NUR 1211 GI exam
The patient with inflammatory bowel disease has a serum potassium of 3.4 mEq/L. Which action should
the nurse implement
... [Show More] first?
Selected Answer:
Incorrect a. Notify the healthcare provider
Answers:
a. Notify the healthcare provider
Correct b. Assess the patient for muscle weakness
c. Request telemetry for the patient
d. Prepare to administer IV potassium
3
A client who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the
client's condition is now stable. For the next several hours, the nurse caring for this client should
assess
for what signs and symptoms of recurrence?
Selected Answer:
CorrectC. Tachycardia, hypotension, and tachypnea
Answers:
A. Sudden thirst, unrelieved by oral fluid administration
B. Diaphoresis and sudden onset of abdominal pain
CorrectC. Tachycardia, hypotension, and tachypnea
D. Tarry, foul-smelling stools
Response Feedback:
Tachycardia, hypotension, and tachypnea are signs of recurrent bleeding. Clients who have had one GI
bleed are at risk for recurrence. Tarry stools are expected short-term findings after a hemorrhage.
Hemorrhage is not normally associated with sudden thirst or diaphoresis.
Question 4
A 35-year-old male client presents at the emergency department with symptoms of a small bowel
obstruction. In collaboration with the primary provider, what intervention should the nurse prioritize?
Answers:
A. Administration of a glycerin suppository and an oral laxative
CorrectB. Insertion of a nasogastric tube
C. Insertion of a central venous catheter
D. Administration of a mineral oil enema
Response Feedback:
Decompression of the bowel through a nasogastric tube is necessary for all clients with small bowel
obstruction. Peripheral IV access is normally sufficient. Enemas, suppositories, and laxatives are not
indicated if an obstruction is present.
Question 6
A nurse is providing care for a client who is postoperative day 2 following gastric surgery. The nurses
assessment should be planned in light of the possibility of what potential complications? Select all that
apply.
Selected Answers:
CorrectA. Hemorrhage
CorrectB. Pneumonia
CorrectD. Atelectasis
Answers:
CorrectA. Hemorrhage
CorrectB. Pneumonia
C. Chronic gastritis
CorrectD. Atelectasis
E. Malignant hyperthermia
Response Feedback:
After surgery, the nurse assesses the client for complications secondary to the surgical intervention,
such as pneumonia, atelectasis, or metabolic imbalances resulting from the GI disruption. Malignant
hyperthermia is an intraoperative complication. Chronic gastritis is not a surgical complication.
Question 7
Correct
A client has received a diagnosis of gastric cancer and is awaiting a surgical date. During the
preoperative period, the client should adopt what dietary guidelines?
Selected Answer:
CorrectA. Eat small, frequent meals with high calorie and vitamin content.
Answers:
CorrectA. Eat small, frequent meals with high calorie and vitamin content.
B. Try to maintain the pre-diagnosis pattern of eating.
C. Eat frequent, low-fat meals with high protein content.
D. Eat frequent meals with an equal balance of fat, carbohydrates, and protein.
Response Feedback:
The nurse encourages the client to eat small, frequent portions of nonirritating foods to decrease gastric
irritation. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance
tissue repair.
Question 8
A community health nurse is preparing for an initial home visit to a client discharged following a total
gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is
most likely to include?
Selected Answer:
CorrectB. Administration of injections of vitamin B12
Answers:
A. Enteral feeding via gastrostomy tube (G tube)
CorrectB. Administration of injections of vitamin B12
C. Gastrointestinal decompression by nasogastric tube
D. Periodic assessment for esophageal distension [Show Less]