Gastrointestinal Disorders NCLEX RN
Question 1 of 5.
The nurse is caring for a client with appendicitis experiencing pain. Which pain relief method would be inappropriate for this client?
A. Applying ice packs to the abdomen
B. Practicing breathing exercises with the patient
C. Using a heating pad on the abdomen
D. Encouraging rest
Explanation: Using a heating pad on the abdomen is inappropriate for a client with appendicitis as it may increase inflammation or risk perforation of the appendix. Ice packs, breathing exercises, and rest are safer and more appropriate for pain management.
Question 2 of 5.
The nurse reviews the client's health history and vital signs. Click to specify if the findings are consistent with a small bowel obstruction or appendicitis. Each row must have at least one but may have more than one response option selected.
| Description | Options |
|---|---|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
Explanation: Small bowel obstruction: A (Unable to pass stool), B (Fever), C (Distended abdomen), E (Nausea and vomiting). Appendicitis: A, B, C, D (Right lower quadrant abdominal pain), E. Both conditions can present with these symptoms, though right lower quadrant pain is more specific to appendicitis.
Question 3 of 5.
Which of the following assessment findings require immediate follow-up? Select all that apply.
A. Reports of abdominal pain
B. Temperature
C. Pulse
D. Rash
E. Cervical lymphadenopathy
F. Abdominal assessment findings
Explanation: Severe abdominal pain (A), elevated pulse (C), and abnormal abdominal findings (F) such as distention and tenderness suggest a serious condition like a ruptured spleen, especially given the history of trauma and infectious mononucleosis. These require urgent evaluation.
Question 4 of 5.
The nurse is caring for a client who has ulcerative colitis (UC). The nurse should teach the client to [Select all that apply].
A. Eat consistent amounts of carbohydrates at mealtimes.
B. Avoid drinking fluids with meals.
C. Obtain recommended colon cancer screenings.
D. Avoid taking anti-diarrheal medication.
E. Increase the intake of non-caffeinated fluids during exacerbations.
Explanation: For ulcerative colitis, avoiding fluids with meals (B) aids digestion, regular colon cancer screenings (C) are critical due to increased risk, and increasing non-caffeinated fluids (E) prevents dehydration during exacerbations. Consistent carbohydrates (A) are not specific, and anti-diarrheals (D) may be used cautiously.
Question 5 of 5.
The nurse is caring for a client with a hiatal hernia who is being discharged today. The nurse talks to them regarding methods to manage symptoms and promote overall well-being associated with their condition. Which of the following statements from the client indicate that teaching is successful?
A. I need to wear loose-fitting clothes.
B. After a meal, I must lie down to avoid dumping syndrome.
C. I need to eat three large meals a day.
D. I can go to my favorite Indian restaurant anytime of the week.
Explanation: Wearing loose-fitting clothes (A) reduces pressure on the stomach, helping manage hiatal hernia symptoms. Lying down after meals (B) can worsen reflux, large meals (C) increase symptoms, and spicy foods (D) may exacerbate reflux.
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