Gastrointestinal Diseases NCLEX Review Questions

Gastrointestinal Diseases NCLEX Review Questions Related

Review Gastrointestinal Diseases NCLEX Review Questions related questions and content

The nurse is caring for a patient who returns to the floor at lunchtime after undergoing an upper GI (UGI) series. Which action is most important for the nurse to perform first?

  • A. Administer a laxative.
  • B. Educate the patient about the possibility of white stools.
  • C. Offer the patient a small snack.
  • D. Provide oral care.
Correct Answer: A

Rationale: The correct answer is A: Administer a laxative. After an upper GI series, it is important to help the patient eliminate the contrast dye used during the procedure. Administering a laxative will facilitate the removal of the dye from the gastrointestinal tract. This is crucial to prevent any potential complications or adverse effects from the contrast dye.

Explanation for incorrect choices:
B: Educating the patient about the possibility of white stools is not the most immediate concern after an upper GI series. While this information is important for the patient to know, it is not the most urgent action to take.
C: Offering the patient a small snack may be appropriate after the procedure, but ensuring the elimination of the contrast dye through a laxative is more critical.
D: Providing oral care is important for overall patient comfort and hygiene, but it is not the priority immediately following an upper GI series.

You may also like to solve these questions

The _____ duct directly receives the fluids from the gallbladder.

  • A. cystic
  • B. common bile
  • C. hepatic
  • D. common hepatic
Correct Answer: A

Rationale: The correct answer is A: cystic duct. The cystic duct directly receives the fluids from the gallbladder and connects it to the common bile duct. The cystic duct is responsible for carrying bile from the gallbladder to the digestive system. Choices B, C, and D are incorrect because the common bile duct carries a mixture of bile from the liver and gallbladder, the hepatic duct connects the liver to the common bile duct, and the common hepatic duct connects the liver to the gallbladder, respectively. Therefore, the cystic duct is the only duct directly receiving fluids from the gallbladder.

Metabolic rate is high in the following Except:

  • A. Pregnancy.
  • B. Sleep.
  • C. Male than female of the same body surface area.
  • D. Walking than resting state.
Correct Answer: B

Rationale: The correct answer is B: Sleep. During sleep, the body's metabolic rate decreases as it enters a state of rest and recovery. Pregnancy (A) requires increased energy expenditure for fetal development. Males generally have higher metabolic rates than females (C) due to higher muscle mass. Walking (D) requires more energy than resting, leading to a higher metabolic rate. In summary, sleep is the exception as it lowers metabolic rate compared to the other activities listed.

In planning a treatment and prevention program of chronic fecal incontinence for an elderly client, which intervention should you try first?

  • A. Administer a glycerin suppository 15 minutes before evacuation time.
  • B. Insert a rectal tube at specified intervals each day.
  • C. Assist the client to the bedpan or toilet 30 minutes after meals.
  • D. Use incontinence briefs or adult-sized diapers.
Correct Answer: C

Rationale: The correct answer is C: Assist the client to the bedpan or toilet 30 minutes after meals. This intervention is appropriate as it aligns with the natural physiological process of bowel movements after meals, increasing the likelihood of successful evacuation. This timing can help establish a routine and promote regular bowel movements, potentially reducing episodes of fecal incontinence.

Choice A is incorrect because administering a glycerin suppository may not address the underlying cause of fecal incontinence and may not promote regular bowel movements. Choice B is incorrect as inserting a rectal tube is an invasive intervention that should only be considered after less invasive methods have been exhausted. Choice D is incorrect as using incontinence briefs or adult-sized diapers only manages the symptoms without addressing the root cause or promoting bowel regularity.

The following statements are true about bile except:

  • A. 25% is produced by bile duct cells
  • B. The bile stored in the gall bladder contains secondary bile acids
  • C. Its secretion is increased by secretin
  • D. Bile pigments are needed for micelle formation
Correct Answer: D

Rationale: The correct answer is D because bile pigments are not needed for micelle formation. Micelles are formed by bile salts, which aid in the emulsification of fats. Choice A is incorrect as bile is primarily produced by the liver, not bile duct cells. Choice B is incorrect as primary bile acids are stored in the gall bladder, not secondary bile acids. Choice C is incorrect as secretin stimulates the release of pancreatic enzymes, not bile secretion.

Which of the following teaching strategies would the nurse plan for a client with an anal fissure?

  • A. Teach the client strategies to relieve diarrhea
  • B. Instruct the client to not eat any fiber
  • C. Teach the client how to insert a suppository
  • D. Teach the client how to apply ice
Correct Answer: D

Rationale: The correct answer is D: Teach the client how to apply ice. Applying ice helps reduce inflammation and pain associated with anal fissures. It constricts blood vessels, decreases blood flow, and numbs the area, promoting healing.

A: Teaching strategies to relieve diarrhea is not directly related to managing anal fissures.
B: Instructing the client to not eat any fiber is incorrect because fiber helps soften stools and prevent constipation, which can worsen anal fissures.
C: Teaching the client how to insert a suppository may not be necessary for managing anal fissures unless prescribed by a healthcare provider for specific reasons.

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