Exam 4 NUR 113 (GI, Intestinal Disorders)
The nurse correlates which clinical manifestation to type 1 hiatal hernia? A. Heartburn B. GERD C. Chest pain D. Anorexia
D
Which statement regarding a colonoscopy indicates a need for further learning? "Biopsies can be taken and polyps can be removed during a colonoscopy." "A colonoscopy is the gold standard for colorectal cancer screening." "A colonoscopy involves taking x-ray images after performing a barium enema." "A colonoscopy is an invasive procedure."
"A colonoscopy involves taking x-ray images after performing a barium enema."
Which statements regarding Crohn's disease are accurate? Select all that apply. "A patient with Crohn's disease may pass five to six soft, loose, non-bloody stools per day." "Fistulas, fissures, and abscesses are common in Crohn's disease." "Tenesmus is common in Crohn's disease." "Strictures and obstructions are common in Crohn's disease." "A cobblestone appearance of the mucosa is rare in Crohn's disease."
"A patient with Crohn's disease may pass five to six soft, loose, non-bloody stools per day." "Fistulas, fissures, and abscesses are common in Crohn's disease." "Strictures and obstructions are common in Crohn's disease."
Which statement made by a nursing student regarding irritable bowel syndrome (IBS) indicates a need for further learning? "It is also known as spastic colon." "It is characterized by abdominal pain and altered bowel habits where the mucosal lining of the bowel remains unchanged." "It can be diagnosed by the Rome III Diagnostic Criteria for Functional Gastrointestinal Disorders." "Diarrhea dominant irritable bowel syndrome (IBS-D) causes too much water to be absorbed in the small intestine."
"Diarrhea dominant irritable bowel syndrome (IBS-D) causes too much water to be absorbed in the small intestine."
The nurse is caring for a patient who has gastric cancer. He says "I'm so afraid to be in pain and to die and leave my family." How should the nurse respond? "This must be very frightening for you." "Tell me about your family." "Are you having pain now?" "We will give you medications for your pain."
"This must be very frightening for you."
The nurse monitors for which clinical manifestations in the patient diagnosed with a duodenal ulcer? (Select all that apply.) A. Intermittent abdominal pain, which is relieved after eating and taking antacids but becomes worse at night B. Nausea and vomiting C. Right upper quadrant tenderness and is positive for occult blood in stool D. Complaints of heartburn or regurgitation and vomiting E. Bloating and flatulence
A, C, D
Which statement regarding toxic megacolon indicates a need for further learning? "It occurs more commonly in ulcerative colitis and requires an emergency colectomy." "It is colonic dilatation greater than 5 cm." "It usually occurs during an acute exacerbation." "Bacterial infection does not play any role in toxic megacolon."
"Bacterial infection does not play any role in toxic megacolon." Rationale: Bacterial overgrowth contributes to toxic megacolon
A nurse is providing community education about peptic ulcer disease, its causes, treatment, and symptoms. Which statement by the nurse is incorrect? "The most common form of chronic gastritis is caused by Helicobacter pylori infection." "The incidence of H pylori infection increases in patients who are older than 60." "H pylori infection is more prevalent in industrialized countries than in developing countries." "Urea breath testing can be used to detect active infection with H pylori."
"H pylori infection is more prevalent in industrialized countries than in developing countries."
The nurse is caring for a patient diagnosed with gastritis 6 months ago. The nurse evaluates the patient's compliance with suggested lifestyle modifications and medication compliance. Which comments from the patient require reeducation? "I enjoy citrus fruits for breakfast." "I've stopped eating snacks at bedtime." "I take the antacids 1 hour after meals." "I take the pantoprazole on an empty stomach."
"I enjoy citrus fruits for breakfast."
The nurse is discussing dietary considerations with a patient diagnosed with peptic ulcer disease. Which responses made by the patient indicate the need for further discussion? "I must refrain from drinking coffee." "I should consume six small meals a day." "I must limit my alcohol consumption." "I must restrict my intake of fluids."
