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Chapter 40 prepU questions
Chapter 40 prepU questions
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1
The most common site for peptic ulcer formation is the pylorus.
False
True
2
A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease.
Nizatidine
Omeprazole
Cimetidine
Famotidine
3
A HCP suspects that pt has peptic ulcer disease. With which diagnostic procedure would nurse most likely prepare2assist?
Stool antigen test
Gastric secretion study
Barium study of the upper gastrointestinal tract
Endoscopy
4
Pt is scheduled4A Billroth I procedure4ulcer management. WhatDoes nurse UnderstandWillOccurWhenThisProcedureIsPerformed?
PartialGastrectomyIsPerformed w/anastomosisOfTheStomach segment2theDuodenum
The antral portion of the stomach is removed and a vagotomy is performed.
The vagus nerve is cut and gastric drainage is established.
A sectioned portion of the stomach is joined to the jejunum.
5
A nurse is providing care for a client recovering from gastric bypass surgery.
Vasomotor symptoms associated with dumping syndrome
Peritonitis
Dehiscence of the surgical wound
A normal reaction to surgery
6
Pt is prescribed a histamine (H2)-receptor antagonist. Nurse understands that this might include which med(s)?
Melatonin
Nizatidine
Cimetidine
Famotidine
Lansoprazole
Esomeprazole
7
OnTheBasisOfKnowledgeOfDiseaseProgression,NurseAssumesThatOrgansAdjacent2StomachRalso affected.WhichOrgansMayBeAffected?
Duodenum
Bladder
Lungs
Pancreas
Liver
8
Pt comes to the clinic after developing a headache, abdominal pain, nausea, hiccupping, and fatigue about 2 hours ago...
Gastric cancer
Duodenal ulcer
Gastric ulcer
Acute gastritis
9
Pt w/peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this pt?
Take the medication at bedtime to accommodate sedative effects
Take the medication 2 hours before or after other medications
Ensure adequate potassium intake during therapy
Blood levels will be evaluated after 1 week
10
During a home visit nurse notes that pt recovering from peptic ulcer disease is experiencing cool clammy skin&has HR96
Encourage the client to drink a warm beverage.
Notify the primary health care provider.
Provide a dose of a proton pump inhibitor.
Discuss the types of foods the client has been eating.
11
Nurse determines that teaching 4 the pt/w peptic ulcer disease has been effective when the client makes which statement?
"I should continue my treatment regimen as long as I have pain."
"I have learned some relaxation strategies that decrease my stress."
"I can buy whatever antacids are on sale bc they all have the same effect."
"I should stop all my medications if I develop any side effects."
12
NurseIsAssessingPt w/an ulcer 4 signs&symptomsOf hemorrhage.NurseInterpretsWhichConditionAs a S/S isPossible hemorrhage?
Hematemesis
Hypertension
Polyuria
Bradycardia
13
Which medication is classified as a histamine-2 receptor antagonist?
Famotidine
Esomeprazole
Lansoprazole
Metronidazole
14
Which statement by the client indicates the best understanding of the medication regimen?
"I should take these medications only when I have pain from my ulcer."
"The medications will kill the bacteria and stop the acid production.
"My ulcer will heal because these medications will kill the bacteria."
"These meds will coat the ulcer&decreaseThe acid production in my stomach."
15
Which of the following is considered an early symptom of gastric cancer?
Pain relieved by antacids
Bloating after meals
Dyspepsia
Weight loss
16
NurseIsTeachingA GroupOfMiddle-aged men ab pepticUlcers. When discussing risk factors4pepticUlcers,Nurse should mention:
Alcohol abuse and smoking.
A sedentary lifestyle and smoking.
Alcohol abuse and a history of acute renal failure.
A history of hemorrhoids and smoking.
17
The nurse recognizes that the client diagnosed with a duodenal ulcer will likely experience:
Hemorrhage.
Vomiting.
Pain 2 to 3 hours after a meal.
Weight loss.
18
The nurse is conducting a community education class on gastritis...
Peptic ulcers
Pernicious anemia
Colostomy
Systemic infection
19
NurseIsPerformingDischargeTeaching w/pt whoHad a total gastrectomy. Which statement indicates the need4further teaching?
"I'm going to visit my pastor weekly for a while."
"I will have to take vitamin B12 shots up to 1 year after surgery."
"I will weight myself each day and record the weight."
"I will call my physician if I begin to have abdominal pain."
20
Pt is admitted 2The HC facility w/a dx of a bleeding gastric ulcer.The nurse expects pt's stools 2HaveWhich description?
Black and tarry
Bright red
Clay-colored
Coffee-ground-like
21
Nurse in the ED admits pt w/suspected gastric outlet obstruction. The pt’s symptoms include nausea&vomiting...
Stool specimen
Pelvic x-ray
Oral contrast
Nasogastric tube insertion
22
PtTakingMetronidazole4 the tx of H. pylori StatesThatMedIsCausing nausea.WhatTeachingShouldNurseProvide2AlleviateNausea?
Crush the medication and put it in applesauce.
Take the medication with meals to decrease the nausea.
Ask the healthcare provider to prescribe another type of antibiotic.
Discontinue the use of the medication.
23
Which medication classification represents a proton (gastric acid) pump inhibitor?
Famotidine
Metronidazole
Sucralfate
Omeprazole
24
A client is recovering from gastric surgery. Toward what goal should the nurse progress the client’s enteral intake?
Three meals and three snacks and 120 mL fluid daily
Six small meals and 120 mL fluid daily
Six small meals daily with 120 mL fluid between meals
Three meals and 120 ml fluid daily
25
Pt is admitted w/a new onset of pyloric obstruction. What pt symptoms should nurse anticipate?Select all that apply...
