ch 50

Which of the following is (are) (a) risk factor(s) for gastric cancer? (Select all that apply.)

Achlorhydria Chronic atrophic gastritis H. pylori infection Pernicious anemia

A nurse is preparing to administer pantoprazole intravenously to prevent stress ulcers during surgery. What action(s) by the nurse is (are) most appropriate? (Select all that apply.)

Administer the drug through a separate IV line Infuse pantoprazole using an IV pump Use an in-line IV filter when infusing

What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (Select all that apply.)

Administer vitamin B12 injections Ask the primary health care provider about folic acid replacement Provide iron supplements for the client

The nurse recalls that the risk factors for acute gastritis include which of the following? (Select all that apply.)

Alcohol Caffeine Corticosteroids NSAIDs

A client has dumping syndrome. What menu selections indicate the client understands the correct diet to manage this condition? (Select all that apply.) a. Canned unsweetened apricots b. Coffee cake c. Milk shake d. Potato soup e. Steamed broccoli

Apricots Potato soup

The nurse assesses a client who has possible gastritis. Which assessment finding(s) indicate(s) that the client has chronic gastritis? (Select all that apply.)

Intolerance of fatty foods Pernicious anemia

The nurse is caring for a client experience upper GI bleeding. What is the priority action for the client's care?

Maintain airway, breathing, and circulation.

A client has a NG tube as a result of an upper GI hemorrhage. What comfort measure would the nurse remind assistive personnel to provide?

Performing frequent oral care

The nurse caring for clients with gastrointestinal disorders would recall that omeprazole is a drug in which classification?

Proton pump inhibitor

A client has a recurrence of gastric cancer and is in the gastrointestinal clinic crying. What response by the nurse is most appropriate? a. "Do you have family or friends for support?" b. "I'd like to know what you are feeling now." c. "Well, we knew this would probably happen." d. "Would you like me to refer you to hospice?"

B

A client with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. The client's blood pressure when lying down was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate? a. Administer ibuprofen (Motrin). b. Call the Rapid Response Team. c. Start a large-bore IV with normal saline. d. Tell the client to remain lying down.

C

During an interview, the client tells the nurse that the client has a duodenal ulcer. Which assessment finding would the nurse expect?

C

The nurse is caring for a client with a long history of peptic ulcer disease. What assessment findings would the nurse anticipate if the client experiences upper GI bleeding? (Select all that apply.)

Decreased blood pressure Dizziness Hematemesis Decreased urinary output

A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect?

Dumping syndrome

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect for the client to make an accurate diagnosis?

EGD

The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor?

Upper GI bleeding

A client who has peptic ulcer disease is prescribed quadruple drug therapy for Helicobacter pylori infection. What health teaching related to bismuth would the nurse include?

"Do not take aspirin or aspirin products of any kind while on bismuth."

The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?

"I can continue smoking cigarettes which is better than chewing tobacco."

A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be most helpful? a. Arrange a dietary consult. b. Increase fluid intake. c. Limit the client's foods. d. Make the client NPO.

A