"I must restrict my intake of fluids."
A nurse is teaching a patient with irritable bowel syndrome (IBS) about a precautionary measure that he or she needs to take in order to prevent further complications. Which statement made by the patient indicates the need for further training? "I should consume 10 grams of fiber each day." "I should drink 8 to 10 cups of liquid per day." "I should avoid drinking beverages that contain sorbitol or fructose." "I should sleep at least 7 to 8 hours each night."
"I should consume 10 grams of fiber each day." Rationale: a pt should consume 30 to 40 grams of fiber each day
A patient is scheduled for surgery for a ruptured appendix and asks the nurse how large the incision will be. How should the nurse respond? "Most likely you will have an incision about an inch long." "The procedure is often done laparoscopically, so there will be several small incisions." "Since your appendix has ruptured a larger incision will be make to irrigate out your abdominal cavity." "Typically, they cut from the base of the sternum to the pubic bone."
"Since your appendix has ruptured a larger incision will be make to irrigate out your abdominal cavity."
The nurse is making a plan of care for a patient with acute gastritis. Which step listed by the nurse needs correction? "Provide rest to the gastrointestinal tract with 6 to 12 hours of NPO status." "Introduce clear liquids such as caffeinated beverages." "Gradually introduce heavier liquids, such as cream soups, puddings, and milk." "Finally, introduce bland foods that are not highly spiced."
"Introduce clear liquids such as caffeinated beverages."
The primary health-care provider has prescribed sucralfate for a patient with gastritis. Which is the nurse's best response to the patient if he or she wants to know why this medication has been prescribed? "It helps in preventing pernicious anemia." "It helps in preventing mucosal damage by gastric acid." "It helps in decreasing gastric acidity by neutralizing the acid." "It helps in obstructing H+-K+-ATPase enzyme in the gastric parietal cells."
"It helps in preventing mucosal damage by gastric acid."
Which white blood cell (WBC) count indicates that perforation may have occurred from appendicitis? 2,000/mm3 10,000/mm3 18,000/mm3 20,000/mm3
20,000/mm3
The nurse provides education to a patient who has a hiatal hernia and experiences GERD after eating. Which activity should the nurse instruct this patient to avoid? A. Lying flat after meals B. Eating small, frequent meals that are not spicy C. Sleeping with the HOB elevated 30 degrees D. Taking ranitidine on an empty stomach
A
The nurse recognizes which findings as diagnostic for IBS? A. Rome IIV and/or Manning criteria B. CT scan of the abdomen shows inflammatory process C. Blood urea nitrogen and creatinine are elevated D. Patient has abdominal pain and a psychiatric diagnosis
A
The nurse recognizes which gastric disorder as a complication of inadequate mucosal perfusion secondary to intense physiological stress? A. Erosive gastritis B. Chronic gastritis C. Duodenal ulcers D. Esophageal reflux
A
Which statement by the patient undergoing external beam radiation indicates the need for further teaching? A. "My grandchildren will not be able to visit because I will be radioactive." B. "This therapy will hopefully decrease the size of the tumor." C. "I will have daily radiation treatments for several weeks." D. "At least this procedure is not painful."
A Rationale: External beam radiation does not make the patient radioactive, so there are no visiting restrictions based upon this therapy. The goal of this type of treatment is to decrease the size and spread of the tumor, and may be provided before or after surgical resection. Treatment is typically several weeks, and there is no pain associated with the actual radiation.
Who is at the highest risk of having appendicitis? A 16-year-old male A 14-year-old female A 32-year-old male A 42-year-old female
A 16-year-old male
The nurse has requested a dietary consult for a patient with GERD. What statements provide useful dietary information for this patient to manage the GERD symptoms? (Select all that apply.) A. Maintain an ideal body weight. B. Avoid spicy foods. C. Avoid fatty foods. D. A glass of wine after dinner will help you relax. E. A cup of peppermint will help improve digestion.
