Targeted Gastrointestinal – Flashcards

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question
A nurse is caring for a client who has colorectal cancer and is receiving chemotherapy. The client asks the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following responses by the nurse is appropriate?
answer
The CEA determines the efficacy of your chemotherapy
question
A nurse is providing discharge teaching for a client who has a new prescription for medications to treat peptic ulcer disease. The nurse should identify that which of the following medications inhibits gastric acid secretion?
answer
Famotidine
question
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the client to report which of the following findings to the provider?
answer
Dark purple stoma
question
A nurse is providing discharge teaching for a client who has a new colostomy and is concerned about flatus and odor. Which of the following foods should the nurse recommend?
answer
Yogurt
question
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the following laboratory findings should the nurse report to the provider?
answer
Ammonia 160 mcg/dl
question
A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?
answer
Board-like abdomen
question
A nurse is reviewing the prescriptions for a client who has Campylobacter enteritis. Which of the following prescriptions should the nurse clarify with the provider?
answer
Milk of magnesia
question
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following findings should the nurse expect?
answer
Hemoglobin 9.1 g/dl
question
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report to the provider?
answer
Bloody stools
question
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect?
answer
Increased serum amylase
question
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations over the past 3 years. Which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations?
answer
Use progressive relaxation techniques Arrange activities to allow for daily rest periods Restrict intake of carbonated beverages
question
A nurse is teaching a client how to prepare for a colonoscopy. Which of the following instructions should the nurse include in the teaching?
answer
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6 hr before the procedure
question
A nurse is providing discharge teaching for a client who has chronic cholecystitis. Which of the following food selections by the client indicates the teaching was effective?
answer
Bananas
question
A nurse is caring for a client who has hepatic encephalopathy. The clients asks the nurse if she can have a larger portion of beef for dinner. Which of the following responses by the nurse is appropriate?
answer
You should limit your animal protein intake. Can I get you a veggie burger instead?
question
A nurse is providing discharge teaching for an older adult client who has mild diverticulitis. Which of the following client statements indicates an understanding of the teaching?
answer
I should eat foods that are low in fiber
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