Chapter 46: Management of Patients With Gastric and Duodenal Disorders 3

Following a regular schedule for rest, relaxation, and meals Smoking cessation Avoidance of alcohol

A client with peptic ulcer disease wants to know nonpharmacologic ways to prevent recurrence. Which of the following measures would the nurse recommend? Select all that apply.

Client with blood type O

Which of the following clients is at highest risk for peptic ulcer disease?

Dietary indiscretion Excessive alcohol intake Radiation therapy

A client with acute gastritis asks the nurse what might have caused the problem. What is a possible cause of acute gastritis?

Hemoglobin and hematocrit

Which diagnostic test would be used first to evaluate a client with upper GI bleeding?

The bismuth salts, antibiotics, and proton pump inhibitors will work together to suppress or eradicate H. pylori.

A healthcare provider prescribes a combination of three drugs to treat reoccuring peptic ulcer disease, and the client asks the nurse the reason for all the medications. What teaching should the nurse review with the client?

Previous infection with H. pylori Age 55 years

A client has a family history of stomach cancer. Which factor would further increase the client's risk for developing gastric cancer? Select all that apply.

Billroth I

A client is scheduled for removal of the lower portion of the antrum of the stomach and a small portion of the duodenum and pylorus. What surgical procedure will the nurse prepare the client for?

Decrease the fat content in the diet.

A client reports diarrhea after having bariatric surgery. What nonpharmacologic treatment can the nurse suggest to decrease the incidence of diarrhea?

Notify the health care provider.

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?

"The medications will kill the bacteria and stop the acid production."

A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. Which statement by the client indicates the best understanding of the medication regimen?

Wide resection of the middle and distal portions of the stomach with removal of about 75% of the stomach

After a client received a diagnosis of gastric cancer, the surgical team decides that a Billroth II would be the best approach to treatment. How would the nurse explain this procedure to the family?

Immediacy of the occurrence.

During assessment of a patient with gastritis, the nurse practitioner attempts to distinguish acute from chronic pathology. One criteria, characteristic of gastritis would be the:

Agitation

The nurse is assessing an 80-year-old client for signs and symptoms of gastric cancer. The nurse differentiates which as a sign/symptom of gastric cancer in the geriatric client, but not in a client under the age of 75?

decaffeinated coffee.

The nurse is creating a discharge plan of care for a client with a peptic ulcer. The nurse tells the client to avoid

Awakening in pain

The nurse is evaluating a client's ulcer symptoms to differentiate ulcer as duodenal or gastric. Which symptom should the nurse at attribute to a duodenal ulcer?

Prevents ulceration in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs)

The nurse is teaching a client with peptic ulcer disease who has been prescribed misoprostol. What information from the nurse would be most accurate about misoprostol?

The incidence of stomach cancer continues to decrease in the United States.

Which is an accurate statement regarding gastric cancer?

Severe peptic ulcers Extreme gastric hyperacidity Gastrin-secreting tumors of the pancreas

Which of the following are characteristics associated with the Zollinger-Ellison syndrome (ZES)? Select all that apply.

Hemorrhage

Which of the following is the most common complication associated with peptic ulcer?

pain 2 to 3 hours after a meal.

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