A, B, C
The nurse recognizes that the treatment of H. pylori includes which medications? (Select all that apply.) A. PPIs B. Antiemetics C. Antibiotics D. NSAIDs E. Antacids
A, C
The nurse identifies which nursing diagnosis as the highest priority for the patient admitted with PUD and possible perforation? A. Acute pain B. Ineffective health maintenance C. Nausea D. Impaired tissue integrity (GI)
D
In preparing a patient for esophageal manometry, which content does the nurse include in preprocedure teaching? A. This test measures the acid content in your stomach. B. This test measures the pressure and action of the esophagus. C. This test allows a sample of the esophagus to be obtained. D. This test is used only in patients with diagnosed hiatal hernia.
B
A patient underwent a surgical procedure for grade 3 hemorrhoids. Which interventions are appropriate for postoperative care? Select all that apply. Use narcotic analgesics when pain is severe. Apply local, moist heat immediately after surgery. Administer docusate sodium for softening the stool. Administer an analgesic before the first bowel movement. Encourage the patient to reduce the fluid intake while on bulk laxatives.
Administer docusate sodium for softening the stool. Administer an analgesic before the first bowel movement.
Which nursing action taken may lead to further complications in the patient with diverticulitis? Administering antibiotics Administering IV fluids Administering opiates Administering laxatives
Administering laxatives
The nurse is creating a plan of care for a patient with peptic ulcer disease. What is important to include? Select all that apply. Advise the patient to refrain from caffeine intake. Advise the patient to limit the use of aspirin. Advise the patient to limit bedtime snacks. Administer antacids 1 hour before meals. Administer proton pump inhibitors (PPIs) before breakfast.
Advise the patient to refrain from caffeine intake. Administer proton pump inhibitors (PPIs) before breakfast.
A nurse is caring for a patient who presents to the emergency department with abdominal trauma and requires advanced trauma life support (ATLS). Arrange the order in which the nurse should perform the task. Exposure Breathing Disability Airway Circulation
Airway Breathing Circulation Disability Exposure (think ABCDE)
A 67-year-old male is suspected of having a peptic ulcer. The nurse monitors for a decrease in which diagnostic value with GI hemorrhage in this patient? A. Reticulocyte count B. Hematocrit C. Prothrombin time D. IgG antibodies to H pylori
B
A patient has just been brought to the emergency department by emergency medical services after a motor vehicle accident. What is the first thing the nurse should do? A. Ask the patient if he or she is in pain. B. Perform a mental status examination and check vital signs. C. Ask the patient to move all extremities. D. Order laboratory tests.
B
A patient is admitted to the hospital for treatment for diverticulitis. The nurse recognizes which interventions appropriate for this patient? A. High-fiber diet, ambulate frequently, IV fluids, pain medications B. Antibiotics, IV fluids, NPO, NG tube, pain medications C. Laxatives, enemas, diet, pain medications D. Surgery with follow-up physical therapy
B
The healthcare provider prescribes a combination of antibiotics for a patient with a peptic ulcer. The patient asks you why these types of medications are being given. What is the nurse's best response? A. "It will increase mucus production in your stomach." B. "The combination of antibiotics will help to rid the stomach of the H pylori bacteria." C. "This medication will help buffer the gastric acid in your stomach." D. "It is used only as a prophylactic to prevent colonization of bacteria in the stomach."
B
The nurse incorporates which information into the teaching plan for a patient diagnosed with a duodenal ulcer? A. "You will probably have increased pain after eating." B. "Smoking cigarettes can make the PUD worse." C. "Antacids are not usually effective for the pain." D. "Eating bland foods will aid in healing."
