55-57

The nurse has implemented a care plan for an adult patient with gastroesophageal reflux disorder (GERD). On the next clinic visit, which statement by the patient indicates adherence to the plan of care?

"I've lost six pounds because I eat every three hours and never before bed."

Which assessment data collected by the nurse supports the patient's diagnosis of early gastric cancer?

Anorexia

The nurse is providing discharge instructions for a patient diagnosed with peptic ulcer disease. Which statement indicates the need for additional education?

"I will be sure to eat a large meal before bedtime."

Which should the nurse include in the discharge teaching for a patient who is being discharged after a laparoscopic Nissen fundoplication? Select all that apply

Avoid foods that are not easy to swallow Avoid carbonated beverages No heavy lifting until cleared by surgeon

Which diagnostic test should the nurse anticipate to rule out anemia when providing care to a patient diagnosed with peptic ulcer disease?

Hematocrit

The nurse is providing education for a patient who is diagnosed with gastritis. Which statement indicates the need for further education?

I will take aspirin for headaches from now on

The nurse is assessing a patient who experienced blunt force trauma to the umbilical region of the abdomen. Which structures may be affected based on this information? Select all that apply.

Ileum Aorta Spine

The nurse is explaining the alteration in normal function to a patient recently diagnosed with gastroesophageal reflux disease (GERD). Which etiology contributing to GERD will the nurse include in the teaching session?

Incompetent lower esophageal sphincter

When conducting an abdominal assessment, the nurse notes tender unmovable inguinal nodes that are greater than 1 cm. Which conclusions by the nurse may be appropriate? Select all that apply.

Infection Cancer Lymphoma

An adult patient with a BMI of 39 who smokes 1 pack of cigarettes per day is diagnosed with erosive esophagitis through upper GI endoscopy. The patient is now refusing all medications and states "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan?

Interview the patient and spouse for a 24-hour recall of usual food content, intake, and meal times.

The nurse is providing care to a patient who is diagnosed with esophageal cancer. Which assessment finding indicates metastasis to the liver?

Jaundice

Which clinical manifestation associated with the ingestion of bleach causing esophageal trauma does the nurse anticipate for the patient 48 hours after the initial event?

Kidney damage

Which common site of metastasis should the nurse anticipate when providing care to a patient diagnosed with oral cancer?

Liver

Which is the priority nursing diagnosis when providing care for a patient with oral trauma?

Risk for ineffective airway clearance

. The nurse is conducting an assessment for a patient who is suspected of having peptic ulcer disease. Which is a risk factor identified in the patient's health history?

Sarcoidosis

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease. Which data supports the patient is experiencing a gastrointestinal bleed?

Tarry stools

Which should the nurse include in the discharge instruction regarding physical assessment findings that requires the patient to seek emergent care following a laparoscopic Nissen fundoplication? Select all that apply.

Thick drainage with a foul odor from incision site Difficulty swallowing

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 4 stomatitis?

Tissue necrosis with significant bleeding noted

Which diagnostic test should the nurse anticipate to detect active infection with H. pylori for a patient diagnosed with gastritis?

Urea breathing test

Which complementary and alternative medicine (CAM) therapy should the nurse suggest for muscular relaxation for a patient who is experiencing pain due to esophageal cancer?

Vibration

The nurse is conducting a health history for a patient who presents with abdominal discomfort. Which assessment questions are appropriate? Select all that apply.

Where is the pain Was the onset of pain gradual or sudden When was your last menstrual period

. Which diagnostic test should the nurse anticipate to rule out peritonitis when providing care to a patient diagnosed with peptic ulcer disease?

White blood cell

The nurse is assessing a patient who is exhibiting pain in the right lower quadrant (RLQ). Based on this data, which diagnosis does the nurse suspect?

appendicitis

The nurse notes a positive shifting dullness during abdominal percussion. Which diagnosis does this assessment data support?

ascites

Which action by the nurse is appropriate when determining if bowel sounds are absent during the patient assessment?

auscultating the abdomen for five minutes

Which is the normal liver span at the midclavicular line the nurse anticipates when conducting a gastrointestinal assessment?

6 to 12cm

The nurse is providing care to a patient whose mouth is wired shut after oral trauma. Which is a priority when providing this patient's care?

Having wire cutters available

The nurse is providing care to several patients in an outpatient clinic. Which patient is at high risk of developing gastroesophageal reflux disorder (GERD)?

A patient who is morbidly obese

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease. Which data supports the patient is experiencing a perforation?

Absent bowel sounds

. Which is the priority nursing diagnosis when planning care for this patient who is diagnosed with acute gastritis?

Acute pain

A patient is admitted to the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale. Gastroesophageal reflux disorder (GERD) secondary to hiatal hernia is diagnosed. Based on this data, which is the priority nursing diagnosis?

Acute pain

Which patient activity should the nurse discourage for a patient who is diagnosed with stomatitis?

Alcohol-based mouth rinses

A patient is with a history of gastroesophageal reflux disorder (GERD) presents with metabolic alkalosis. Based on the data reviewed in the patient's history, which medication does the nurse suspect contributed to the current diagnosis?

Aluminum hydroxide

The nurse is providing care to a patient who is diagnosed with peptic ulcer disease. When planning care, which should the nurse include as first-line triple dose therapy? Select all that apply.

Amoxicillin Clarithromycin Proton pump inhibitor

The nurse is providing care to a patient who is suspected of having esophageal cancer. Which diagnostic test should the nurse anticipate for this patient first?

