NCLEX : Gastrointestinal Condition Follow-Up

Study concepts, example questions & explanations for NCLEX

varsity tutors app store varsity tutors android store

Example Questions

Example Question #52 : Gastrointestinal Conditions

A client with Crohn's disease is asking the nurse how to accomplish a low-residue, low-fiber diet. The nurse will tell the client to avoid:
Possible Answers:
Apples
Cooked potatoes
White bread
Refined pasta
Correct answer: Apples
Explanation: Crohn's disease is an indicator for a low-residue, low-fiber diet. The diet should include foods that are unlikely to obstruct the intestinal tract if narrowed by inflammation or scarring, or if gastrointestinal motility is slowed.

Example Question #53 : Gastrointestinal Conditions

The home health nurse visits the home of a patient who has just been discharged from the hospital after a small bowel resection. Which of the following patient statements concerns the nurse?

Possible Answers:

“I make my sandwiches with white bread and smoked turkey.”

“I have stopped drinking coffee every day.”

“I enjoy eating corn bread with my dinner.”

“I limit the amount of milk I drink to one glass each day with breakfast.”

“I drink a lot of apple juice.”

Correct answer:

“I enjoy eating corn bread with my dinner.”

Explanation:

Patients recovering from lower bowel surgery, such as small bowel resection, must adhere to a low-residue diet to minimize intestinal activity. A low-residue diet includes white breads, cereals, and pastas, well-cooked vegetables without skins, fresh fruits without peels or seeds, tender and well-cooked meats, limited dairy, meat broths and strained soups, and clear juices. The patient must avoid high-residue foods, including whole-grain breads such as corn bread, strong cheeses and yogurt, raw vegetables, dried fruits or legumes, juices with pulp, coffee or other caffeinated beverages, popcorn, nuts, and seeds.

Example Question #54 : Gastrointestinal Conditions

Which of these is a proper lifestyle change to fight gastroesophageal reflux disease (GERD)?

Possible Answers:

Cessation of soda intake

Eating acidic foods

Eating meals less than one hour before bedtime

Decreasing fluid intake

Increasing spicy food intake

Correct answer:

Cessation of soda intake

Explanation:

Soda intake exacerbates symptoms of GERD. Along with this, individuals should wear loose clothing, exercise regularly, drink plenty of fluids, avoid eating within 1-2 hours of bed time, and avoid spicy and acidic foods. 

Example Question #55 : Gastrointestinal Conditions

A nurse is counseling a 60 year old woman who recently found out that she has chronic hepatitis C. She is not sure how she became infected, though she does state that she had a blood transfusion in 1989 due to postpartum hemorrhage. She is concerned about the stigma of the disease and wonders how common it is in the United States. The nurse informs her of which of the following?

Possible Answers:

Hepatitis C is a rare infection: there are currently approximately 30,000 people in the United States living with this disease.

Hepatitis C is the third most common chronic blood-borne infection in the US. Two million Americans have had or are currently infected with the virus.

Hepatitis C is not particularly common: approximately 300,000 people in the United States have a current or past infection with the virus.

Hepatitis C is the most common chronic blood-borne infection in the US. 3.9 million Americans have had or are currently infected with the virus.

Correct answer:

Hepatitis C is the most common chronic blood-borne infection in the US. 3.9 million Americans have had or are currently infected with the virus.

Explanation:

Hepatitis C is the most common chronic blood-borne infection in the US. Approximately 3.9 million Americans have antibodies against the virus. Of those, approximately 70% (2.7 million) have chronic hepatitis C infections.

Learning Tools by Varsity Tutors

Incompatible Browser

Please upgrade or download one of the following browsers to use Instant Tutoring: