RN TARGETED GASTROINTESTINAL
NEWEST 2024 WITH UPDATED
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
A nurse is providing discharge teaching for a client following an
ileostomy. The nurse should instruct the client to report which of
the following to the provider? - ANSWER-Dark purple stoma
The nurse should instruct the client to contact the provider if the
stoma is a dark purple color, which is an indication of bowel
ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of
the following findings should the nurse expect? - ANSWER-The
client reports that the pain occurs during the night
Pain associated with a duodenal ulcer occurs when the stomach
is empty, which is typically 1.5 to 3 hr after meals and during the
night.
A nurse is reviewing the laboratory results of a client whose has
acute pancreatitis. Which of the following findings should the
nurse expect? - ANSWER-Increased amylase
Serum amylase levels are increased in a client who has acute
pancreatitis due to pancreatic cell injury.
2 | P a g e
A nurse is teaching a client to prepare for a colonoscopy. Which
of the following instructions should the nurse include in the
teaching - ANSWER-"Drink clear liquids for 24 hr prior to the
procedure, then take nothing by mouth for 6 hr before the
procedure
The nurse should instruct the client to drink clear liquids for 24 hr
prior to the colonoscopy to promote adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild
diverticulitis. Which of the following statements made by the client
indicates an understanding of the teaching - ANSWER-"I should
eat foods that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a
low-fiber diet. When the inflammation subsides, the client should
consume foods that are high in fiber.
A nurse is caring for a client who has GERD and a new
prescription for metoclopramide. The nurse should plan to monitor
for which of the following adverse effects? - ANSWER-Ataxia
The nurse should plan to monitor the client for extrapyramidal
symptoms, such as ataxia, and should report any of these
findings to the provider.
A nurse is caring for a client who has colorectal cancer and is
having chemotherapy. The client ask the nurse why blood is being
drawn for a carcinoembryonic antigen (CEA) level. Which of the
following responses should the nurse make - ANSWER-"The CEA
determines the efficacy of your chemotherapy"
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