Barium swallow

Which assessment data would indicate active bleeding for a patient who is diagnosed with peptic ulcer disease?

Bright red blood in emesis

Which food should the nurse encourage for a patient, diagnosed with gastritis, when a clear liquid diet is prescribed?

Broth

Which medication, acting as a physical barrier, does the nurse anticipate for a patient diagnosed with gastritis?

Carafate

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease. Which data supports the patient is experiencing an obstruction?

Emesis of undigested food

The nurse is providing care to a patient who is diagnosed with acute gastritis. Which assessment data supports this diagnosis?

Epigastric pain

The nurse is providing care to a patient who ingested bleach. Which diagnosis should the nurse anticipate when planning care for this patient?

Esophageal trauma

Which diagnostic test should the nurse anticipate when providing care to a patient who is suspected of having a hiatal hernia?

Esophagogastroduodenoscopy (ECG)

. Which principal risk factor should the nurse assess for during the health history in a patient who is suspected of having peptic ulcer disease?

H. pylori infection

. The nurse is providing care to a patient who is diagnosed with peptic ulcer disease. When planning care, which should the nurse include as first-line quadruple dose therapy? Select all that apply.

Metronidazole Bismuth subsalicylate Proton pump inhibitor

The nurse is providing care to a patient who is diagnosed with peptic ulcer disease. When planning care, which should the nurse include as first-line triple dose therapy for a patient who is allergic to penicillin? Select all that apply.

Metronidazole Clarithromycin Proton pump inhibitor

Which food should the nurse encourage for a patient, diagnosed with gastritis, when a heavier liquid diet is prescribed?

Milk

Which are risk factors for the development of hiatal hernia? Select all that apply

Obesity Pregnancy Tobacco use

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 3 stomatitis?

Oral ulcerations that bleed with minor trauma

. The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease. Which data supports the patient is experiencing penetration to another organ?

Pain in the right arm

Which assessment data collected by the nurse supports the patient's diagnosis of advanced gastric cancer?

Palpable epigastric mass

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 2 stomatitis?

Patchy oral ulcerations

. The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of peptic ulcer disease. Which drugs should the nurse educate this patient about based on this data?

Proton pump inhibitor, amoxicillin, and clarithromycin

. The nurse is providing care to a patient who is prescribed levofloxacin-based triple therapy for the treatment of peptic ulcer disease. Which drugs should the nurse educate this patient about based on this data?

Proton pump inhibitor, levofloxacin, and amoxicillin

. The nurse is providing care to a patient who is status post partial gastrectomy for the treatment of gastric carcinoma. Which should the nurse include in the plan of care to decrease the risk of dumping syndrome?

Providing smaller meals at more frequent intervals

Which data collected by the nurse during the physical assessment indicates the patient is experiencing stage 1 stomatitis?

Redness of mucosa

An older adult patient is admitted to the hospital with blunt trauma to the abdomen after an auto accident. Which finding may indicate intra-abdominal bleeding?

bluish tint around the umbilicus

The nurse is providing care to a patient who reports diffuse abdominal pain. Upon assessment, the nurse notes absent bowel sounds and abdominal distension. Based on this data, which medical diagnosis does the nurse suspect?

bowel obstruction

Which structure is located in the right lower quadrant (RLQ) of the abdomen?

cecum

. The nurse is assessing an older adult patient who is experiencing constipation. Which age-related change may contribute to this clinical finding?

decreased peristalsis

Which is the primary system that is assessed by the nurse during an abdominal assessment?

digestive

Which sound would the nurse expect to elicit when percussing the liver?

dullness

Which structure of the gastrointestinal (GI) system is found in the right upper quadrant (RUQ) and is the primary site of absorption?

duodenum

Which common cause for oral trauma should the nurse include in an educational seminar for individuals over the age of 60 years?

falls

The nurse is providing education to a patient who is diagnosed with oral cancer who is being treated with radiation therapy. Which should the nurse include as a rare but serious complication?

hearing loss

The nurse is assessing a patient who presents with weight loss. Which assessment question is most appropriate for this patient?

how is your appetite

The nurse is conducting a health history for a patient who presents with weight change. Which assessment questions are appropriate? Select all that apply.

how is your appetite what have you had to eat in the last 24 hours

Which bowel sound noted by the nurse during the gastrointestinal assessment indicates an early bowel obstruction?

hyperperistalic

The nurse is assessing a patient who is prescribed an anticholinergic agent. Which assessment finding indicates the patient is experiencing an adverse reaction to the drug?

hypoactive bowel sounds

Which is the correct sequence for the abdominal exam?

inspection, auscultation, percussion, and palpation

Which organ functions as a main site for metabolizing drugs and may become impaired with the aging process?

liver

Which structure, located in the right upper quadrant (RUQ) of the abdomen, is assessed by the nurse by palpation and percussion?

liver

. The nurse is conducting an abdominal assessment. Which structures can be assessed by palpation in the right upper quadrant (RUQ)? Select all that apply.

liver gallbladder duodenum

Which action by the nurse is appropriate when attempting to locate the spleen during the abdominal assessment?

percussing over the 9th to the 11th ribs at the midaxillary line

The patient reports left upper quadrant (LUQ) pain. Based on this data, which does the nurse suspect?

ruptured spleen

Which structure is located in the left upper quadrant (LUQ) of the abdomen?

spleen