GI Crossword and Turning Point Questions

A client in the emergency department reports that a piece of meat became stuck in the throat while eating. The nurse notes the client is anxious with respirations at 30 breaths/min, frequent swallowing, and little saliva in the mouth. An esophagogastroscopy with removal of foreign body is scheduled for today. What would be the first activity performed by the nurse? A. Assess lung sounds bilaterally. B. Administer prescribed morphine intravenously. C. Obtain consent for the esophagogastroscopy. D. Suction the oral cavity of the client.

A. Assess lung sounds bilaterally.

The nurse visits the home of a client recovering from acute gastritis. Which observation indicates that teaching about the disorder was effective? A. Medications placed in a pillbox B. Extinguished cigarettes in an ashtray C. Tomato sauce simmering on the stove D. Cup of caffeinated coffee on the kitchen table

A. Medications placed in a pillbox

A nurse is caring for a client in the late stages of esophageal cancer. The nurse should plan to prevent or address what characteristic(s) of this stage of the disease? Select all that apply. A.Perforation into the mediastinum B.Development of an esophageal lesion C.Erosion into the great vessels D.Painful swallowing E. Obstruction of the esophagus

A. Perforation into the mediastinum C. Erosion into the great vessels E. Obstruction of the esophagus

A nurse is interviewing a patient to determine suitability for home enteral nutrition. Which patient statement would alert the nurse to a potential problem? A."I have a telephone, but it has been shut off because my bill is overdue." B."My son and daughter live just down the block, and my wife is home all day." C."I'm willing to learn new things, so I can be as independent as possible." D."I live in a one-story house with lots of closets and cabinets."

A."I have a telephone, but it has been shut off because my bill is overdue."

A patient tells the nurse that it feels like food is "sticking" in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate? A.Achalasia B.Diffuse spasm C.Gastroesophageal reflux disease D.Hiatal hernia

A.Achalasia

The main symptom of this disorder is dysphagia, with the hallmark being difficulty with solid food.

Achalasia

A client who has occasional gastric symptoms is receiving teaching on how to prevent gastroesophageal reflux disease (GERD). Which statement indicates the client understands the teaching? A."I will eat two large meals a day instead of three." B."I will eliminate bothersome foods from my diet" C."I will plan to sleep flat without pillows" "I will start taking a nap after meals, when possible

B."I will eliminate bothersome foods from my diet"

The nurse working in the recovery room is caring for a client who had a radical neck dissection. The nurse notices that the client makes a coarse, high-pitched sound upon inspiration. Which intervention by the nurse is appropriate? A.Document the presence of stridor B.Notify the physician C.Administer a breathing treatment D.Lower the head of the bed

B.Notify the physician

The nurse is caring for a client with chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency? A.Vitamin A B.Vitamin B 12 C.Vitamin C D.Vitamin E

B.Vitamin B 12

A clinic client has described recent dark-colored stools, and the nurse recognizes the need for fecal occult blood testing (FOBT). What aspect of the client's current health status would contraindicate FOBT? A.Gastroesophageal Reflux Disease B.Peptic Ulcer Disease C.Hemorrhoids D.Recurrent nausea

C. Hemorrhoids

A client with cancer of the tongue has had a radical neck dissection. What nursing assessment should the nurse prioritize? A.Presence of acute pain and anxiety B.Tissue integrity and color of the operative site C. Respiratory status and airway clearance D. Self-esteem and body image

C. Respiratory status and airway clearance

A client who has had a radical neck dissection is being prepared for discharge. The discharge plan includes referral to an outpatient rehabilitation center for physical therapy. What should the goals of physical therapy for this client include? A.Muscle training to relieve dysphagia B.Relieving nerve paralysis in the cervical plexus C.Promoting maximum shoulder function D.Alleviating achalasia by decreasing esophageal peristalsis

C.Promoting maximum shoulder function

A patient describes a burning sensation in the esophagus, pain when swallowing, and frequent indigestion. What does the nurse suspect that these clinical manifestations indicate? A. Peptic Ulcer Disease B. Esophageal Cancer C. Diverticulitis D. Gastroesophageal Reflux Disease

D. Gastroesophageal Reflux Disease

A client has a new order for metoclopramide. The nurse identifies that this medication can be safely administered for which condition? A.Peptic ulcer with melena B.Diverticulitis with perforation C.Gastritis D.Gastroesophageal reflux disease

D. Gastroesophageal reflux disease

An older adult client seeks medical attention for a report of general difficulty swallowing. Which assessment finding is most significant as related to this symptom? A.Hiatal hernia B.Gastroesophageal Reflux disease C.Gastritis D.Esophageal tumor

D.Esophageal tumor

Informed consent must be obtained prior to this upper GI scope (abbreviation)

EGD

Pyrosis and regurgitation are the hallmarks of this disease

GERD

Most peptic ulcers result in patients who have this infection

H. pylori

If esophageal cancer is detected at an early stage, treatment goals may be directed toward what?

a cure

Failure to clear this ingested substance after testing can lead to a bowel obstruction used in upper GI studies. Helps identify areas of impaired integrity in upper GI system

barium

Presence of this lab indicates cancer is present somewhere

carcinoembryonic antigen

For a client with salivary calculi, which procedure uses shock waves to disintegrate the stone? A. computed tomography b. radiation c. biopsy d. lithotripsy

d. lithotripsy

This can occur in tube fed patients if high osmolality formulas are used or the tube feed rate is set to high

dumping syndrome

Later manifestations of this are Later symptoms include substernal pain, persistent hiccup, respiratory difficulty, and halitosis.

esophageal cancer

The patient has excruciating retrosternal pain followed by dysphagia. Infection, fever, leukocytosis, and severe hypotension may be noted. This is a surgical emergency

esophageal perforation

characterized by dysphagia, pyrosis, regurgitation, and chest pain similar to that of coronary artery spasm.

esophageal spasm

Pt is taught to avoid red meats, aspirin, NSAIDS, vitamin C for 72 hours prior to study

fecal occult blood

These may injure the esophagus or obstruct its lumen and must be removed.

foreign bodies

The patient may present with vague symptoms of intermittent epigastric pain or fullness after eating with this GI problem

hiatal hernia

Digestion begins here

mouth

During surgical resection of the esophagus, this is placed. This should not be manipulated or moved until directed

nasogastric tube

May be caused by distention of duodenum or upper intestinal tract

nausea

Surgery for those with GERD that medical management is unsuccessful

nissen fundiplication

After esophageal resection, the NG tube comes out of place, the nurse should ___________the NG tube

not replace

This disease occurs with poor oral health and is Connected to systemic disease: CV, DM, rheumatoid

periodontal disease

A patient with a noncancerous disorder of the esophagus is encouraged to eat and drink at what rate

slowly

Any person having _______ difficulties should be encouraged to consult the primary provider immediately.

swallowing

This breath test detects H. pylori

urea

These are the symptoms for this: dysphagia, fullness in the neck, belching, regurgitation of undigested food, and gurgling noises after eating

zenker diverticulum