NCLEX Saunders GI System 2024 Learning checks Exam Questions with complete Answers 2024/2025
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Nclex
Institution
Nclex
NCLEX Saunders GI System 2024 Learning checks Exam Questions with complete Answers 2024/2025
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 ...
NCLEX Saunders GI System 2024
Learning checks Exam Questions with
complete Answers 2024/2025
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 - correct answer 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
by other signs as well, such as pain. Monitoring for sore throat
and heartburn are also important; however, the client's airway is
the priority.
The nurse has taught the client about an upcoming endoscopic
retrograde cholangiopancreatography procedure. The nurse
determines that the client needs further information if the client
makes which statement?
,1. "I know I must sign the consent form."
2. "I hope the throat spray keeps me from gagging."
3. "I'm glad I don't have to lie still for this procedure."
4. "I'm glad some IV medication will be given to relax me." -
correct answer 3. "I'm glad I don't have to lie still for this
procedure."
Rationale: The client does have to lie still for endoscopic
retrograde cholangiopancreatography (ERCP), which takes about
1 hour to
perform. The client also has to sign a consent form. Intravenous
sedation is given to relax the client, and an anesthetic spray is
used to help keep the client from gagging as the endoscope is
passed.
The health care provider has determined that a client with
hepatitis has contracted the infection from contaminated food.
The nurse understands that this client is most likely experiencing
what type of hepatitis?
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D - correct answer 1. Hepatitis A
Rationale: Hepatitis A is transmitted by the fecal-oral route via
contaminated food or infected food handlers. Hepatitis B, C, and
D are transmitted most commonly via infected blood or body
fluids.
, The nurse is caring for a client with a diagnosis of chronic
gastritis. The nurse monitors the client, knowing that this client
is at risk for which vitamin deficiency?
1. Vitamin A
2. Vitamin B12
3. Vitamin C
4. Vitamin E - correct answer 2. Vitamin B12
Rationale: Chronic gastritis causes deterioration and atrophy of
the lining of the stomach, leading to the loss of function of the
parietal cells. The source of intrinsic factor is lost, which results
in an inability to absorb vitamin B12. This leads to the
development of pernicious anemia. The client is not at risk for
vitamin A, C, or E deficiency.
The nurse is assessing a client 24 hours following a
cholecystectomy. The nurse notes that the T-tube has drained 750
mL of green-brown drainage since the surgery. Which nursing
intervention is most appropriate?
1. Clamp the T-tube.
2. Irrigate the T-tube.
3. Document the findings.
4. Notify the health care provider. - correct answer 3.
Document the findings.
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