321 Exam 3 - Ch 46: Management of Pts with Gastric/Duodenal Disorders
Which of the following clients is at highest risk for peptic ulcer disease?
client with blood type O
Which is a true statement regarding gastric cancer?
most clients are asymptomatic during the early stage of disease
A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission?
nothing by mouth
Which medication classification represents a proton (gastric acid) pump inhibitor?
omeprazole
The nurse is conducting a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which disease/condition?
peptic ulcers
Which of the following is the most successful treatment for gastric cancer?
removal of tumor
Review the following four examples of ideal body weight (IBW), actual weight, and body mass index (BMI). Using three criteria for each example, select the body weight that indicates morbid obesity.
IBW = 145 lbs; weight = 290 lbs; BMI = 31 kg/m2
Peptic ulcer disease occurs more frequently in people with which blood type?
O
Which of the following medications is classified as a proton pump inhibitor (PPI)?
Omeprazole
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.
age 55, previous infection with H.pylori
When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain in the right shoulder. What is the intial appropriate action by the nurse?
assess client's abdomen and VS
Which of the following appears to be a significant factor in the development of gastric cancer?
diet
A client who had a Roux-en-Y bypass procedure for morbid obesity ate a chocolate chip cookie after a meal. After ingestion of the cookie, the client reported cramping pains, dizziness, and palpitation. After having a bowel movement, the symptoms resolved. What should the nurse educate the client about regarding this event?
dumping syndrome
A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. The client reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. Based on the client's assessment, what will the nurse suspect?
dumping syndrome
The nurse is assessing a client with an ulcer for signs and symptoms of hemorrhage. The nurse interprets which condition as a sign/symptom of possible hemorrhage?
hematemesis
A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?
10-14 days
A client is recovering from gastric surgery. Toward what goal should the nurse progress the client's enteral intake?
6 small meals daily with 120 mL fluid between meals
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 can be caused by ingestion of strong acids, you may have ingested some irritating foods, it is possible you are overusing aspirin
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
A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would the nurse give the client?
wear sunscreen while taking this med