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Digestive Disorders - Saunders
Terms in this set (25)
The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure?
Left Sims' position
The nurse is preparing to perform an abdominal examination. Which step should be taken first?
The nurse reinforces postoperative liver biopsy instructions to a client. Which should the nurse tell the client?
Lie on the right side for 2 hours
The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency?
The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which should the nurse clarify?
Irrigating the NG tube
The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure should the nurse include during client teaching to help prevent dumping syndrome?
Limit the fluids taken with meals
The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence?
Sweating and pallor
The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record?
A client with ascites is scheduled for a paracentesis. The nurse is assisting the primary health care provider (PHCP) with performing the procedure. Which position should the nurse assist the client into for this procedure?
The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to be prescribed? Select all that apply (3)
1. Administer antacids, as prescribed
2. Encourage coughing and deep breathing
3. Adminsiter anticholinergics, as prescribed
It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?
The nurse is reviewing the primary health care provider;s (PHCP'S) prescriptions written for a client admitted with acute pancreatitis. Which PHCP prescription should the nurse verify if noted in the clients chart?
Position the client supine and flat
A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid?
Lying recumbent after meals
The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred?
Protruding and swollen
An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test?
The test requires the client to lie still for short intervals
A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client should take which action to monitor the effectiveness of treatment?
Checking the frequency and consistency of bowel movements
The client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?
An episode of diarrhea
The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication?
Nausea and vomiting
The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?
Reduction of steatorrhea
An older client has recently been taking cimetidine. The nurse should monitor the client for which most frequent central nervous system side effect of this medication?
A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medicaitons are H2-receptor antagonists? Select all that apply (4)
The client who frequently uses nonsteroidal antiinflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted?
Relief of epigastric pain
The client has been taking omeprazole for 4 weeks. The nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?
"The medications will kill the bacteria and stop the acid production."
The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse should schedule the medication to be adminsitered at which times?
One hour before meals and at bedtime
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