Chapter 40 PrepU Management of Patients with Gastric and Duodenal Disorders
A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?
10 to 14 days
A patient is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed?
A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum.
A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:
Alcohol abuse & smoking
A young adult client is prescribed misoprostol to prevent gastric ulcers caused by frequent use of nonsteroidal anti-inflammatory agents for an autoimmune disorder. For which reason will the nurse question giving the client a dose of this medication?
Awaiting the results of the pregnancy test
A nurse is teaching a client with gastritis about the need to avoid the intake of caffeinated beverages. The client asks why this is so important. Which explanation from the nurse would be most accurate?
Caffeine stimulates the central nervous system & thus gastric activity and secretions, which need to be minimized to promote recovery.
A client comes to the clinic reporting pain in the epigastric region. What assessment question during the health interview would most help the nurse determine if the client has a peptic ulcer?
Does your pain resolve when you have something to eat?
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
The nurse is caring for a client who has developed dumping syndrome while recovering from a gastrectomy. What recommendation should the nurse make to the client?
Eat several small meals daily spaced at equal intervals
Which of the following is the most successful treatment for gastric cancer?
Removal of the tumor
The nurse determines that teaching for the client with peptic ulcer disease has been effective when the client makes which statement?
I should stop all my medications if I develop any side effects
A client with an H. pylori infection asks why bismuth subsalicylate is prescribed. Which response will the nurse make?
It aids in the healing of the lining of the stomach
A patient has been diagnosed with acute gastritis and asks the nurse what could have caused it. What is the best response by the nurse? (Select all that apply.)
It is probably your nerves, is it possible that you are overusing aspirin, it can be caused by ingestion of strong acids
A client with gastric ulcers caused by H. pylori is prescribed metronidazole. Which client statement indicates to the nurse that teaching about this medication was effective?
It might cause a metallic taste in my mouth
Peptic ulcer disease occurs more frequently in people with which blood type?
O
The nurse recognizes that the client diagnosed with a duodenal ulcer will likely experience
Pain 2 to 3 hours after a meal
A nurse is caring for a client who is undergoing a diagnostic workup for a suspected gastrointestinal problem. The client reports gnawing epigastric pain following meals and heartburn. What would the nurse suspect this client has?
Peptic ulcer disease
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. What will the nurse suspect?
Vasomotor symptoms associated with dumping syndrome