Gastrointestinal NCLEX | Nurselytic

Questions 61

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Gastrointestinal NCLEX Questions

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Question 1 of 5

The client being admitted from the emergency department is diagnosed with a fecal impaction. Which nursing intervention should be implemented?

Correct Answer: C

Rationale: An oil retention enema softens and facilitates removal of impacted stool. Antidiarrheals are contraindicated, bowel training is long-term, and UGI is irrelevant.

Question 2 of 5

The nurse is preparing a client with Crohn's disease for discharge. Which of the following statements indicates that he needs further teaching?

Correct Answer: B

Rationale: Crohn’s disease increases the risk of colon cancer, so the statement indicates a need for further teaching. The other statements are correct.

Question 3 of 5

Following a hemorrhoidectomy, the nurse assesses the client's voiding. What is the reason for this concern?

Correct Answer: B

Rationale: Urinary retention is common post-hemorrhoidectomy due to pain and swelling affecting pelvic nerves.

Question 4 of 5

The client is diagnosed with Crohn's disease, also known as regional enteritis. Which statement by the client supports this diagnosis?

Correct Answer: C

Rationale: Crohn's disease often causes alternating diarrhea and constipation due to inflammation and strictures throughout the GI tract. Pain relief after bowel movements is less specific, bright red blood is more typical of ulcerative colitis, and a rigid abdomen suggests complications.

Question 5 of 5

During a clinic visit the client provides all of the following health history information. Which client statement should be most concerning to the nurse because it could describe a symptom of esophageal cancer?

Correct Answer: B

Rationale: A. Indigestion is not a symptom of esophageal cancer. B. Progressive dysphagia is the most common symptom associated with esophageal cancer, and it is initially experienced when eating meat. It is often described as a feeling that food is not passing. C. Chest pain is not a symptom of esophageal cancer. D. Weight loss rather than gain is a symptom of esophageal cancer.

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