370Q12

Squamous

Malignancies of the oral cavity are usually _________ cell cancers.

F

Morbid obesity is body weight that is more than 50 pounds greater than the ideal.

Perforation of the peptic ulcer

A client is in the hospital for the treatment of peptic ulcer disease. The client reports vomiting and a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate?

gastrostomy

A __________ is a surgical procedure in which an opening is created in the stomach for the purpose of administering foods and fluids via a feeding tube.

Strategies for avoiding irritating foods and beverages

A nurse is caring for a client hospitalized with an exacerbation of chronic gastritis. What health promotion topic should the nurse emphasize?

Notify the health care provider.

A nurse is caring for a client who has a diagnosis of GI bleed. During shift assessment, the nurse finds the client to be tachycardic and hypotensive, and the client has an episode of hematemesis while the nurse is in the room. In addition to monitoring the client's vital signs and level of conscious, what would be a priority nursing action for this client?

"This medication will reduce the amount of acid secreted in your stomach."

A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medication's therapeutic action?

False

All parenteral nutritional components are mixed in one container and administered to the patient over a 12-hour period.

"Medications may be of some use, but they don't tend to resolve obesity on their own."

An obese male patient has sought advice from the nurse about the possible efficacy of medications in his efforts to lose weight. What should the nurse teach the patient about pharmacologic interventions for the treatment of obesity?

nonsurgical

Bariatric surgery is performed only after other __________ attempts at weight control have failed.

T

Cushing's ulcers are common in patients with head injury and brain trauma.

True

In the later stages of oral cancer, the most frequent symptom is a painless sore or mass that will not heal.

True

Oral cancers are often associated with the use of alcohol and all types of tobacco products.

melena

Patients may present with GI bleeding with peptic ulcer disease, which is evidenced by the passage of __________.

True

Tap water may be used during medication administration or tube feedings.

adenocarcinoma

The most common primary malignant tumor of the duodenum is __________.

"I have learned some relaxation strategies that decrease my stress."

The nurse determines that teaching for the client with peptic ulcer disease has been effective when the client makes which statement?

Peptic ulcers

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?

False

The pH of tube aspirate is alkalotic.

aspirate

The volume of __________ indicates the rate at which the patient is digesting the feedings and how quickly the chime is passing into the small intestine.

T

There is no successful treatment for gastric carcinoma except removal of the tumor.

F

Vomiting is a common symptom associated with duodenal ulcer.

Assess the client's abdomen and vital signs.

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?

Reflux

__________ from the stomach feedings can result in aspiration pneumonia.

Stomatitis

__________ involves inflammation and breakdown of the oral mucosa; it is often a side effect of chemotherapy or radiation therapy.

gastritis

___________ and hemorrhage from peptic ulcers are the two most common causes of upper GI tract bleeding.

Dumping

___________ syndrome is an unpleasant set of vasomotor and GI symptoms that sometimes occur in patients who have had gastric surgery or a form of vagotomy.

Vasomotor symptoms associated with dumping syndrome

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?

Hypotension and tachycardia

A critical care nurse is closely monitoring a patient who has recently undergone surgical repair of a bleeding peptic ulcer. The nurse should prioritize assessments of which of the following signs and symptoms of a recurrence of hemorrhage?