NUR 325 Adaptive quiz GI

NUR 325 Adaptive quiz GI

• Which information would the nurse include regarding appliance care and maintenance,

when teaching a client with a new colostomy? Select all that apply.1 Change the ostomy pouch on a routine basis.2 Replace the ostomy wafer weekly or sooner as needed.3 Remove the ostomy pouch when showering.4 Empty the ostomy pouch when three-quarters full of stool or gas.5 Empty the ostomy pouch before exercise and at bedtime.Answer 125

• After an acute episode of upper gastrointestinal (GI) bleeding, a client vomits undigested

medications and reports severe epigastric and abdominal pain. The client has absent bowel sounds, rigid abdomen, a pulse rate of 134, and shallow respirations of 32 per minute. The primary healthcare provider has been contacted. What should be the nurse's next priority?1 Keep the client nothing by mouth (NPO) 2 Teach the client coughing and deep breathing 3 Inquire whether any red or black stools have been noted 4 Place the client in the supine position with the legs elevated Answer 1

• A client is diagnosed with acute gastritis secondary to alcoholism and cirrhosis. The client

reports frequent nausea, pain that increases after meals, and black, tarry stools. The client recently joined Alcoholics Anonymous. The nurse should give priority to which client history item? 1 / 2

1 Black, tarry stools 2 Frequent nausea 3 Joining Alcoholics Anonymous 4 Pain that increases after meals Answer 1

• The nurse is caring for a client with peritonitis who had surgery two hours ago due to a

ruptured appendix. Which clinical findings should the nurse expect to observe when assessing this client? Select all that apply.1 Fever 2 Hyperactivity 3 Extreme hunger 4 Urinary retention

• Abdominal muscle

rigidity Answer *145

• A nurse is performing the initial history and physical examination of a client with a diagnosis

of duodenal ulcer. Which type of pain does the nurse expect the client to describe?1 Pain that is relieved with eating

• Pain that is worse with antacids
• Pain that is relieved with sleep

4

Pain that is worse one hour after eating

Answer

• / 2