NURS 327: Chapter 46 SATA Questions
A client has a family history of stomach cancer. Which factor would further increase the clients risk for developing gastric cancer? SATA.
-Age 55 years -Previous infection with H. pylori
A nurse is providing care for a client who is postop day 2 following gastric surgery. The nurses assessment shoud be planned in light of the possibility of what potential complications? SATA.
-Atelectasis -Pneumonia -Hemorrhage
A client with active schizophrenia has developed acute gastritis after ingesting a strongly alkaline solution during a psychotic episode. Corrosion is extensive. Which of the following emergency treatments might the team working with this client use? SATA.
-Diluted lemon juice -Diluted vinegar
Which of the following are characteristics associated with Zollinger-Ellison syndrome? SATA.
-Severe peptic ulcers -Extreme gastric hyperacidity -Gastrin secreting tumors of the pancreas
A client with peptic ulcer disease wants to know nonpharmicological ways to prevent recurrence. Which of the following measures would the nurse recommend? SATA.
-Smoking cessation -Avoidance of alcohol -Following a regular schedule for rest, relaxation, and meals
An adult client with a history of dyspepsia has been diagnosed with chronic gastritis. The nurse's health education should include what guidelines?
-Avoid drinking alcohol -Avoid NSAIDS
A patient comes to the clinic with the complaint, "I think I have an ulcer." What is a characteristic associated with peptic ulcer pain that the nurse should inquire about?
-Burning sensation localized in the back or mid-epigastrium -Feeling of emptiness that precedes meals from 1-3 hours -Severe gnawing pain that increases in severity as the day progresses
The nurse reviews dietary guidelines with a client who has a gastric banding. Which teaching points are included?
-Do not eat and drink at the same time -Drink plenty of water from 90 mins after each meal to 15 mins before each meal -Avoid fruit drinks and soda
The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing interventions should be included in the care plan?
-Frequently monitoring hemoglobin and hematocrit levels -Observing stools and vomitus for color/consistency/volume -Checking blood pressure and pulse rate every 15-20 minutes
The nurse is caring for a client who has just returned from the PACU after surgery for peptic ulcer disease. For what potential complications does the nurse know to monitor?
-Hemorrhage -Perforation -Penetration -Pyloric obstruction
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? SATA.
-Ingestion of strong acids -Ingestion of irritating foods -Overuse of aspirin
A nurse monitoring a client with peptic ulcer disease. Which assessment findings would most likely indicate perforation of the ulcer? SATA.
-Tachycardia -Hypotension -Rigid, boardlike abdomen
The nurse is providing care for a client whose peptic ulcer disease will be treated with a Billroth 1 procedure. The nurse should address which of the following topics?
-The procedure carries a risk for dumping syndrome -The clients vagus nerve may be altered
Which of the following interventions are appropriate for clients with gastritis?
-Use a calm approach to reduce anxiety -Discourage cigarette smoking -Notify the physician of indicators of hemorrhagic gastritis