B
The nurse is caring for a patient in the emergency department with abdominal pain, fever, nausea, and vomiting. The patient is suspected of having appendicitis. What intervention may the provider order to confirm diagnosis? A. Flat-plate x-ray of the abdomen, chemistry panel B. CT scan, complete blood count (CBC), abdominal assessment for rebound tenderness C. Administer a laxative to see if symptoms improve D. Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde cholangiopancreatogram (ERCP)
B
The nurse is screening patients for their risk of developing acute gastritis. The nurse should consider which patient at greatest risk? A. A 25-year-old woman who has a vegan diet B. A 32-year-old man who takes ibuprofen daily C. A 77-year-old man who smokes D. An 80-year-old woman who takes low-dose aspirin daily for atrial fibrillation
B
Which nursing diagnosis is most appropriate for a patient admitted for acute GI bleed related to acute gastritis? A. Imbalanced nutrition: less than body requirements B. Risk for deficient fluid volume C. Acute pain D. Deficient knowledge
B
Which patient statement indicates effective teaching related to acute gastritis? A. "I will eat a diet rich in milk and cream to decrease the secretion of hydrochloric acid." B. "I need to avoid using aspirin or nonsteroidal medications for routine pain relief." C. "I will need to return for yearly upper endoscopy examinations." D. "I will need to fully cook all meat, poultry, and egg products."
B
The nurse implements which interventions to decrease the risk of dumping syndrome in the patient after esophageal resection for cancer? A. Limit diet to clear liquids only. B. Increase protein in diet. C. Increase simple sugars in the diet. D. Provide 8 to 10 small meals.
B Rationale: After esophageal surgery, the patient is at risk for dumping syndrome, which leads to diarrhea after meals. Smaller meals, along with a decrease in complex sugars, and high in protein and fat delay gastric emptying and prevent dumping syndrome. Clear liquids are not indicated, and too much fluid may exacerbate dumping syndrome. The patient is typically provided with 6 meals per day; 8 to 10 would be too frequent.
The nurse recognizes which risk factors for the development of stomatitis? (Select all that apply.) A. High-fiber diet B. Radiation therapy C. Past history of skin cancer D. Poor dental hygiene E. Smoking
B, D, E
Following a partial gastrectomy for gastric cancer, a patient complains of nausea, abdominal pain and cramping, and diarrhea after eating. Recognizing manifestations of dumping syndrome, what should the nurse recommend? A. Fasting for a period of 6 to 12 hours before meals B. Decreasing the protein content of meals C. Decreasing the amount of fluid taken at meals and avoiding high-carbohydrate foods, including fluids such as fruit nectars D. A diet rich in carbohydrates to maintain blood glucose levels
C
The nurse correlates which clinical manifestation to the pathophysiology of a gastric ulcer? A. Pernicious anemia B. Constipation C. Acute epigastric pain after eating D. Hypertension
C
The nurse is caring for a 33-year-old woman who has been taking aspirin for back pain and has experienced a sudden episode of tachycardia and feeling faint. She also vomited coffee-ground emesis and passed a tarry stool but has no complaints of pain or heartburn. The patient wants to know why there was no sign of pain as a warning signal prior to the sudden bleeding. What is the nurse's best response? A. Pain is the most common sign of NSAID-induced gastric injury, so the patient must have a high pain tolerance. B. NSAIDs cause damage to epithelial cells, which inhibit the enteric nervous system response of the GI tract. C. NSAID-induced gastric injury often is without symptoms, and life-threatening complications such as GI bleeding can occur without warning. D. NSAIDs have anti-inflammatory and analgesic effects, preventing the patient from feeling any pain as a warning sign.
C
The nurse is caring for a patient who encountered a minor esophageal injury after accidently swallowing a piece of a chicken bone. The patient will receive medications and nutrition for 4 to 6 days by nasogastric tube to control mucosal damage and promote healing. Which of the following actions should the nurse plan to take first when administering medications through the nasogastric tube? A. Verify the patient's identification and explain the procedure to the patient. B. Flush the nasogastric tube with 30 to 50 mL per hospital policy prior to administering the medication. C. Check the provider's order. D. Prepare the medication for administration.
