Question

A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of colitis can result from anemia?

Answer 1

Correct Answers:

Chronic blood loss

Rationale :

💎 Chronic ulcerative colitis causes recurrent inflammation and ulceration of the colon, leading to bleeding from the intestinal mucosa.

💎 Over time, this persistent blood loss can result in iron-deficiency anemia, as red blood cells and iron stores are continuously depleted.

💎 The anemia typically presents with fatigue, pallor, and weakness due to reduced oxygen-carrying capacity.

💎 Dietary restriction or parasites are not typical causes of anemia in ulcerative colitis, and malabsorption is less likely since the small intestine (primary site of absorption) is not affected.

💎 Management includes iron supplementation and control of colitis flares to minimize bleeding.

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Answer 2

Correct Answers:

"Due to the increased weight in the abdomen, it is advised that you do not wear undergarments as they Will not fit."

Rationale :

💎 Ascites causes a large accumulation of fluid in the abdominal cavity, resulting in abdominal distention and a shift in the client’s center of gravity.

💎 This shift makes balance and mobility difficult, greatly increasing the risk of falls, especially in older adults.

💎 Reinforcing safety precautions—such as walking slowly, using assistive devices, and avoiding sudden position changes—is essential to prevent injury.

💎 Clients with ascites may also experience shortness of breath and fatigue, making slow, careful movement even more important.

💎 The other statements are inappropriate or inaccurate because undergarments, exercise, and extra pillows do not address the main safety risk associated with ascites.

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Answer 3

Correct Answers:

"They are going to examine my gallbladder and ducts."

Rationale :

💎 Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic and sometimes therapeutic procedure used to visualize and treat conditions of the bile ducts, gallbladder, and pancreatic ducts.

💎 It involves passing an endoscope through the mouth, esophagus, and stomach into the duodenum, where dye is injected into the biliary and pancreatic ducts for imaging via fluoroscopy.

💎 The main goal is to examine, remove stones, or place stents if there’s obstruction from gallstones or strictures.

💎 The procedure does not use shock waves (that’s lithotripsy) or dissolve stones with medication.

💎 Understanding the purpose helps reduce anxiety and ensures the client’s informed participation in care.

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Answer 4

Correct Answers:

Baked turkey breast

Rationale :

🟢 GERD (Gastroesophageal Reflux Disease) requires avoiding foods that relax the lower esophageal sphincter or increase gastric acid production.

🟢 Baked turkey breast is a lean protein that is low in fat and non-acidic, making it ideal for preventing reflux symptoms.

🟢 Foods like lemon pepper fish and spaghetti with red sauce are acidic and can worsen heartburn.

🟢 Corned beef brisket is high in fat and salt, which can delay gastric emptying and trigger reflux.

🟢 Choosing baked, non-spicy, and low-fat options helps minimize irritation of the esophagus.

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Answer 5

Correct Answers:

Limit drinking milk.

Rationale :

💎 In acute gastritis, the stomach lining is inflamed, and substances that stimulate acid production—such as milk—should be limited.

💎 Although milk may give temporary relief, it actually increases gastric acid secretion later, worsening symptoms.

💎 Clients should also avoid irritants like alcohol, caffeine, and spicy foods to allow the stomach mucosa to heal.

💎 NSAIDs are contraindicated because they can further irritate and damage the gastric lining.

💎 Proper management includes a bland diet, small frequent meals, and possibly antacids or proton pump inhibitors as prescribed.

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Answer 6

Correct Answers:

"Avoid foods that have been fried."

Rationale :

💎 Fried and fatty foods can increase gastric acid secretion and delay stomach emptying, which may irritate the stomach lining and worsen or increase the risk of peptic ulcer formation.

💎 A diet that is low in fat and non-irritating helps protect the gastric mucosa and reduces discomfort.

💎 Other key preventive measures include avoiding NSAIDs, alcohol, caffeine, and smoking, all of which can damage the mucosal barrier.

💎 Hormone therapy and decongestants are not known causes of peptic ulcers, and undercooked food relates more to infection risk, not ulcer formation.

💎 Reinforcing healthy eating habits supports gastric healing and prevention of further irritation or ulceration.

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Answer 7

Correct Answers:

Cease from smoking and co ming alcohol.

Rationale :

💎 Alcohol and smoking are two major contributors to pancreatic inflammation and recurrence of pancreatitis.

💎 Alcohol stimulates the pancreas to release digestive enzymes prematurely, while smoking increases oxidative stress and inflammation in pancreatic tissue.

💎 Long-term continuation of either habit can lead to chronic pancreatitis, pancreatic insufficiency, or even pancreatic cancer.

