Deck 88: Urinary Disorders

Question 1

Which structures are considered accessory organs of digestion? Select all that apply.

A) Mouth
B) Anus
C) Liver
D) Gallbladder
E) Stomach
F) Pancreas

Answer 1

Liver
Gallbladder
Pancreas

Question 2

For which client would a nurse who is an enterostomal therapist be consulted?

A) A client with enterocolitis
B) A client with a peptic ulcer
C) A client with an ileostomy
D) A client with pancreatitis

Answer 2

A client with an ileostomy

Question 3

The nurse is scheduling blood tests for a client suspected of having pancreatitis. Which test detects inflammation or disease of the pancreas, or obstruction of surrounding ducts?

A) Alkaline phosphatase (ALP)
B) Cholesterol
C) Triglyceride levels
D) Serum amylase

Answer 3

Serum amylase

Question 4

The nurse is preparing a client who is experiencing rectal bleeding for an occult blood test. Which test is the most inexpensive and simplest test used to detect occult blood in the stool?

A) Hematest
B) Culture and sensitivity study
C) HemoQuant stool test
D) Albumin test

Question 5

A client presents at the ER with signs and symptoms of gallstones. What test would be the preferred diagnostic tool to confirm this condition?

A) Angiography
B) Ultrasound
C) Computed tomography
D) Nuclear uptake scan

Question 6

A client has been prescribed polyethylene glycol 3350 and electrolytes oral solution before a barium study. What instruction should the nurse provide to this client regarding its method of use?

A) Mix the solution thoroughly before drinking.
B) Drink the solution in the evening and again in the morning.
C) Drink the solution along with a glass of warm milk.
D) Eat high-fiber foods the evening before the procedure.

Question 7

A client is scheduled for a cholecystogram to confirm the presence of gallstones. Which would the nurse instruct the client to do to prepare for this procedure?

A) Eat foods rich in fat the night before the x-ray study.
B) Take a radiopaque dye via an enema.
C) Eat nothing for 12 hours after taking radiopaque dye.
D) Continue smoking and chewing gum before the test, if desired.

Question 8

A nurse is preparing a client with severe gastrointestinal reflux disease (GERD) for a test to determine the extent of damage caused by the disorder. Which test should be ordered for this client?

A) Cholecystogram
B) Lower GI series
C) Colonoscopy
D) Esophagogastroduodenoscopy (EGD)

Question 9

A client is to undergo endoscopic retrograde cholangiopancreatography. Before the procedure, what client education should the nurse provide?

A) Procedure will be done under general anesthesia.
B) Fullness and pressure may be felt in the stomach.
C) Endoscopic tube may hinder normal breathing.
D) Procedure will take 2 to 3 hours.

Question 10

The physician has ordered an endoscopic procedure for a client to directly visualize the stomach and duodenum for tumors. The nurse knows that which test should most likely be scheduled?

A) Gastroscopy
B) Esophagoscopy
C) Colonoscopy
D) Sigmoidoscopy

Question 11

The nurse is preparing a client who is undergoing endoscopic retrograde cholangiopancreatography (ERCP) to facilitate the passage of stones in the common bile duct. Which teaching point should the nurse provide this client?

A) The procedure will be performed under general anesthesia.
B) Oxygen will be given because the endoscope will hinder breathing.
C) Avoid aspirin, ibuprofen, or anticoagulants 5 to 7 days before the test.
D) The procedure will take 1 to 2 hours to perform.

Question 12

The nurse is caring for a client following a liver biopsy. Which postoperative intervention is recommended?

A) Position the client on the left side.
B) Apply pressure to the biopsied side for 4 to 6 hours.
C) Take vital signs hourly for 24 hours.
D) Observe the client for signs of dehydration.

Question 13

The nurse is caring for a client with a Levin GI suction tube. Which nursing care guideline is recommended for this type of tube?

A) Irrigate tube frequently with small amounts of saline or air to keep it patent.
B) Clear the air port with air to keep it open and keep the distal tip from the wall of the stomach.
C) Provide nasotracheal suctioning because swallowing is impossible.
D) Use a humidifier to keep the skin and secretions moist.

Question 14

The nurse is removing a nasogastric tube at the bedside of a client. Which steps are recommended for this procedure? Select all that apply.

A) Clamp the tube before removal.
B) Pull the tube harder if resistance is encountered.
C) Ask the client to hold his or her breath when pulling out the tube.
D) Pull out the tube slowly, and then quickly, when the client coughs.
E) Place the tube in a towel and discard in appropriate receptacle.

