GI Practice Quiz

A patient with a diagnosis of PUD reports vomiting coffee ground material. What should the nurse do first?

Notify the physician

Test the next stool for occult blood

Take vital signs

Insert an NG tube

The nurse teaches a patient with GERD which of the following measures to manage his disease?

Elevate foot of bed on 6-8 inch blocks

Avoid eating or drinking 2 hours before bedtime

Eat a low carbohydrate diet

Minimize intake of caffeine, beer, milk, and foods containing peppermint and spearmint

The nurse in the ED admits a patient with suspected gastric outlet obstruction. The patient's symptoms include nausea and vomiting. The nurse anticipates the MD will write which of the following orders?

Stool specimen

NG tube insertion

Oral contrast, as part of barium swallow

Abdominal x-ray

Which of the follow ulcers is associated with burn injury?

Esophageal

Duodenal

Curling's

Cushing's

The nurse is evaluating a patient's ulcer symptoms to differentiate the ulcer as duodenal or gastric. Which of the following symptoms would the nurse attribute to a duodenal ulcer?

Hemorrhage

Weight loss

Vomiting

Awakening in pain

The nurse is conducting an education class on gastritis. The nurse indicates that chronic gastritis caused by H. Pylori is implicated in which of the following?

Systemic infection

Peptic ulcer

Pernicious anemia

Colostomy

The nurse is assessing a patient with ulcer for signs and symptoms of hemorrhage. The nurse interprets which of the following as a sign or symptom of hemorrhage?

Bradycardia

Hematemesis

Hypertension

Polyuria

A patient with GERD comes to the clinic with complaints of burning sensation in his esophagus. The nurse documents that the patient is experiencing which of the following?

Odynophagia

Dysphagia

Pyrosis

Dyspepsia

A patient with acute diarrhea of 24 hours duration calls the clinic to ask for directions for care. In talking with the patient, the nurse should

Ask the patient to describe the character of the stool and any associated symptoms

Advise the patient to use OTC Immodium to slow GI motility

Inform the patient that laboratory testing of blood and stool specimens will be necessary

Advise the patient to drink clear liquid fluids with electrolytes, such as Gatorade or Pedialyte

A patient with Crohn's disease develops a fever and symptoms of a urinary tract infection. The nurse recognizes that this complication may occur as a result of

Perianal irritation from frequent diarrhea

Fistula formation between the bowel and bladder

Extraintestinal manifestations of the bowel disease

Impaired immunologic response to infectious microorganisms

A patient hospitalized with an acute exacerbation of UC is having 14-16 bloody stools a day and crampy abdominal pain associated with the diarrhea. The physician orders the patient to be NPO on admission. The nurse recognizes that this order is important to

Prevent nausea and vomiting

Decrease abdominal distension

Promote bowel and rest healing

Allow for diagnostic testing to be completed

The nurse is monitoring a client admitted with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to vomit. On assessment, the nurse notes that the abdomen is distended and BS are diminished. What is the appropriate nursing intervention?

Notify the physician

Administer the prescribed pain medication

Call and ask the OR team to perform the ASAP

Reposition the client and apply a heating pad on warm setting to their abdomen

The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to note documented in the client's record?

Diarrhea

Chronic constipation

Constipation alternating with diarrhea

Stool constantly oozing from the rectum

GI Practice Quiz

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