Diarrhea
Epigastric fullness
Weight loss
Nausea and vomiting
Anorexia
26
Pt dx w/a peptic ulcer says, “Now I haveSomethingElse I Have2Worry ab.”WhichActionsWillNurseTake2HelpReducePt’s anxiety?
Offer information about relaxation methods.
Discuss potential coping techniques with the client.
Inform the client the medication will solve the problem.
Help identify the client’s current stressors.
Interact with the client in a relaxed manner.
27
A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative.
Pyloric obstruction
Penetration
Hemorrhage
Perforation
28
Which is a true statement regarding gastric cancer?
Most clients are asymptomatic during the early stage of the disease.
The prognosis for gastric cancer is good.
Most cases are discovered before metastasis.
Women have a higher incidence of gastric cancer.
29
Pt sustained 2nd-&3rd-degree burns over 30% of the body surface area approx 72hr ago.WhatTypeOfUlcerShouldNurseBeAlert4?
Esophageal ulcer
Meckel’s ulcer
Curling’s ulcer
Peptic ulcer
30
What is the duration of treatment for proton pump inhibitors in a patient diagnosed with peptic ulcer disease?
4-8 weeks
1-2 weeks
At least 2 years based on risk factors
7 days
31
A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would the nurse give the client?
"Be sure to wear sunscreen while taking this medicine."
"Do not drive when taking this medication."
"Take the medication with milk."
"You will not experience GI upset while taking this medication."
32
The nurse is creating a discharge plan of care for a client with a peptic ulcer. The nurse tells the client to avoid
Acetaminophen
Skim milk.
Octreotide.
Decaffeinated coffee.
33
Clients with Type O blood are at higher risk for which of the following GI disorders?
Diverticulitis
Duodenal ulcers
Gastric cancer
Esophageal varices
34
A client with peptic ulcer disease must begin triple medication therapy. 4 how long will the client follow this regimen?
10 to 14 days
7 to 9 days
15 to 20 days
4 to 6 days
35
The nurse advises the patient who has just been diagnosed with acute gastritis to:
Refrain from food until the GI symptoms subside.
Restrict food and fluids for 12 hours.
Restrict all food for 72 hours to rest the stomach.
Take an emetic to rid the stomach of the irritating products.
36
Nursing student is caring 4A pt w/gastritis. Which of the following wouldStudentRecognizeAs a common cause of gastritis?
Irritating foods
Participation in highly competitive sports
DASH diet
Overuse of aspirin
Ingestion of strong acids
37
Pt received dx ofGastricCancer&is awaitingSurgicalDate.During preoperative period, pt should adoptWhatDietaryGuidelines?
Try to maintain the pre-diagnosis pattern of eating.
Eat small, frequent meals with high calorie and vitamin content.
Eat frequent, low-fat meals with high protein content.
Eat frequent meals with an equal balance of fat, carbohydrates, & protein.
38
A client has been taking famotidine at home. What teaching should the nurse include with the client?
Famotidine will shorten the time required for digestion in the stomach.
Famotidine will inhibit gastric acid secretions.
Famotidine will neutralize acid in the stomach.
Famotidine will improve the mixing of foods and gastric secretions.
39
Nurse is caring 4A pt who has developed dumping syndrome while recovering from a gastrectomy. What rec should NurseMake?
Eat several small meals daily spaced at equal intervals.
Choose foods that are high in simple carbohydrates.
Drink a minimum of 12 ounces of fluid with each meal.
Sit upright when eating and for 30 minutes afterward.
40
NurseIsPreparingAteaching tool ab delayedReleaseProtonPump inhibitorsUsed2treatDuodenalUlcerDiseaseCausedByH. pylori...
May cause diarrhea and hyperglycemia
The medication is to be swallowed whole and taken before meals
Interferes with the metabolism of digoxin, iron, and warfarin
Abdominal pain and abnormal liver function tests are expected effects
41
Nurse is evaluating pt’s ulcer symptoms 2 differentiate ulcer as duodenal or gastric...
Votmiting
Hemorrhage
Constipation
Awakening in pain
42
Older adults with gastric cancer may have no gastric symptoms.
True
False
43
What should the nurse educate the client about regarding this event?
Dumping syndrome
Bile reflux
Celiac disease
Gastric outlet obstruction
44
A client is preparing for discharge to home following a partial gastrectomy and vagotomy...
Slows gastric emptying
Provides much needed rest
Removes tension on internal suture line
Allows for better absorption of vitamin B12
45
A nurse is caring 4A pt who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise pt 2:
Restrict fluid intake to 1 qt (1,000 ml)/day.
Drink liquids only with meals.
Drink liquids only between meals.
Don't drink liquids 2 hours before meals.
46
Pt w/gastricUlcersCausedByH. pylori is prescribedMetronidazole. WhichPtStatementIndicates2NurseThatTeachingWasEffective?
“It might cause a metallic taste in my mouth.”
“My appetite may increase while taking this medication.”
“I can have an alcoholic drink in the evenings.”
“I can take this medication with my blood thinner.”
47
A client is newly diagnosed with a gastric outlet obstruction. Which topic will the nurse include in client education?
Weight gain management options
Management of constipation
Surgical management options
Management of right lower quadrant pain
48
A client is newly diagnosed with stomach cancer. The nurse will plan to provide the client education on which treatment?
Radiation
Chemotherapy
Intermittent monitoring
Surgery
49
Which ulcer is associated with extensive burn injury?
Peptic ulcer
Duodenal ulcer
Curling ulcer
Cushing ulcer
