the nurse is caring for a client who has had a gastroscopy which of the following symptoms may indicate that the client is developing a complication r

ATI RN

ATI Gastrointestinal System

1. The nurse is caring for a client who has had a gastroscopy. Which of the following symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply.

A. The client complains of a sore throat
B. The client has a temperature of 100*F
C. The client appears drowsy following the procedure
D. The client complains of epigastric pain

Correct answer: B

Rationale: A temperature of 100°F, epigastric pain, and hematemesis are signs that may indicate a complication related to the gastroscopy procedure.

2. A client with gastric cancer may exhibit which of the following symptoms?

A. Abdominal cramping
B. Constant hunger
C. Feeling of fullness
D. Weight gain

Correct answer: C

Rationale: Clients with gastric cancer may experience a feeling of fullness due to the presence of the tumor.

3. Claire, a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is priority for her?

A. Obtain daily weights.
B. Measure abdominal girth.
C. Keep strict intake and output.
D. Encourage her to increase fluids.

Correct answer: B

Rationale: For a patient with a possible bowel obstruction, measuring abdominal girth is a priority to monitor for signs of worsening obstruction or distention.

4. Which of the following symptoms is common with a hiatal hernia?

A. Left arm pain
B. Lower back pain
C. Esophageal reflux
D. Abdominal cramping

Correct answer: C

Rationale: Esophageal reflux is a common symptom of a hiatal hernia because the hernia can cause stomach acid to move back up into the esophagus.

5. A nurse is caring for a client with cirrhosis of the liver. To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has best understanding of the dietary measures to follow of the client states an intention to increase intake of:

A. Pork
B. Milk
C. Chicken
D. Broccoli

Correct answer: A

Rationale: The client with cirrhosis needs to consume foods high in thiamine. Thiamine is present in a variety of foods of plant and animal origin. Pork products are especially rich in this vitamin. Other good food sources include nuts, whole grain cereals, and legumes. Milk contains vitamins A, D, and B2. Broccoli contains vitamins C, E, and K and folic acid.