EAQ: GI

the nurse is giving a patient instructions regarding the management of gastroesophageal reflux disease (GERD). which statement indicates that further teaching is required?

"I can have warm milk at bedtime, just not chocolate milk."

the nurse is teaching an older patient about treatment and management of peptic ulcer disease. which statement made by the patient indicates the need for further teaching?

"I should take NSAIDs with food, milk, or antacids"

a patient with a peptic ulcer begins vomiting. the nurse would expect and be concerned with which type of vomitus?

"coffee ground"

the results of a patient's recent endoscopy indicate the presence of peptic ulcer disease (PUD). which teaching point should the nurse provide to the patient based on this new diagnosis?

"it would likely be beneficial for you to eliminate drinking alchohol"

the nurse is completing a health history on a patient diagnosed with peptic ulcer disease. which questions are appropriate while assessing the patient's cognitive-perceptual pattern? select all that apply.

-"do you experience any nocturnal pain?" -"do you experience high epigastric pain one to two hours after eating?"

which medications increase the risk of ulcer development? select all that apply.

-aspirin -fluoxetine

a nurse is teaching an obese patient with GERD measures that should be taken to prevent complications. what instructions should the nurse give? select all that apply.

-avoid tea and coffee -maintain a low-fat diet -avoid smoking cigarettes

the nurse explains to the patient with GERD that this is a disorder that can be aggravated by which of the following? select all that apply.

-caffeine -chocolate -orange juice -cigarette smoking

which otolaryngological symptoms occur in GERD? select all that apply.

-choking -hoarseness -sore throat

which clinical manifestations of inflammatory bowel disease are common to both patients with ulcerative colitis and crohn's disease? select all that apply.

-diarrhea stools -cramping abdominal pain

a patient with IBD is prescribed prednisone. for what complications that are associated with the medication should the nurse monitor? select all that apply.

-hypokalemia -potential toxic megacolon

which medication is beneficial to a patient reporting coughing, dyspnea, and radiating pain to the back, neck, and jaw?

aluminum hydroxide

which conditions involves inflammation of all layers of the bowel wall?

crohn's disease

for which clinical manifestation that occurs in both ulcerative colitis and crohn's disease should the nurse monitor the patient?

diarrhea

a nurse assesses a patient with suspected peptic ulcer disease. which symptom will the patient most likely report?

epigastric discomfort relieved by eating

a patient presents with burning pain in the epigastrium accompanied by nausea. on interviewing the patient, the nurse finds that the patient has been taking NSAIDs on a regular basis to relieve headaches. which conditions should the nurse suspect?

gastritis

the nurse is caring for a patient with IBD. to maintain remission, the nurse expects that the patient will receive a prescription for what medication?

mesalamine

which medication for peptic ulcer disease causes hallucinations?

metoclopramide

which medication is prescribed for the prevention of peptic ulcer caused by NSAIDs and aspirin?

misoprostol

the nurse identifies that a patient is at risk for upper gastrointestinal bleeding based on the patient's history of taking medications in what drug class?

nonsteroidal anti-inflammatory drugs (NSAIDs)

a nurse is caring for a patient diagnosed with peptic ulcer disease. on assessment, the nurse identifies spillage of gastric contents into the duodenal cavity. which complication supports the finding?

perforation

the nurse reviews the medical record of a patient with inflammatory bowel disease (IBD) and notes hypoalbuminemia. the nurse recognizes that the finding is indicative of what condition?

poor nutrition

a patient is on NSAIDs. which complication does the nurse anticipate?

silent peptic ulcer

while caring for a patient with inflammatory bowel disease (IBD), the nurse notes that the patient has malabsorption. what deficiency does the nurse expect to find in the patient?

vitamin D deficiency