C Rationale: The nurse always checks the physician's order before administering a medication. After verification of the order, the RN determines that the medication is appropriate to be given though a nasogastric tube
A patient is diagnosed with inflammatory bowel disease. While reviewing the patient's laboratory reports, the primary healthcare provider finds evidence of gallstones. Which manifestation does the nurse infer? Uveitis Cholangitis Cholelithiasis Nephrolithiasis
Cholelithiasis
Which complementary therapy listed by the nursing student for treating irritable bowel syndrome (IBS) symptoms indicates a need for further training? Hypnosis Chinese herbs Acupuncture Cold packs
Cold packs
Which is true of ulcerative colitis? Select all that apply. Complications such as hemorrhage and nutritional deficiencies may occur. It occurs anywhere in the gastrointestinal tract from mouth to anus. Weight loss rarely occurs. Granuloma is common. Stools are frequent and watery with blood and mucus.
Complications such as hemorrhage and nutritional deficiencies may occur. Weight loss rarely occurs. Stools are frequent and watery with blood and mucus.
A patient reports abdominal pain, fever, and vomiting. The primary healthcare provider suspects appendicitis. Which diagnosis will confirm the condition? X-ray of abdomen Physical assessment White blood cell count Computed tomography (CT)
Computed tomography (CT)
A nurse working in an endoscopy clinic is screening patients for the risk of developing Barrett's esophagus. The nurse should consider which patient at greatest risk? A. The patient with a 20-year history of alcohol abuse B. The patient with a 30-pack-per-year smoking history C. The patient who ingested lye as a child and is now 47 years old D. The patient who has had untreated GERD for 30 years
D
A patient is diagnosed with medication-induced nonsteroidal anti-inflammatory drug (NSAID) peptic ulcer disease. Which clinical finding is the nurse most likely to find in the patient? Decrease in pepsin secretion Increase in bicarbonate levels Decrease in mucus production Increase in gastric mucosal blood flow
Decrease in mucous production
Which nursing action, when caring for a patient with abdominal trauma, may result in further complications? Administering IV fluids to the patient Removing objects emerging from the wound Promoting hemodynamic stability Obtaining samples for a complete blood count (CBC), serum electrolytes, and urinalysis
Removing objects emerging from the wound
The nurse is caring for a patient with an elevated white blood cell count, fever, and rebound tenderness. What action is a priority? Do not allow the patient to eat or drink anything. Administer an antipyretic. Deliver pain medication as needed. Begin IV fluids.
Do not allow the patient to eat or drink anything.
Which nursing actions should a nurse perform when caring for a patient with peptic ulcer disease? Select all that apply. Include bedtime snacks for the patient. Document and notify the primary health-care provider about symptoms of dumping syndrome. Administer proton pump inhibitors (PPIs) after meals. Administer antacids 1 to 3 hours after meals. Prepare the patient for an upper endoscopy or surgery per order.
Document and notify the primary health-care provider about symptoms of dumping syndrome. Administer antacids 1 to 3 hours after meals. Prepare the patient for an upper endoscopy or surgery per order.
