adult test 2 questions from text book

How should the nurse respond to Frank's remarks?

place a copy of the living will in the medical record and document its presence

How should the nurse respond with the post-mortem care?

remain available to assist the women of the synagogue as needed

A nurse is completing an assessment on a client who has a suspected stomach perforation from a peptic ulcer. Which of the following findings would the nurse expect?

rigid abdomen; tachycardia; rebound tenderness; vomiting

A client is recovering from gastric surgery. Toward what goal should the nurse progress the client's enteral intake?

six small meals daily with 120 mL fluid between meals

A client is preparing for discharge to home following a partial gastrectomy and vagotomy. Which is the best rationale for the client being taught to lie down for 30 minutes after each meal?

slows gastric emptying

The nurse visits the home of a client recovering from acute gastritis. Which observation indicates that teaching about the disorder was effective?

medications in a pill box

During a home visit the nurse notes that a client recovering from peptic ulcer disease is experiencing cool clammy skin and has a heart rate of 96 beats a minute. Which action will the nurse take?

notify the HCP

A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). Which of the following interventions should be included in the plan of care?

obtain a capillary blood glucose 4x a day, monitor VS Q4; change TPN tubing every 24 hrs; daily weight and labs

A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would the nurse give the client?

Be sure to wear sunscreen with this medication

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

I have learned some relaxation strategies that decrease my stress

A nursing student is caring for a client with gastritis. Which of the following would the student recognize as a common cause of gastritis?

Ingestion of strong acids, overuse of aspirin, irritating foods

A nurse is preparing to discharge a client newly diagnosed with peptic ulcer disease. The client's diagnostic test results were positive for H. pylori bacteria. The health care provider has ordered the "triple therapy" regimen. Which medications will the nurse educate the client on?

PPI and 2 antibiotics

A client comes to the clinic after developing a headache, abdominal pain, nausea, hiccupping, and fatigue about 2 hours ago. The client tells the nurse that the last food was buffalo chicken wings and beer. Which medical condition does the nurse find to be most consistent with the client's presenting problems?

acute gastritis

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 initial appropriate action by the nurse?

assess the client's abdomen and VS

A client is reporting "heartburn" and thinks his discomfort is caused by the stress he has been under at work. He also reports that his stools have been black and sticky. He is taking antacids that relieve the pain for 2 hours, and then it begins again. What is the nurse's greatest concern?

black, sticky stool

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

A nurse is caring for a client who is undergoing a diagnostic workup for a suspected gastrointestinal problem. The client reports gnawing epigastric pain following meals and heartburn. What would the nurse suspect this client has?

peptic ulcer disease

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

During the admission process, what is the nurse's responsibility regarding advance directives?

determine if Mrs. klein has completed a living will and a durable power of attorney for healthcare

Which of the following appears to be a significant factor in the development of gastric cancer?

diet

Frank tells the nurse that their faith in God has seen them through life's problems and that he relies on that faith every day. What is the best response to support Frank and Bertha spiritually?

do you have any wishes i should convey to the staff

A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:

drink liquids only between meals

Which medication is classified as a histamine-2 receptor antagonist?

famotidine

A client is prescribed a histamine (H2)-receptor antagonist. The nurse understands that this might include which medication(s)? Select all that apply. Esomeprazole Famotidine Cimetidine Nizatidine Lansoprazole

famotidine, cimetidine, nizatidine

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

Frank asks the nurse why oxycodone is given in this manner. The nurse answers Frank's question based on which information?

the medication is rapidly absorbed and acts quickly, this route decreases the chance of aspiration

Which response demonstrates that the nurse understands the underlying premise of a living will?

we will honor bertha's directives in her living will

Which of the following clients is at highest risk for peptic ulcer disease?

Client with type O blood

A client with peptic ulcer disease asks for pain medication. Which response will the nurse make?

The medications for the ulcer will reduce the pain

How should the nurse respond to Carol's request?

Tell Carol that massage therapists are welcome in the hospice unit

The nurse enters the room to obtain vital signs while the rabbi is praying. Frank asks the nurse to remain with them while the rabbi prays and then obtain the vital signs. What action should the nurse take?

stand quietly until the prayer is over

A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During assessment, the nurse notes that the client has developed cool skin, tachycardia, labored breathing, and appears to be confused. Which complication has the client most likely developed?

hemorrhage

The nurse is educating a client with inflammatory bowel disease (IBD) about nutrition. What diet should the nurse recommend?

high protein; high calorie; low fiber; increase oral intake

Based on the assessment findings, what action should the nurse take?

inform carol that bertha's condition is worsening

A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease. Choose the drug that can be used for 4 weeks and has a 90% chance of healing the ulcer.

omeprazole