A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

"An endoscopy involves inserting a small camera into your throat to examine your esophagus."

"During the endoscopy, a scope will be inserted through your rectum to visualize your lower gastrointestinal tract."

"An endoscopy is a non-invasive procedure that uses sound waves to create images of your abdominal organs."

"A flexible tube with a camera on the end will be inserted through your mouth to examine your stomach and duodenum."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement describes an esophagoscopy, not an endoscopy. An endoscopy examines the upper gastrointestinal tract, including the stomach and duodenum.

Choice B reason:

This statement describes a colonoscopy, not an endoscopy. An endoscopy does not involve the lower gastrointestinal tract.

Choice C reason:

This statement describes an ultrasound, not an endoscopy. An endoscopy is a direct visualization procedure.

Choice D reason:

This statement is correct. An endoscopy involves inserting a flexible tube (endoscope) with a camera on the end through the mouth to examine the stomach and duodenum. It is a commonly used procedure to assess and diagnose peptic ulcer disease.

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Correct Answer is B

Explanation

Choice A reason:

Visualizing blood flow in the liver is not the purpose of a HIDA scan. This type of scan is primarily used to assess the biliary system.

Choice B reason:

This statement is correct. A HIDA scan is used to assess the function and patency of the bile ducts. It involves injecting a radioactive tracer that is taken up by the liver and excreted into the bile. The scan can visualize the flow of bile and detect any obstruction or abnormality in the biliary system.

Choice C reason:

Evaluating the motility of the small intestine is not the purpose of a HIDA scan. It is used specifically for assessing the biliary system.

Choice D reason:

Providing detailed images of the pancreas is not the primary purpose of a HIDA scan, although it can sometimes provide some information about the pancreas if the tracer reaches the duodenum and enters the common bile duct.

A. Hypertension and increased heart rate B. Abdominal distention and bloating C. Melena (black, tarry stools) D. Hyperactive bowel sounds

Correct Answer is C

Explanation

Choice A reason:

Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.

Choice B reason:

Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.

Choice C reason:

This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.

Choice D reason:

Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.

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A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Correct Answer is C

Explanation

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?