the home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery the nurse instructs the c
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Gastrointestinal System Nursing Exam Questions

1. The home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need

Correct answer: A

Rationale: A lack of intrinsic factor needed to absorb vitamin B12 occurs in pernicious anemia. Vitamin B12 is needed for the maturation of red blood cells. Vitamin B6 is not necessarily needed for pernicious anemia and can be taken orally. An antibiotic and antacids may be prescribed for certain types of gastric ulcers.

2. The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client’s daily care?

Correct answer: C

Rationale: Swabbing the client’s tongue, gums, and lips with a soft foam applicator every 2 hours helps maintain oral hygiene for a client who cannot perform this task.

3. Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?

Correct answer: B

Rationale: Instruct the patient to lie on their right side after the biopsy to apply pressure and prevent bleeding.

4. Your goal is to minimize David’s risk of complications after a heriorrhaphy. You instruct the patient to:

Correct answer: C

Rationale: Instruct the patient to splint the incision if he can't avoid sneezing or coughing to minimize the risk of complications after heriorrhaphy.

5. Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:

Correct answer: B

Rationale: Stools in ulcerative colitis are typically bloody and mucoid.

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A nurse teaches a preoperative client about the nasogastric tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed in the postoperative period when the client states
A client with liver dysfunction is having difficulty with protein metabolism. The nurse anticipates that the results of which of the following serum laboratory studies will be elevated?
When a client has peptic ulcer disease, the nurse would expect a priority intervention to be:
Which area of the alimentary canal is the most common location for Crohn’s disease?

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