fatigue
Anorexia
Yellow urine
Clay-colored stools
A slightly overweight client is to be discharged from the hospital after a cholecystectomy. What
is most important for the nurse to include in teaching the client about nutrition?
, Listing low-protein foods that may be included in the diet
Explaining that fatty foods may not be tolerated for several weeks
Teaching the importance of a low-calorie diet to promote weight reduction
Encouraging the intake of high vitamin C, vitamin A, and zinc foods at each meal
A client with jaundice associated with hepatitis expresses concern over the change in skin color.
What does the nurse explain is the cause of this color change?
Stimulation of the liver to produce an excess quantity of bile pigments
Inability of the liver to remove normal amounts of bilirubin from the blood
Increased destruction of red blood cells during the acute phase of the disease
Decreased prothrombin levels, leading to multiple sites of intradermal bleeding
Which represents appropriate nursing management of the client's nasogastric (NG) tube in the
immediate postoperative period following gastroduodenostomy?
Advancing the tube to the original insertion depth if the tube becomes dislodged.
Obtaining a prescription to vigorously irrigate the nasogastric tube if clogging is
noted.
Carefully monitoring the nasogastric tube to ensure that the tube is patent and the
suction is working.
Reporting the presence of bright red gastric aspirant in the suction canister during
the immediate postoperative period.
During change of shift report the night nurse indicates that a client cannot tolerate the prescribed
intermittent tube feedings. Which action should the receiving nurse take first?
Suggest that an antiemetic be prescribed
Change the feeding schedule to omit nights
Request that the type of solution be changed
Gather more data from the night nurse about the technique used
The home health nurse provides education to a client with cancer of the tongue who will begin
gastrostomy feedings at home. Which statement by the client indicates teaching by the nurse is
effective?
"Before I start the procedure, I will don sterile gloves."
"Before I start the procedure, I will obtain my body weight."
"Before I start the procedure, I will measure the residual volume."
"Before I start the procedure, I will instill one ounce (30 mL) of a carbonated liquid."
A client is receiving hypertonic tube feedings. What should the nurse consider to be the main
reason this client may experience diarrhea?
Increased fiber intake
Bacterial contamination
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