The nurse is caring for a patient with a sigmoid colostomy. Which stool assessment is considered normal? Semi-liquid Formed Semi-liquid to semi-formed Liquid to semi-liquid
Formed
A patient reports tarry stools and emesis with a "coffee grounds" appearance. They have a history of peptic ulcer disease. Which complication is the patient likely experiencing? Perforation Penetration Obstruction Gastrointestinal (GI) bleeding
Gastrointestinal (GI) bleeding
After receiving hand-off report, the nurse begins reflecting on the possible complications that can occur in the patient with peptic ulcer disease. Which considerations should the nurse make? Select all that apply. Ulcer crater penetrating through adjacent organs Gastrointestinal (GI) contents entering the peritoneum Edema, spasm, or contraction of scar tissue Abdominal distention and third spacing Abdomen tender when palpating
Gastrointestinal (GI) contents entering the peritoneum Abdominal distention and third spacing Abdomen tender when palpating
A patient who is diagnosed with inflammatory bowel disease (IBD) complains of bloating, tightness of stomach, and nausea. Which herb would be most beneficial to relieve the symptoms of the patient? Ginger Fennel Chamomile Peppermint
Ginger
Which describes a patient with internal hemorrhoids that prolapse upon defecation and must be reduced manually? Grade I Grade II Grade III Grade IV
Grade III
A patient with peptic ulcer disease is being discharged on several new medications. When performing medication education, which medication should the nurse say helps block gastric secretions? Antacids H2-receptor antagonists Metoclopramide Sucralfate
H2-receptor antagonists
A nurse is talking about the symptoms of a patient diagnosed with irritable bowel syndrome (IBS). Which symptom listed indicates a need for further discussion? Sensation of incomplete evacuation More frequent stools at the onset of pain Visible abdominal distension Hard stools at the onset of pain
Hard stools at the onset of pain
A nurse is discussing postsurgery care techniques for a patient with a hernia. Which techniques are appropriate? Select all that apply. Inspect the incision for signs and symptoms of infection and report any concerns to the primary healthcare provider. Avoid heavy lifting for several weeks. Promote atelectasis and venous thromboembolism (VTE). Avoid deep breathing and early ambulation. Splint the surgical site with pillows while coughing.
Inspect the incision for signs and symptoms of infection and report any concerns to the primary healthcare provider. Avoid heavy lifting for several weeks. Splint the surgical site with pillows while coughing.
Which is most appropriate to include when teaching a patient with a Helicobacter pylorus-induced gastric ulcer about the prevention of a reoccurrence? Tell the patient that he or she can resume smoking. Advise the patient to include spicy foods in the diet. Advise the patient to consume one or two large meals per day. Instruct the patient to maintain proper hygiene.
Instruct the patient to maintain proper hygiene.
What is the function of the appendix? Assists with fecal removal Assists with motility Its purpose is unknown Secretes digestive acid
Its purpose is unknown
The patient comes to the emergency department with nausea, vomiting, and pain upon deep palpation at the location on the image. How should the nurse document this finding? Positive Rovsing's sign Pain at McBurney's point Rebound tenderness Normal findings
Pain at McBurney's point
An older adult patient receiving treatment with bisphosphonates and calcium supplements for osteoporosis experienced epigastric pain and hematemesis. Which risk factor could be causing the problem? Increasing age Long-term use of bisphosphonates Complication of osteoporosis Reduced bone density
Long-term use of bisphosphonates
Which assessment in the patient with appendicitis is most concerning? Development of a fever Elevated white blood cell (WBC) count Intense pain in the right lower quadrant Sudden pain resolution without medication or treatment
Sudden pain resolution without medication or treatment
The nurse is caring for a patient experiencing a peptic ulcer in the image presented. What should be included in the plan of care? Select all that apply. Monitor stools for bleeding. Deliver nonsteroidal anti-inflammatory drugs (NSAIDs) for pain control. Monitor gastric pH. Increase fiber intake. Encourage caffeine ingestion.
Monitor stools for bleeding. Monitor gastric pH
Which interventions should a nurse implement for a patient after colorectal surgery? Select all that apply. Take vital signs of the patient every 48 hours. Monitor white blood cell count every day for the first few days. Check if the urine output is at least 10 mL/hour during the first 24 hours. Check if the stoma is reddish pink and moist. Ensure that the patient does not receive food and water per order.
Monitor white blood cell count every day for the first few days. Check if the stoma is reddish pink and moist. Ensure that the patient does not receive food and water per order.