Question 15

The nurse is providing nutrition for a postoperative client who has a normally functioning GI tract. Which would be the best form of nutrition for this client?

A) Total parenteral nutrition
B) Hyperalimentation
C) Parenteral nutrition
D) Enteral nutrition

Question 16

A client is undergoing bariatric surgery in the morning. The nurse reinforces the explanation that the procedure will design a smaller stomach to form a gastric pouch, and the pouch will then be connected directly to the jejunum (bypassing the rest of the stomach and the duodenum). The nurse is preparing the client for what type of bariatric surgery?

A) Laparoscopic gastric band
B) Roux-en-Y gastric bypass
C) Vertical sleeve gastrectomy
D) Biliopancreatic diversion with duodenal switch

Question 17

The nurse is caring for a client diagnosed with Crohn disease who had surgery to create a continent bowel diversion. Which describes this type of surgery?

A) The client's own tissues are formed into internal receptacles for stool.
B) An opening is made into the colon and intestines are brought outside the body.
C) An opening is made in the ileum and intestines are brought outside the body.
D) A loop of intestine is brought through a stoma to allow for feces drainage.

Question 18

A client has undergone a colostomy and is wearing an ostomy pouch at the beltline. What information should the nurse include in the client education?

A)
Avoid lifting heavy weights for about 2 months.
B) Avoid lifting weights heavier than 10 pounds.
C) Avoid swimming and taking a shower.
D) Avoid drinking Gatorade and broth.

Question 19

Which client would the nurse monitor for stomatitis?

A) A client diagnosed with diabetes
B) A client diagnosed with kidney failure
C) A client undergoing a bone marrow transplant
D) A client diagnosed with emphysema

Question 20

What nursing care measure should the nurse provide for a client who has developed oral canker sores?

A) Add iodized salt to the client's diet.
B) Ask the client to apply a silver nitrate stick, as ordered.
C) Ask the client to chew a few peanuts several times a day.
D) Provide nasogastric tube feedings to let the mouth rest.

Question 21

The nurse is providing teaching for a client diagnosed with gastroesophageal reflux disease (GERD). Which guideline is recommended to help relieve the symptoms of this disorder? Select all that apply.

A) Elevate the head of the bed.
B) Avoid lying down for at least 2 hours after meals.
C) Eat fewer, but larger meals.
D) Do not wear tight belts or waistbands.
E) Stop smoking

Question 22

What should the nurse include in the diet of a client diagnosed with a peptic ulcer?

A) Fresh fruits
B) Milk
C) Popcorn
D) Coffee

Question 23

A client has been diagnosed with a functional obstruction of the intestine. Which type of obstructions is the most likely diagnosis?

A) Volvulus
B) Paralytic ileus
C) Stenosis
D) Intussusception

Question 24

Which disorder is the most common functional disorder of the GI tract, causing increased motility of the small or large intestine?

A) Constipation
B) Diarrhea
C) Irritable bowel syndrome
D) Ulcerative colitis

Question 25

A client with a family history of ulcerative colitis is to undergo a screening test for early detection of colon cancer. In what group is colon cancer more common?

A) Clients who have frequent diarrhea
B) Clients between the age of 30 and 35
C) Clients who consume a low-calorie diet
D) Clients who show monilial patches on the tongue

Question 26

A morbidly obese client is diagnosed with hepatitis. What intervention should the nurse implement when caring for the client?

A) Encourage intake of large amounts of water
B) Suggest high-intensity exercise on alternate days
C) Keep the head of the bed parallel to the floor
D) Have the client wear rubber-soled shoes

Question 27

A nurse is caring for a client diagnosed with a duodenal ulcer. What sign and symptom noticed during nursing assessment indicates a potential hemorrhagic complication?

A) Bradycardia
B) High blood pressure
C) Hard and tender abdomen
D) Coffee ground vomitus

Question 28

A nurse is caring for a client being treated for spastic colitis. What sign and symptom should be reported to the physician for further evaluation?

A) Diarrhea
B) Flatulence
C) Abdominal pain
D) Fever

Question 29

A nurse is caring for a female client diagnosed with anorexia nervosa. What would the nurse observe during the nursing assessment of the client?

A) Menorrhagia
B) Rapid pulse
C) Alopecia
D) Hypertension