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Page1 Anurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication? - ANSWTR Relief of gastrointestinal pain Anursc is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? - ANSWER Eat four small meals each day A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions? - ANSWER Constipation A nursc is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? - ANSWER Blood A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time? - ANSWTR Check the client's medical record for the provider's prescription A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take? - ANSWER Discard unused formula after 8hr. A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse understanding of the procedure? - ANSWER They are going to examine my gallbladder and ducts A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of the following actions should the nursc take first? - ANSWER Position the client supine A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following? - ANSWTR Urinary tract infection pg-1 Page 2 Anurse is completing a client assessment for admission to the medical unit. Which of the following abdominal assessment findings require further investigation by the nurse? - ANSWER Ecchymosis Anurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care? - ANSWER Decrease the client's fluid intake Aclient is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client? - ANSWER Upright Anurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort? - ANSWER Lower the height of the solution container Anurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include? - ANSWER Lie on your right side when sleeping Anurse is providing teaching to a client who has peptic ulcer disease and has a new prescription for sucralfate tablets. Which of the following information should the nurse provide? - ANSWER ‘Lake sucralfate 1 hr before meals Anurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective? - ANSWER Reduced dyspepsia Anurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first? - ANSWER Assess orthostatic blood pressure Anurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid? - ANSWER Cheddar cheese Anurse is planning for a client who has cirrhosis of the liver. Which of the following actions should the nurse include on the plan? (Select all that apply) - ANSWER Administer furosemide, implement a low-sodium diet, measure abdominal girth Pg. 2 Page 4 A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluids? - ANSWER Oral rehydration solution Anurse is assessing a client's abdomen who reports stomach pain. Which of the following actions should the nurse take first? - ANSWER Inspect Anurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect? - ANSWER Decreased mental status Anurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching? - ANSWER The client should follow a high-fiber diet to establish bowel regularity Anurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? - ANSWER Purplish-colored stoma Anurse is preparing to administer liquid famotidine 20mg PO every 6 hr for a client who has GERD. Available is famotidine 4omg/5ml. How many mL should the nurse administer? (round the answer to the nearest tenth) - ANSWER 2.5mL Anurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? - ANSWER "Take this medication with a full glass of water" Pe. 4 > = Page 5 Anurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching? - ANSWER Avoid eating within 3 hr of bedtime Anurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution(PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? - ANSWER Abdominal bloating might occur Anurse is providing teaching to a client with gastroesophageal reflux. Which of the following statements by the client indicates a need for further teaching? - ANSWER I drink no more than 4 cups of coffee a day Anurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. ‘The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? - ANSWER Before the examination your provider will give you a sedative that will make you sleepy Anurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide? - ANSWER The medication relieves nausea by promoting gastric emptying Anurse is teaching a client who has a urinary tract infection (U'l'l) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? - ANSWER You should report any tendon discomfort you experience while taking this medication P2-5 Page 7 Anurse is caring for a client who is postoperative following abdominal surgery. Which fo the following findings should indicate to the nurse the client's peristalsis is returning? - ANSWER Passage of flatus PE-7 
