The nurse is teaching a client with a history of upper gastrointestinal bleeding to check his stool for occult blood. Which information provided by the nurse is most accurate?
1. Blood is never obvious in the stool, and must be detected by guaiac testing.
2. Acute bleeding in the upper gastrointestinal tract will result in bright red blood in the stool.
3. If a client is vomiting blood, stools will not be black and tarry.
4. Stools that are black and tarry occur with prolonged bleeding from the stomach or small intestine.
Question 2A client with diarrhea asks what can be eaten that doesn't cause more watery stools. What should the nurse respond to this client?
1. Try the 'BRAT' diet: bouillon soup, rice, applesauce, and tea.
2. Soft-boiled eggs and toast for several days should help.
3.It would be best to give your bowel a rest and not eat anything for 24 hours.
4. You need to talk to the dietician about that.
Question 3A client is recovering from a gastrojejunostomy for treatment of duodenal ulcer. About 20 minutes after lunch, the client develops dizziness, weakness, palpitations, and the urge to defecate.
To avoid recurrence of these symptoms, what should the nurse teach the client?
1. Decrease fluid intake with meals and lie down after meals.
2. Drink fruit juice after each meal.
3. Increase fluid intake with meals and lie down 30 minutes after meals.
4. Eat a high-carbohydrate, low-fat diet in six small feedings a day.
Question 4A client undergoes a gastroduodenostomy for treatment of a perforated ulcer. Postoperatively, the nurse cannot detect bowel sounds, and there is 200 mL of bright red blood in theNG drainage container. What is the most appropriate nursing action?
1. Notify the physician.
2. Irrigate the NG tube.
3. Apply an abdominal binder.
4. Assess the client's pain level.
Quick Reply
