Exam 41: Nursing Assessment Gastro-intestinal System

The nurse is performing a nutritional assessment on a client. Which of the following information obtained by the nurse is of most concern?

The nurse is listening to a client's abdomen. Which of the following findings indicate a need for a focused abdominal assessment?

The nurse is to promote bowel evacuation in a client with chronic complaints of constipation? Which of the following times should the nurse suggest that the client should attempt defecation?

During change-of-shift report, the nurse receives the following information about a client who is scheduled for a colonoscopy. Which information should be communicated to the health care provider before sending the client for the procedure?

The nurse is obtaining a history from a client who is admitted with jaundice. Which of the following statements is most indicative of a need for client teaching?

Which of the following information obtained by the nurse when admitting a client who is scheduled for an ultrasound of the gallbladder indicates that the ultrasound may need to be rescheduled?

Which of the following assessment findings in a client who is being admitted to the hospital is most important to report to the health care provider?

The nurse is caring for a client who has an obstruction of the common bile duct. Which of the following findings should the nurse monitor in this client?

The nurse is assessing an alert and independent older-adult client in the clinic for malnutrition risk. Which of the following questions is best as the initial assessment question?

The nurse is caring for a client following a needle biopsy of the liver at the bedside. Which of the following actions should the nurse implement?

The health care provider sees a client at 10 A.M. and writes a prescription for endoscopic retrograde cholangiopancreatography (ERCP) as soon as possible. Which of the following actions that are included in the agency protocol for ERCP should the nursetake first?

The nurse is preparing to assess a client's liver. When palpating the liver, which of the following techniques should the nurse implement?

Which of the following actions by a nursing student when caring for a client who has just returned to the nursing unit after an esophagogastroduodenoscopy (EGD) requires that the RN intervene?

The nurse is caring for a client who has a history of a total gastrectomy. Which of the following clinical manifestations should the nurse monitor in the client?

Which of the following information collected by the nurse when caring for a client who has just arrived in the recovery area after an esophagogastroduodenoscopy (EGD) is most important to communicate to the health care provider?

The nurse is caring for a client who has just had a colonoscopy. Which of the following symptoms should alert the nurse that a perforation has occurred? (Select all that apply.)