Upper GI Questions

A 56-year-old client is suspected of having gastric cancer. The nurse expects which diagnostic test to aid in confirming the diagnosis of gastric cancer? a) Gastroscopy b) Serum chemistry levels c) Barium enema d) Colonoscopy

A

A client with gastric cancer can expect to have surgery for resection. Which should be the nursing care priority for the preoperative client with gastric cancer? a) Correction of nutritional ) Discharge planning c) Prevention of deep vein thrombosis d) Instruction regarding radiation treatment

A

A client, age 82, is admitted to an acute care facility for treatment of an acute flare-up of a chronic GI condition. In addition to assessing the client for complications of the current illness, the nurse monitors for age-related changes in the GI tract. Which age- related change increases the risk of anemia? a) Atrophy of the gastric mucosa b) Increase in bile secretion c) Dulling of nerve impulses d) Decrease in intestinal flora

A

The nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which finding suggests that the client has developed hyperglycemia? a) Increased urine output b) Kussmaul's respirations c) Diaphoresis d) Decreased appetite

A

Which symptom, if reported by a client, would lead the nurse to suspect possible gastric cancer? a) Feeling of fullness b) Constant hunger c) Weight gain d) Abdominal cramping

A

While a client is being prepared for discharge, the nasogastric (NG) feeding tube becomes clogged. To remedy this problem and teach the client's family how to handle it at home, what should the nurse do? a) Irrigate the tube with cola. b) Apply intermittent suction to the tube. c) Withdraw the obstruction with a 30-ml syringe. d) Advance the tube into the intestine

A

A client presents to the clinic for a follow-up appointment after diagnostic tests show he has gastroesophageal reflux disease. Which instruction should the nurse provide? a) "Eat three well-balanced meals every day." b) "Avoid alcohol and caffeine." c) "Drink 16 ounces of water with each meal." d) "Lie down and rest after each meal."

B

Which process best describes the method of action of medications, such ranitidine (Zantac), which are used in the treatment of peptic ulcer disease? a) Protect the mucosal barrier b) Reduce acid secretions c) Stimulate gastrin release d) Neutralize acid

B

A 65-year-old client is admitted with upper GI bleeding from esophageal varices. Which condition can lead to the development of esophageal varices? a) Ileus b) Cholecystitis c) Cirrhosis of the liver d) Pancreatitis

C

A client is diagnosed with a hiatal hernia. Which statement indicates effective client teaching about hiatal hernia and its treatment? a) "I'll eat three large meals every day without any food restrictions." b) "I'll gradually increase the amount of heavy lifting I do." c) "I'll eat frequent, small, bland meals that are high in fiber." d) "I'll lie down immediately after a meal."

C

A client takes 30 ml of magnesium hydroxide and aluminum hydroxide with simethicone (Maalox TC) by mouth 1 hour and 3 hours after each meal and at bedtime for treatment of a duodenal ulcer. Why does the client take this antacid so frequently? a) It has a prolonged half-life. b) It has a slow onset of action. c) It has a short duration of action. d) It's highly metabolized

C

A client with peptic ulcer disease is prescribed aluminum-magnesium complex (Riopan). When teaching about this antacid preparation, the nurse should instruct the client to take it with: a) a food rich in vitamin D. b) fruit juice. c) water. d) a food rich in vitamin C.

C

A client with severe inflammatory bowel disease is receiving total parenteral nutrition (TPN). When monitoring TPN, the nurse must take care to maintain the prescribed flow rate because giving TPN too rapidly may cause: a) constipation. b) air embolism. c) hyperglycemia. d) dumping syndrome

C

If a gastric ulcer perforates, which action should be included in the management of the client? a) Antacid administration b) H2-receptor antagonist administration c) Fluid and electrolyte replacement d) Removal of nasogastric (NG) tube

C

The nurse is teaching the client about gastritis. Which of the following statements by the nurse would be the most accurate in de-scribing gastritis? a) Erosion of the gastric mucosa b) Inflammation of a diverticulum c) Inflammation of the gastric mucosa d) Reflux of stomach acid into the esophagus

C

To verify the placement of a gastric feeding tube, the nurse should perform at least two tests. One test requires instilling air into the tube with a syringe and listening with a stethoscope for air passing into the stomach. What is another test method? a) Cessation of reflex gagging b) Instillation of 30 ml of water while listening with a stethoscope c) Aspiration of gastric contents and testing for a pH less than 6 d) Ensuring proper measurement of the tube before insertion

C

A 58-year-old client with osteoarthritis is admitted to the hospital with peptic ulcer disease. Which findings are commonly associated with peptic ulcer disease? Select all that apply: a) Low-grade fever b) Tachycardia c) History of nonsteroidal anti-inflammatory drug (NSAID) use d) Localized, colicky periumbilical pain e) Epigastric pain that's relieved by antacids f) Nausea and weight loss

C, E, F

A client undergoes total gastrectomy. Several hours after surgery, the nurse notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond? a) Irrigate the tube. b) Reposition the tube. c) Increase the suction level. d) Notify the physician

D

A nurse is assigned to care for four clients. Which client should a nurse assess first? a) A client with recurrent diarrhea b) A client with gastroenteritis and fever c) A client with a history of gastric bleeding d) A postoperative client who just returned from surgery and is vomiting

D

A nurse is caring for a client with suspected upper GI bleeding. The nurse should monitor this client for: a) hemoptysis. b) passage of bright red blood in the stools. c) hematuria. d) black, tarry stools

D

The nurse is caring for a client with an endotracheal tube who receives enteral feedings through a feeding tube. Before each tube feeding, the nurse checks for tube placement in the stomach as well as residual volume. The purpose of the nurse's actions is to avoid: a) diarrhea. b) abdominal distention. c) gastric ulcers. d) aspiration

D

When reviewing the medical record of a client, which factor would lead the nurse to suspect that the client is at risk for chronic gastritis? a) Antibiotic usage b) Gallbladder disease c) Young age d) Helicobacter pylori infection

D

Which response should a nurse offer to a client who asks why he's having a vagotomy to treat his ulcer? a) To repair a hole in the stomach b) To remove a potentially malignant lesion in the stomach c) To prevent the stomach from sliding into the chest d) To reduce the ability of the stomach to produce acid

D

While obtaining a client's medication history, the nurse learns that the client takes ranitidine (Zantac),as prescribed, to treat a peptic ulcer. The nurse continues gathering medication history data to assess for potential drug interactions. The nurse should instruct the client to avoid taking a drug from which class with ranitidine? a) Antiarrhythmics b) Antipsychotics c) Antibiotics d) Antacids

D

Why are antacids administered regularly, rather than as needed, to treat peptic ulcer disease? a) To promote client compliance b) To maintain a regular bowel pattern c) To increase pepsin activity d) To keep gastric pH at 3.0 to 3.5

D