Chapter 47: Management of Patients With Gastric and Duodenal Disorders

Which of the following represents the medication classification of a proton (gastric acid) pump inhibitor?

Omeprazole (Prilosec)

Peptic ulcer disease occurs more frequently in people with which blood type

o

The nurse recognizes that the patient diagnosed with a duodenal ulcer will likely experience

pain 2 to 3 hours after a meal.

A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?

10-14 days

A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:

drink liquids only between meals

Which of the following is the most successful treatment for gastric cancer?

removal of the tumor

A client is admitted to the hospital with an exacerbation of his chronic gastritis. When assessing his nutritional status, the nurse should expect a deficiency in:

B12

The nurse is assessing a patient with an ulcer for signs and symptoms of hemorrhage. The nurse interprets which of the following as a sign/symptom of possible hemorrhage?

Hematemesis

Which of the following dietary guidelines should be followed following bariatric surgery? Select all that apply.

Include two protein snacks per day. • Eat slowly. • Eat three meals per day.

When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain to his right shoulder. The intial appropriate action by the nurse is to

assess client abdomen and vital signs

A nursing student is caring for a client with gastritis. Which of the following would the student recognize as a common cause of gastritis? Choose all that apply.

irritating foods, asprin overuse, ingestion of strong acids

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:

alc abuse and smoking

Which of the following surgical procedures for obesity utilizes a prosthetic device to restrict oral intake?

gastric banding

A client with acute gastritis asks the nurse what might have caused the problem. Which of the following are possible causes?

radiation therapy, fruit juices, alc intake

A nurse is providing care for a client recovering from gastric bypass surgery. During assessment, the client exhibits pallor, perspiration, palpitations, headache, and feelings of warmth, dizziness, and drowsiness. The client reports eating 90 minutes ago. The nurse suspects:

vasomotor symptoms associated with dumping syndrome

A client is prescribed tetracycline to treat peptic ulcer disease. Which of the following instructions would the nurse give the client?

wear sunscreen