RN TARGETED GASTROINTESTINAL NEWEST
2024 WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
A nurse is providing dietary teaching for a client who is
postoperative following a gastrectomy. Which of the following foods
should the nurse encourage the client tp include in their diet to
reduce the risk for dumping syndrome - ANSWER-Eggs
The nurse should instruct the client to increase dietary intake
of protein-containing foods, such as eggs, to decrease the risk
for manifestations of dumping syndrome. The client should
eat some form of protein at each meal.
A nurse is providing discharge teaching for a client who has a
prescription for medications to treat peptic ulcer disease. The nurse
should inform the client that which of the following medications
inhibits gastric acid secretions? - ANSWER- Famotidine
2 | P a g e
The nurse should inform the client that famotidine is an H2-
receptor antagonist that is prescribed for the treatment of
peptic ulcer disease to inhibit the secretion of gastric acid.
A nurse is assessing a client who has cirrhosis. Which of the
following findings is a priority for the nurse to report to the provider?
- ANSWER-Bloody stools
The greatest risk to the client who has cirrhosis of the liver is
hemorrhagic shock due to bleeding in the esophageal varices.
Therefore, bloody stools is the priority finding to report to the
provider.
A nurse is providing dietary teaching for a client who has chronic
pancreatitis. Which of the following food selections by the client
indicates an understanding of the teaching - ANSWER-1 cup (0.24
L) sliced banana
3 | P a g e
Foods that are high in fat can cause diarrhea for clients who
have pancreatitis. One cup of sliced banana, which contains
0.49 g of fat, is a low-fat food option. Clients who have
pancreatitis should consume a high-protein and low-fat diet
with an adequate amount of carbohydrates and calories.
A nurse is providing discharge teaching for a client who has peptic
ulcer disease and a new prescription for famotidine. Which of the
following statements by the client indicates an understanding of the
teaching - ANSWER-"I should take this medication at bedtime"
The nurse should instruct the client to take the medication at
bedtime to inhibit the action of histamine at the H2-receptor
site in the stomach.
A nurse is reviewing the prescriptions for a client who has
campylobacter enteritis. Which of the following prescriptions should
the nurse clarify with the provider? - ANSWER-Magnesium
hydroxide
4 | P a g e
Nausea, vomiting, and diarrhea are manifestations of enteritis.
The nurse should clarify a prescription for magnesium
hydroxide, also known as milk of magnesia, with the provider.
This medication increases gastrointestinal motility, which can
increase the client's risk for an electrolyte imbalance and
contribute to dehydration.
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
ati ati pharmacology comprehensive comprehensive predictor health care health care / nursing health care/ nursing healthcare hesi hesi rn exit maternal newborn med surg medical nursing medical surgical mental health nurs nursing nursing & health nutrition pathophysiology pediatrics pharmacology psychology test bank tncc
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