chapter 40- prepu

B

The nurse is evaluating a client's ulcer symptoms to differentiate ulcer as duodenal or gastric. Which symptom should the nurse at attribute to a duodenal ulcer? A. Hemorrhage B. Awakening in pain C. Vomiting D. Constipation

C

The nurse is preparing a teaching tool about delayed release proton pump inhibitors used to treat duodenal ulcer disease caused by H. pylori. Which statement will the nurse include that would apply to most types of proton pump inhibitor prescribed to treat this condition? A. May cause diarrhea and hyperglycemia B. Interferes with the metabolism of digoxin, iron, and warfarin C. The medication is to be swallowed whole and taken before meals D. Abdominal pain and abnormal liver function tests are expected effects

C

Which medication is classified as a histamine-2 receptor antagonist? A. Metronidazole B. Esomeprazole C. Famotidine D. Lansoprazole

C

Which ulcer is associated with extensive burn injury? A. Cushing ulcer B. Duodenal ulcer C. Curling ulcer D. Peptic ulcer

D

A client comes to the clinic after developing a headache, abdominal pain, nausea, hiccupping, and fatigue about 2 hours ago. The client tells the nurse that the last food was buffalo chicken wings and beer. Which medical condition does the nurse find to be most consistent with the client's presenting problems? A. Duodenal ulcer B. Gastric cancer C. Gastric ulcer D. Acute gastritis

D

A health care provider suspects that a client has peptic ulcer disease. With which diagnostic procedure would the nurse most likely prepare to assist? A. Stool antigen test B. Barium study of the upper gastrointestinal tract C. Gastric secretion study D. Endoscopy

B

A client being treated for a peptic ulcer seeks medical attention for vomiting blood. Which statement indicates to the nurse the reason for the client developing hematemesis? A. "I felt better but then just got really nauseated and threw up." B. "The pain stopped so I stopped taking the medications." C. "I think the soda that I drank irritated my stomach." D. "I only ate dinner yesterday and it gave me an upset stomach.

C

A client is recovering from gastric surgery. What is the correct position for the nurse to place this client? A. Trendelenburg B. Supine C. Fowlers D. Semi-Fowler's

B

A client sustained second- and third-degree burns over 30% of the body surface area approximately 72 hours ago. What type of ulcer should the nurse be alert for while caring for this client? A. Meckel's ulcer B. Curling's ulcer C. Peptic ulcer D. Esophageal ulcer

A

Rebleeding may occur from a peptic ulcer and often warrants surgical interventions. Signs of bleeding include which of the following? A. Mental confusion B. Hypertension C. Bradycardia D. Bradypnea

D

The nurse advises the patient who has just been diagnosed with acute gastritis to: A. Restrict all food for 72 hours to rest the stomach. B. Restrict food and fluids for 12 hours. C. Take an emetic to rid the stomach of the irritating products. D. Refrain from food until the Gl symptoms subside.

A

A client with an H. pylori infection asks why bismuth subsalicylate is prescribed. Which response will the nurse make? A. "It aids in the healing of the stomach lining." B. "It helps propel food from the stomach into the duodenum." C. "It improves digestion in the stomach." D. "It enhances the function of the pyloric sphincter."

C

A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client? A. Take the medication at bedtime to accommodate sedative effects B. Ensure adequate potassium intake during therapy C. Take the medication 2 hours before or after other medications D. Blood levels will be evaluated after 1 week

A

The nursing student approaches his instructor to discuss the plan of care for his client diagnosed with peptic ulcer disease. The student asks what is the most common site for peptic ulcer formation? The instructor would state which one of the following? A. Duodenum B. Pylorus C. Stomach D. Esophagus

D

The nurse is providing preoperative care for a client with gastric cancer who is having a resection. What is the nursing management priority for this client? A. Preventing deep vein thrombosis (DVT) B. Discharge planning C. Teaching about radiation treatment D. Correcting nutritional deficits