Chapter 57: Coordinating Care for Patients with Stomach Disorders
Which statement by the patient taking proton pump inhibitors for peptic ulcer disease indicates understanding about the action of this medication?
"This medication suppresses secretion of acid in my stomach."
The nurse correlates which assessment data in the patient diagnosed with early gastric cancer?
Anorexia
The nurse recognizes which patient at greatest risk for the development of gastric cancer?
Asian American male with a history of high alcohol consumption
The nurse provides discharge instructions for a patient who is diagnosed with peptic ulcer disease (PUD). Which patient statement indicates the need for further teaching?
"I can still drink a cup of coffee in the morning."
Which statement by the patient diagnosed with gastritis indicates the need for further teaching?
"I will take aspirin for headaches."
Which principal risk factor does the nurse assess for during the health history in a patient who is suspected of having peptic ulcer disease?
Helicobacter pylori infection
In providing care to the patient admitted for gastritis, which clinical manifestation requires immediate notification of the healthcare provider?
Hematemesis
The nurse monitors for which clinical manifestation in the patient diagnosed with advanced gastriccancer?
Iron-deficiency anemia
In collecting a health history, the nurse correlates which risk factor to the development of pepticulcer disease?
Sarcoidosis
The nurse monitors for which clinical manifestations of gastrointestinal bleeding in the patient hospitalized for complications associated with peptic ulcer disease?
Tarry stools
In completing a history on a patient diagnosed with gastroenteritis caused by Salmonella, which recently ingested food does the nurse recognize as the most likely cause of this diagnosis?
Undercooked eggs
Which diagnostic test does the nurse correlate to the diagnosis of an active infection with Helicobacter pylori for a patient diagnosed with gastritis?
Urea breathing test
The nurse is monitors for which clinical manifestations of perforation in the patient hospitalized for complications associated with peptic ulcer disease?
Absent bowel sounds
The nurse monitors for which assessment data that indicates active bleeding in the patient diagnosed with peptic ulcer disease?
Bright red blood in emesis
Which prescribed medication does the nurse administer to act as a physical barrier to the patient diagnosed with gastritis?
Carafate
The nurse is caring for a patient admitted with severe dehydration secondary to gastroenteritis. Which item on the patient's meal tray does the nurse question?
Coffee
Which assessment finding requires an immediate intervention by the nurse for the patient after surgery for the treatment of gastric cancer?
Diaphoresis
The nurse monitors for which clinical manifestations of obstruction in the patient hospitalized for complications associated with peptic ulcer disease?
Emesis of undigested food
The nurse monitors for which clinical manifestations in the patient diagnosed with acute gastritis?
Epigastric pain
Which food is allowed for the patient diagnosed with gastritis when the diet is advanced to heavier liquids?
Milk
The nurse monitors for which clinical manifestations of organ penetration in the patient who is hospitalized for complications associated with peptic ulcer disease?
Pain in the right arm
The nurse monitors for which pattern of pain in the patient diagnosed with a gastric ulcer?
Pain that is aggravated by eating
The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of peptic ulcer disease. Which medications does the nurse educate this patient about based on this data?
Proton pump inhibitor, amoxicillin, and clarithromycin
The nurse correlates an increased risk of gastroenteritis in the patient taking which medication?
Proton pump inhibitors (PPIs)
The nurse is providing care to a patient who is status post partial gastrectomy for the treatment of gastric carcinoma. Which should the nurse include in the plan of care to decrease the risk of dumping syndrome?
Providing smaller meals at more frequent intervals
