Kaplan Gastrointestinal B, Exam Questions & Answers-1. The nurse cares for a client with a diagnosis of ulcerative colitis. When reviewing the client's record, the nurse expects to find which lab value.
1. Red blood cel
...
Kaplan Gastrointestinal B, Exam Questions & Answers-1. The nurse cares for a client with a diagnosis of ulcerative colitis. When reviewing the client's record, the nurse expects to find which lab value.
1. Red blood cell count (RBC) 4 million/mm3 (4,000 X 109 /L).
2. Platelet count 75,000/mm3 (75 X 109/L).
3. Hemoglobin (Hgb) 18.2 g/dL (182 g/L).
4. White blood cell count (WBC) 15,000/mm3 (15 X 109/L).
2. A client is returned to the unit following a total gastrectomy for stomach cancer. The client pulls the nasogastric tube out. Which action should the nurse perform immediately?
1. Reinsert the nasogastric tube.
2. Notify the health care provider (HCP).
3. Assess the client's bowel sounds.
4. Medicate the client for pain. 5.
3. An older adult client says, “I have recently developed constipation.” It is most important for the nurse to take which action.
1. Encourage the client to eat more grains and fruits.
2. Determine frequency and characteristics of bowel movements.
3. Instruct the client to increase fluid intake.
4. Provide information on the importance of exercise. 5.
4. The nurse instructs the family of a client diagnosed with hepatitis A how to prevent the spread of the disease. It is most important for the nurse to include which instruction.
1. Family members should use separate eating utensils and drinking glasses
2. Family members must avoid contact with the client's blood.
3. Family members can not donate blood during the next year.
4. Family members with no signs or symptoms are not infected.
5. The nurse instructs a client how to increase calories in the diet. The nurse determines teaching is effective if the client makes which statement.
1. "I will broil all my meats."
2. "I will eat bread at all my meals."
3. "I will snack frequently on nuts and dried fruits."
4. "I only use low-fat salad dressings."
7. The home health care nurse visits a client diagnosed with diverticulitis. The client is prescribed a clear liquid diet, and the nurse instructs the family about the appropriate foods. The nurse intervenes if the client's family makes which statement.
1. "My grandparent can have a daily glass of prune juice."
2. "My spouse really likes apple juice."
3. "My parent drinks cranberry juice in the evening."
4. "My grandparent can eat a cherry ice pop with me."
8. After inserting a needle into the ventrogluteal muscle to inject vitamin K, which action does the nurse take next?
1. Instructs the client to contract the muscle.
2. Administers the vitamin K slowly.
3. Spreads the skin with the thumb and index finger.
4. Pulls back the needle while injecting slowly.
9. A client has a gastroscopy performed and a gastric aspirate is taken for analysis. The nurse understands the purpose of a gastric aspirate includes which reason.
1. Assess acid secretion and bacterial activity in the stomach.
2. Inhibit acid secretion in the stomach.
3. Assess the mucus-producing capacity of the stomach.
4. Introduce gastric-irritating substances.
10. The nurse provides care for an older adult client admitted with a diagnosis of hepatitis A. The client is anorexic, reports weakness, and is incontinent of urine and stool. The nurse determines that care is appropriate if which observation is made?
1. The staff caring for the client follows standard precautions.
2. The client is offered frequent feedings during the evening.
3. The nurse maintains the client on strict bedrest.
4. The nurse places the client on contact precautions. 5.
11. To prepare a client for a paracentesis, it is essential for the nurse to take which action.
1. Administer a cleansing enema.
2. Premedicate the client with a narcotic analgesic.
3. Restrict the client's intake of fluids.
4. Instruct the client to empty the bladder.
12. The nurse provides discharge teaching to a clien
[Show More]