A patient has a family history of gastric cancer and says his dad died from advanced disease. Which are common symptoms of this condition that the son should be monitoring? Select all that apply. Nausea and vomiting Heartburn Enlarged lymph nodes Weight gain Anemia
Nausea and vomiting Enlarged lymph nodes Anemia
A patient is admitted for the third time with bleeding gastritis, despite medication compliance. Realizing that surgery may be the next option, he asks the nurse about possible surgical procedures. Which should the nurse share as possibilities? Vagotomy Nissen fundoplication Total gastrectomy Pyloroplasty
Nissen fundoplication
When caring for a patient with peptic ulcer disease (PUD), he mentions that "something feels different, it's like I have a fullness or heaviness above my stomach after eat." What complication should the nurse consider is occurring? Penetration Perforation Obstruction Gastrointestinal (GI) bleeding
Obstruction
A patient underwent a partial gastrectomy as a surgical intervention for gastric cancer. The primary health-care provider asks the nurse to monitor the patient for the occurrence of postsurgical problems. Which manifestations in the patient would the nurse consider indicative of onset of dumping syndrome? Select all that apply. Pallor Tachycardia Sweating Bradycardia Indigestion
Pallor Tachycardia Sweating
What potential complications can occur from untreated appendicitis? Select all that apply. Peritonitis Obstruction Abscess Gangrene Perforation
Peritonitis Obstruction Abscess Gangrene Perforation
As the nurse is getting a patient with peptic ulcer disease out of bed, he vomits, has severe epigastric pain, and states he is feeling dizzy. Which priority nursing actions should the nurse take? Select all that apply. Return the patient to bed. Assess the bowel sounds. Lower the head of the bed. Obtain a blood pressure reading. Call for help.
Return the patient to bed. Lower the head of the bed. Obtain a blood pressure reading. Call for help.
A patient is hospitalized to rule out peptic ulcer disease (PUD). He asks the nurse what types of noninvasive tests the provider will perform. Which test should the nurse say is most commonly performed? Upper-endoscopy test Liver function test Esophagogastroduodenoscopy (EGD) Stool antigen test
Stool antigen test
A patient reports nausea, vomiting, and epigastric pain, and is diagnosed with acute gastritis. Which medications are appropriate for symptomatic relief of the patient? Select all that apply. Sucralfate Diclofenac Pantoprazole Vitamin B12 Magnesium sulfate
Sucralfate Pantoprazole Magnesium sulfate
The patient with signs of appendicitis prefers not to take pain medication. What position may help to relieve the pain? Head of bed flat with legs extended Side lying with legs extended Supine with head of bed elevated 30° to 45° with knees flexed Prone with arms above the head
Supine with head of bed elevated 30° to 45° with knees flexed
The nurse is caring for a patient with a peptic ulcer. Which symptom would suggest that it is in the duodenum? The patient is dizzy, sweating, and has palpations. The patient has ulcer-like pain that cannot be relieved by antacids. The patient has burning epigastric pain, which can be relieved after taking antacids. The patient feels stomach fullness.
The patient has burning epigastric pain, which can be relieved after taking antacids.
Which is true regarding diverticulitis? This occurs frequently in the jejunum. This can be seen more frequently in vegetarians. This is more common in newborns. This occurs more in Western industrialized societies.
This occurs more in Western industrialized societies.
Which diagnostic tests are used to detect an active infection with Helicobacter pylori? Select all that apply. Radiological test Urea breath test Barium x-ray test Serological test Fecal antigen test
Urea breath test Serological test Fecal antigen test
In which way are external hemorrhoids diagnosed? Anoscopy Visual inspection Digital examination Sigmoidoscopy
Visual inspection
In which diagnostic study does the patient swallow a pill to capture the image of the gastrointestinal (GI) tract to assess for colorectal cancer? Lower GI series Wireless capsule endoscopy Virtual colonoscopy Sigmoidoscopy
Wireless capsule endoscopy
A patient reports epigastric pain, blood in stools, and a loss of appetite. Which initial diagnostic test is the primary health-care provider most likely to order to determine if the client has Helicobacter pylori infection? Endoscopy Urea breath test Complete blood count Upper gastrointestinal (GI) x-ray
urea breath test