Deck 28: Assessment of Nutrition and the Digestive System

Question 1

When preparing a client for gastric analysis, the nurse should plan for

A) antacid administration.
B) fluoroscopic examination.
C) frequent expectoration for samples.
D) nasogastric tube insertion.

Answer 1

antacid administration.

Question 2

A client is having an abdominal ultrasound and wonders why the physician did not order a CT scan or MRI. The nurse's best explanation for the choice of procedure is

A) "An ultrasound is far less expensive than CT or MRI."
B) "There is less need for dye contrast and fewer complications."
C) "Ultrasounds can be done more quickly and are best for screening."
D) "You can correlate physical and ultrasound findings during the exam."

Answer 2

"You can correlate physical and ultrasound findings during the exam."

Question 3

For a client taking a histamine H? blocker to reduce clinical manifestations of gastritis, the nurse would clarify that the client is at risk for a possible deficiency of vitamin

A) A.
B) B12.
C) C.
D) D.

Answer 3

B12.

Question 4

The nurse is assessing a client who describes "stomach discomfort." The most appropriate sequence for conducting the physical examination of the abdomen is

A) auscultation, percussion, palpation, inspection.
B) inspection, auscultation, percussion, palpation.
C) inspection, palpation, percussion, auscultation.
D) palpation, percussion, auscultation, inspection.

Question 5

A nurse is assessing a client who complains of aching abdominal pain. To correctly assess this client, the nurse would

A) defer palpation altogether.
B) give pain medication before starting.
C) palpate the nonpainful areas first.
D) percuss the abdomen before ausculating.

Question 6

The nurse conducting a physical assessment on a client with ascorbic acid (vitamin C) deficiency would assess that the clinical manifestation associated with this problem is

A) bumpy or scaly skin.
B) ecchymotic skin lesions.
C) extremity edema.
D) muscle tetany.

Question 7

A client has the following lab results. Which would alert the nurse to a possible nutrition problem?

A) Albumin 5.0 g/dl
B) Pre-albumin 12 mg/dl
C) Retinol-binding protein 5 mg/dl
D) Transferrin 200 mg/dl

Question 8

A client who had a barium swallow 4 days earlier calls the nurse in the GI clinic to ask, "Is there anything I can do about my constipation? I have not had a bowel movement since the x-ray, and my stomach is so big that I look pregnant." The most appropriate response for the nurse to make is

A) "Do you normally have more frequent bowel movements?"
B) "Increase fluids in your diet to 10 glasses of water a day."
C) "Take a strong laxative immediately."
D) "You need to be examined in the clinic today."

Question 9

Before determining the absence of bowel sounds, the nurse must auscultate the abdomen for

A) 1 minute.
B) 5 minutes.
C) 10 minutes.
D) 20 minutes.

Question 10

The nurse assessing clients for nutritional status is aware that a client would need a more in-depth analysis when the client complains of frequent nutrition-related manifestations, including (Select all that apply)

A) abdominal pain.
B) changes in weight or appetite.
C) diarrhea.
D) indigestion.
E) nausea and vomiting.

Question 11

The nurse is assessing the abdomen of an obese 67-year-old client who is admitted to the emergency department. The finding noted during the abdominal examination that requires further assessment is

A) flat appearance below the umbilicus.
B) rounded abdominal contour.
C) umbilicus that is concave.
D) visible peristalsis.

Question 12

The amount of calories and protein that a client weighing 185 pounds would require is at least

A) 1575 calories and 53 g of protein.
B) 2394 calories and 62 g of protein.
C) 2520 calories and 67 g of protein.
D) 2743 calories and 73 g of protein.

Question 13

For a client having all the following GI tests, which test should the nurse schedule last?

A) Barium swallow
B) Computed tomography scan
C) Flat plate of abdomen
D) Ultrasound

Question 14

When the nurse measures waist-to-hip ratio and calculates the midarm muscle circumference (MAMC), the nurse is assessing

A) overall muscle strength and density compared to fat stores.
B) proportion and distribution of muscle mass and body fat.
C) reserves of protein and calories stores in the muscle.
D) the size of the body frame related to body weight.

Question 15

A client has been admitted with a diagnosis of primary starvation. The nurse explains to the family that this means the client

A) has a possible problem with the GI tract.
B) has not been eating enough calories and other nutrients.
C) is not eating, absorbing, or using micronutrients.
D) is over-excreting specific nutrients.

Question 16

The nurse administers an anticholinergic drug to a client scheduled for an endoscopy in order to provide

A) decreased secretions.
B) increased peristalsis.
C) muscle relaxation.
D) sedation.

Question 17

A hospitalized client has lost several pounds in the last week. The nurse reviews the client's lab results understanding that which test is the best indicator of acute nutritional changes?

A) Albumin level
B) Pre-albumin level
C) RBC count
D) Total protein level

Question 18

In collecting a 24-hour urine specimen to determine nitrogen balance for a client, the nurse would

A) conduct the urine collection before a 24-hour food record.
B) correct the results by multiplying by 0.13 for clients with renal disease.
C) instruct the client on foods to eat containing specified amounts of protein.
D) start the urine collection at the same time a 24-hour food record starts.