NUTRITION - LOUDEN
What is the typical stomach pH?
4
A client is admitted to the hospital in a malnourished state. The nurse understands the client is at high risk for which of the following conditions as a result of decreased nutrition? A. Infection B. Diarrhea C. Fever D. Tumor formation
A
A client who is exhibiting Borborygmi, cramping, pain, vomiting, and diarrhea and has a dx of PUD with recent surgical treatment. The nurse considers that the client is probably experiencing which of the following? A. Dumping syndrome B. Complications of the PUD C. Perforation of the stomach D. Peritonitis
A
After teaching the parent of an infant who has had a surgical repair for a cleft lip about the use of elbow restraints at home, the nurse determines that the teaching has been successful when the parent makes which statement? (All in quotes) A. We will only remove the restraints one at a time to check the skin under them for redness B. We will keep the restraints on during the day while he is awake, but take them off when we put him to bed at night C. After we get home, we will not have to use the restraints because our child does not suck of his hands and fingers D. We will be sure to keep the restraints on all the time until we come to see the care provider for a F/U visit
A
After teaching the parents of a neonate born with a cleft lip and cleft palate about appropriate feeding techniques, the nurse determines that the mother needs further instruction when the mother makes which statement? (All in quotes) A. I should clean her mouth each feeding B. I should feed her in an upright position C. I need to remember to burp her often C. I may need to use a special nipple for feeding
A
On the 2nd postoperative day after repair of cleft palate, what should the nurse use to feed a toddler? A. Cup B. Straw C. Rubber-tipped syringe D. Large-holed nipple
A
The client with a gastric ulcer is admitted to the hospital. The nurse should assess the client for intake of which of these substances that increases the risk of developing a gastric ulcer. A. ASA B. Chili C. Acetaminophen D. Coffee
A
The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which symptom? A. Heartburn B. Jaundice C. Anorexia D. Stomatitis
A
The nurse teaches the client with GERD about way to minimize symptoms. Which of the following statements made by the client indicates that more teaching is needed? (All in quotes) A. I will be sure to drink tea instead of coffee. B. I will take a walk after I eat C. I will try to eat smaller meals more frequently D. I will sleep with the head of the bed elevated about 12 inches
A
Which measure would be most effective in helping the infant with cleft lip and palate to retain oral feedings? A. Burp the infant at frequent intervals B. Feed the infant small amounts at one time C. Place the end of the nipple far to the back of the infant's tongue D. Maintain the infant in a supine position while feeding
A
A client is being treated for PUD, the nurse anticipates orders for which medications that might be used to decrease gastric acid content or protect the stomach? SATA A. PPI such as Omeprazole (Prilosec) or Lansoprazole (Prevacid) B. Bismuth compounds (Pepto-Bismol) to stimulate mucosal bicarbonate C. NSAIDS such as Ibuprofen (Motrin) to reduce the inflammation D. Laxatives such as Bisacodyl (Dulcolax) to prevent constipation E. Sucralfate (Carafate) to form a barrier against acid and Pepsin in the ulcer base
A, B, E
What are some s/s of gastritis?
Abd tenderness; bloating; cramping; hiccups; epigastric pain; n/v
What kind of meds are used to treat gastritis?
Antacids and H2 blockers
The mother of an infant with a cleft lip asks when the repair will be scheduled. What is the nurse's best response? A. At birth B. During the first 6 months of life C. After 6 months of age D. At 1 year of age
B
The nurse should question the client with GERD about the use of which type of medications that decrease LES (lower esophageal sphincter) tone? A. Antidepressants B. Calcium channel blockers C. Antiestrogen agents D. Alpha-adrenergic blocking agents
B
Which of the following assessments is essential for the nurse to make when caring for a client who has just had an esophagogastroduodenoscopy (EGD)? A. Auscultate bowel sounds B. Check gag reflex C. Monitor gastric pH D. Measure abdominal girth
B
A client diagnosed with PUD wants to know why antibiotics are being given. The nurse's best answer would be: (All in quotes) A. Antibiotics help calm the stomach and decrease the symptoms B. Antibiotics decrease dumping syndrome, which can lead to PUD C. H. pylori is a bacterial cause for PUD, and antibiotics will treat the cause D. The excess acid can be decreased when the stomach is sterile
C
A female neonate born vaginally at term with a cleft lip and cleft palate is admitted to the regular nursery. Which action should the nurse take the first time that the parents visit the neonate in the nursery? A. Explain the surgical interventions that will be performed B. Stress that this defect is not life-threatening C. Emphasize the neonate's normal characteristics D. Reassure the parents about the success rate of surgery
C
Prior to giving an analgesic for pain to a postoperative client who has a history of PUD, the nurse should check to see that the medication does not contain which of the following? A. Opioid product B. Acetaminophen (Tylenol) C. ASA D. Hydrocodone
C
The client with GERD has heartburn. Which item should be eliminated from the diet? A. Lean beef B. Air-popper corn C. Hot chocolate D. Raw veggies
C
When the nurse is developing the POC for an infant with a cleft lip before corrective surgery is performed, what should be the priority? A. Maintaining skin integrity in the oral cavity B. Using techniques to minimize crying C. Altering the usual method of feeding C. Preventing the infant from putting fingers in mouth
C
What is the primary form of stomatitis?
Canker sores and herpes simplex
The client with GERD has a chronic cough. Which possible problem would the nurse assess for? A. Development of laryngeal ca B. Irritation of the esophagus C. Esophageal scar tissue formation D. Aspiration of gastric contents
D
The nurse is teaching a client with stomatitis about managing oral discomfort. Which instruction is most appropriate? A. Drink hot tea at frequent intervals B. Gargle with antiseptic mouthwash C. Use an electric toothbrush D. Eat a soft, bland diet
D
How is gastritis diagnosed?
EGD, biopsy, CBC, stool sample, 72-hr diet recall
How often should you change the tubing if a client is on TPN?
Every 24 hours
What are the three types of PUDs?
Gastric, duodenal, and stress
This is the term for the backward flow of GI contents into the esophagus or adjacent organs
Gastroesophageal Reflux Disease (GERD)
What are some causes of GERD?
High fat diet; hiatal hernia; pregnancy; obesity; coughing
How is gastritis treated?
NPO; avoid irritants; stress management
The nurse is caring for a client who has had a gastrostomy. List some s/s that the client is developing complications r/t the procedure.
Perforation, increased temp, epigastric pain, aspiration
What is the "classic triad" of pyloric stenosis?
Projectile vomiting, visible peristalsis, palpable olive-shaped mass
A client with PUD is taking Ranitidine. What is the expected outcome of this drug?
Reduce gastric acid secretion
Why would a patient with stomatitis need to eat a soft, bland diet?
Reduces work for GI tract
A client with PUD is being discharged. What type of diet should the nurse include in the teaching plan?
Small frequent meals, limit milk intake
This is the term for the inflammation and erythema within the oral cavity
Stomatitis
What patient teaching would be given to someone with stomatitis?
Use a soft-bristled toothbrush or gauze; use mouth rinses with baking soda or warmed saline; encourage regular dental check ups; avoid foods that are irritating
When obtaining a health history from a client with a suspected gastric ulcer, which s/s should the nurse assess?
Vomiting, weight loss, melena, burning epigastric pain after eating, frequent eating
What does PUD stand for?
peptic ulcer disease