💎 Lifestyle modification—including a low-fat diet, stress management, and hydration—is key to preventing further attacks.

💎 Avoiding these substances supports pancreatic healing and overall gastrointestinal health.

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Answer 8

Correct Answers:

Albumin

Rationale :

🟡 Albumin is a protein synthesized by the liver, and its level reflects liver function and protein synthesis capacity.

🟡 In liver disease, albumin levels decrease because damaged hepatocytes cannot produce adequate amounts.

🟡 Low albumin contributes to edema and ascites, as reduced oncotic pressure allows fluid to leak into tissues.

🟡 D-dimer, ESR, and CRP are markers of inflammation or clotting disorders, not specific indicators of hepatic function.

🟡 Testing albumin helps evaluate nutritional status, liver function, and disease progression in hepatic conditions.

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Answer 9

Correct Answers:

"This means that scar tissue formed from the healing of a past abdominal surgery is now constricting the opening in your intestine.”

Rationale :

💎 This response provides a clear, factual, and therapeutic explanation that directly answers the client’s question in understandable terms.

💎 Adhesions are bands of fibrous scar tissue that can develop after abdominal surgery or inflammation, and they may bind intestinal loops together, leading to bowel obstruction.

💎 Giving accurate information helps reduce anxiety and promotes trust and understanding between the nurse and client.

💎 The other options dismiss or delay the client’s concerns and fail to provide meaningful clarification.

💎 Effective client teaching should always include simple, honest explanations appropriate to the client’s emotional state and knowledge level.

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Answer 10

Correct Answers:

“I don't have pain in my stomach anymore."

Rationale :

💎 Esomeprazole is a proton pump inhibitor (PPI) that works by reducing gastric acid secretion in the stomach.

💎 It is prescribed for conditions like GERD, peptic ulcer disease, and gastritis, where excess acid causes pain or discomfort.

💎 The client’s report of relief from stomach pain indicates that the medication is effectively controlling acid production and healing the mucosa.

💎 The other statements relate to unrelated conditions (e.g., fungal infections, arthritis, or bowel regulation) and do not reflect the therapeutic goal of esomeprazole.

💎 Continuous relief from epigastric pain confirms the desired therapeutic outcome of this medication.

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Custom PNSG1615 Adult Health II GI Fall 2025

No.

1 :
A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of colitis can result from anemia?

2 :
A nurse is caring for an older adult client who has significant issues with ascites related to end-stage liver disease. Which of the following precautions is important for the nurse to reinforce when teaching the client?

3 :
A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

4 :
A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

5 :
A nurse is reinforcing discharge teaching with a client who has acute gastritis. Which Of the following instructions should the nurse include in the teaching?

6 :
A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following reinforcements by the nurse will help the client decrease their risk of developing a peptic ulcer?

7 :
A nurse is reinforcing teaching with a client who is being discharged after treatment for acute pancreatitis. Which of the following statements is important to include in the information?

8 :
A nurse is collecting data from a client's laboratory results. Which of the following lab values is usually tested with a new-onset diagnosis of liver disease?

10 :
A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

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Custom PNSG1615 Adult Health II GI Fall 2025

No.

1 : A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of colitis can result from anemia?

2 : A nurse is caring for an older adult client who has significant issues with ascites related to end-stage liver disease. Which of the following precautions is important for the nurse to reinforce when teaching the client?

3 : A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

4 : A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

5 : A nurse is reinforcing discharge teaching with a client who has acute gastritis. Which Of the following instructions should the nurse include in the teaching?

6 : A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following reinforcements by the nurse will help the client decrease their risk of developing a peptic ulcer?

7 : A nurse is reinforcing teaching with a client who is being discharged after treatment for acute pancreatitis. Which of the following statements is important to include in the information?

8 : A nurse is collecting data from a client's laboratory results. Which of the following lab values is usually tested with a new-onset diagnosis of liver disease?

10 : A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

1 :
A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of colitis can result from anemia?

2 :
A nurse is caring for an older adult client who has significant issues with ascites related to end-stage liver disease. Which of the following precautions is important for the nurse to reinforce when teaching the client?

3 :
A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

4 :
A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?

5 :
A nurse is reinforcing discharge teaching with a client who has acute gastritis. Which Of the following instructions should the nurse include in the teaching?

6 :
A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following reinforcements by the nurse will help the client decrease their risk of developing a peptic ulcer?

7 :
A nurse is reinforcing teaching with a client who is being discharged after treatment for acute pancreatitis. Which of the following statements is important to include in the information?

8 :
A nurse is collecting data from a client's laboratory results. Which of the following lab values is usually tested with a new-onset diagnosis of liver disease?

10 :
A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?