GI ATI Weekly Quiz 2024 With Verified Solutions, Exams of Nursing

Download GI ATI Weekly Quiz 2024 With Verified Solutions and more Exams Nursing in PDF only on Docsity! GI ATI Weekly Quiz 2024 With Verified Solutions A nurse is providing teaching to a client who has a new colostomy. What information should the nurse include in the teaching? "You can expect fecal output within 24 hours" "You will need to increase your dietary intake of raw vegetables" "You can expect the stoma to be purplish in color for the first week" "You may experience a small amount of bleeding around the stoma" - ANSWER>>>"You may experience a small amount of bleeding around the stoma" nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?Increased appetite Regular bowel movements Absence of headache Reduced dyspepsia - ANSWER>>>Reduced dyspepsia A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Calcium RBC count Magnesium Amylase - ANSWER>>>Amylase A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? a. Initiate a low-reside diet b. Pantoprazole 80mg IV bolus twice daily c. Ambulate twice daily d. Pancrealipase 500units/kg PO three times daily with meals - ANSWER>>>b. Pantoprazole 80mg IV bolus twice daily A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.) a. Green beans b. Tomatoes c. Bananas d. Asparagus e. Raisins - ANSWER>>>b. Tomatoes c. Bananas e. Raisins A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?A. Glucose B. Ammonia C. Potassium D. Bicarbonate - ANSWER>>>B. Ammonia A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure? 1. High-Fowlers 2. Side-lying 3. Leaning forward 4. Supine - ANSWER>>>1. High-Fowlers A nurse is caring for a client who is postoperative following an appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the client? -Broth -Grape juice -Nonfat milk -custard - Lemon gelatin - ANSWER>>>broth grape juice Urinary retention - ANSWER>>>Urinary tract infection A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider? "I drink at least 2 quarts of fluid every day." "The last time I voided it was painful and red-tinged." "My period ended 2 days ago." "I don't eat shellfish because it gives me hives." - ANSWER>>>"I don't eat shellfish because it gives me hives." A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.) A. "I can take this medication with or without food." B. "I will take this medication in the morning." C. "I should expect my stools to turn black." D. "I will take this medication with an antacid. E. "I will take this medication when I need it for pain. F. "I will eat five small meals each day." - ANSWER>>>A. "I can take this medication with or without food." F. "I will eat five small meals each day." A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? A. Elevated blood urea nitrogen (BUN) B. Elevated HbA1c C. Decreased chloride D. Decreased bilirubin - ANSWER>>>A. Elevated blood urea nitrogen (BUN) A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention? Auscultate the client's lungs Assist the client to a side-lying position Provide oral hygiene Withhold oral fluids and food - ANSWER>>>Withhold oral fluids and food A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications? a. Senna b. Ibuprofen c. Omeprazole d. Zolpidem - ANSWER>>>a. Senna A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor? A. Hypocalcemia B. BMI less than 25 C. Family history D. Diuretic use - ANSWER>>>C. Family history A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including H2 receptor antagonist (h2RA). Which of the following outcomes indicates the H2RA is Therapeutic? A. Relief of heartburn B. Cessation of diarrhea C. Passage of flatus D. Absence of constipation - ANSWER>>>A. Relief of heartburn A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? A. "If the medicine causes an upset stomach, take an antacid at the same time." B. "Limit your daily fluid intake while taking this medication." C. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." D. "You should report any tendon discomfort you experience while taking this medication." - ANSWER>>>D. "You should report any tendon discomfort you experience while taking this medication." A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action? A. Place the client in a supine position postoperatively. B. Encourage ambulation once fully awake. C. Offer the client ice cream postoperatively. D. Instruct the client not to lift over 4.5 kg (10 lb) - ANSWER>>>B. Encourage ambulation once fully awake. A nurse is teaching a client who has a new prescription for esomeprazole to manage his GERD. Which of the following statements by the client indicates an understanding of the teaching? A. I wont pass gas as often now that I am taking this medication B. I will take this med. each morning with breakfast C. I have an increased risk of getting PNA while taking this med. D. I will need to take a daily stool softener while taking this med. - ANSWER>>>C. I have an increased risk of getting PNA while taking this med. A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? a. "Sleep on your left side." b. "Drink milk to soothe your stomach." c. "Eat four small meals each day." d. "Wait to go to bed for 1 hour after eating." - ANSWER>>>c. "Eat four small meals each day." A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer? A. Danazol B. Finasteride C. Fluoxymesterone D. Methlytestosterone - ANSWER>>>B. Finasteride A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. Which of the following food should be eliminated in the client's diet? A. Cooked cabbage B. Dried apricots C. Ripe bananas D. Ice cream - ANSWER>>>B. Dried apricots A nurse is caring for a client who is postoperative following a transurethral resection (TURP) of the prostate. Which of the following complications is the priority for the nurse to monitor? 1. Hemorrhage 2. Infection A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication? A. Dry mouth B. Vomiting C. Headache D. Peripheral edema - ANSWER>>>B. Vomiting A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client? A. Baked potato B. Stewed tomatoes C. Ham sandwich D. Milkshake - ANSWER>>>C. Ham sandwich A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?A. Review the client's electrolyte values. B. Check the client's perianal skin integrity. C. Investigate the client's emotional concerns. D. Obtain a dietary history from the client. - ANSWER>>>A. Review the client's electrolyte values. A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? Lower left quadrant Upper left quadrant Lower right quadrant Upper right quadrant - ANSWER>>>Lower left quadrant A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority? Epigastric discomfort Dyspepsia Epigastric discomfort Hematemesis - ANSWER>>>Hematemesis A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? a. Both are inflammatory b. Both begin in the rectum c. Both manifest fistula formation d. Both require frequent surgery - ANSWER>>>a. Both are inflammatory A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect? decreased sodium level decreased phosphate level decreased potassium level decreased chloride level - ANSWER>>>decreased sodium level A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority? a. Pain b. Nausea c. Gag reflex d. Level of consciousness - ANSWER>>>c. Gag reflex A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions would the nurse include in the plan? SATA a. Administer furosemide b. Administer warfarin c. Implement a low-sodium diet d. Measure the client's abdominal girth e. Encourage weightlifting during physical therapy - ANSWER>>>a. Administer furosemide c. Implement a low-sodium diet d. Measure the client's abdominal girth A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? Alleviate H. pylori Relief of gastrointestinal pain Prevention of opportunistic infections Improvement of impaired vision - ANSWER>>>Relief of gastrointestinal pain A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching? Select all that apply. a. "I will lie down for one half hour after meals." b. "I will consume less caffeine and fewer spicy foods." c. "I will sleep with the head of my bed elevated." d. "I will try not to gain weight." e. "I will drink less fluid." - ANSWER>>>b. "I will consume less caffeine and fewer spicy foods." c. "I will sleep with the head of my bed elevated." d. "I will try not to gain weight." A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include? "Elevate the head of your bed by 18 inches." "Avoid snacking between meals." "Limit foods that are high in fiber." "Lie on your right side when sleeping." - ANSWER>>>"Lie on your right side when sleeping." A nurse is providing teaching to a client who has a new prescription for levothyroxine for HYPOthyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? soy garlic cranberry saw palmetto - ANSWER>>>soy A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?a.Gallstones b.Hypolipidemia c.COPD d.Diabetes mellitus - ANSWER>>>a.Gallstones