GI Notecards

A client has early signs of oral cancer. What should the nurse include in a focused assessment? Select all that apply. 1. An infection or inflammation in the mouth 2. Lost the sense of taste 3. Difficulty swallowing 4. Significant weight loss 5. Changes in frequency of urination 6. Numbness of the tongue

1. An infection or inflammation in the mouth 3. Difficulty swallowing 4. Significant weight loss 6. Numbness of the tongue

A client with a peptic ulcer reports epigastric pain that frequently causes the client to wake up during the night. The nurse should instruct the client to do which activities? Select all that apply. 1. Obtain adequate rest to reduce stimulation 2. Eat small, frequent meals throughout the day 3. Take all medications on time as prescribed 4. Sit up for 1 hour when awakened at night 5. Stay away from crowded areas

1. Obtain adequate rest to reduce stimulation 2. Eat small, frequent meals throughout the day 3. Take all medications on time as prescribed 4. Sit up for 1hour when awakened at night

The nurse should assess the client who is being admitted to the hospital with upper GI bleeding for which finding? Select all that apply. 1. Dry, flushed skin 2. Decreased urine output 3. Tachycardia 4. Widening pulse pressure 5. Rapid respirations 6. Thirst

2. Decreased urine output 3. Tachycardia 5. Rapid respirations 6. Thirst

A client with peptic ulcer disease reports being nauseated most of the day and now feeling light-headed and dizzy. Based upon these findings, which nursing actions would be MOST appropriate for the nurse to take? Select all that apply. 1. Administering an antacid hourly until nausea subsides 2. Monitoring the client's vital signs 3. Notifying the HCP of the client's symptoms 4. Initiating oxygen therapy 5. reassessing the client in an hour

2. Monitoring the client's vital signs 3. Notifying the health care provider (HCP) of the client's symptoms

The nurse is caring for a client who has had a gastroscopy. Which findings indicate that the client is developing a complication related to the procedure. Select all that apply. 1. The client has a sore throat 2. The client has a temperature of 100'F (37.8'C) 3. The client appears drowsy following the procedure 4. The client has epigastric pain 5. The client experiences hematemesis

2. The client has a temperature of 100'F (37.8'C) 4. The client has epigastric pain 5. The client experiences hematemesis

A client who is recovering from gastric surgery is receiving IV fluids to be infused at 100 mL/h. The IV tubing delivers 15 gtt/mL. The nurse should infuse the solution oat a flow rate of how many drops per minute to ensure that the client receives 100 mL/h? Record your answer using a whole number.

25 gtt/min

When obtaining a nursing history form a client with a suspected gastric ulcer, which signs and symptoms should the nurse assess? Select all that apply. 1. Epigastric pain at night 2. Relief of epigastric pain after eating 3. Vomiting 4. Weight loss 5. Melena

3. Vomiting 4. Weight loss 5. Melena

Amoxicillin Trihydrate 300 mg PO has been prescribed for a client with an oral infection. The medication is available in a liquid suspension that is available as 250 mg/5 mL. How many milliliters should the nurse administer? Record your answer using a whole number.

6 mL

A client diagnosed with peptic ulcer disease has an H. pylori infection. The client is following a 2-week drug regimen that includes clarithromycin along with omeprazole and amoxicillin. How should the nurse instruct the client to take these medications? A. Alternate the use of the drugs B. Take the drugs at different times during the day C. Discontinue all drugs if nausea occurs D. Take the drugs for the entire 2-week period

D. Take the drugs for the entire 2-week period

A client has had a subtotal gastrectomy and has a nasogastric tube with intermittent suction. Twenty-four hours after the surgery, the drainage in the clients nasogastric tube is dark brown. What should the nurse do? A. reassure the client that this is normal drainage B. Irrigate the nasogastric tube C. Notify the HCP D. Discontinue the suction

A. Reassure the client that this is normal drainage

The nurse is preparing a community presentation on oral cancer. Which is a primary risk factor for oral cancer that the nurse should emphasize in the presentation? A. Use of alcohol B. Frequent use of mouthwash C. Lack of vitamin B12 D. Lack of regular teeth cleaning by a dentist

A. Use of alcohol

Following a gastrectomy, the nurse should place the client in which position? A. Prone B. Supine C. Low fowler's D. Right or left sims'

C. Low Fowler's

Since the diagnosis of stomach cancer, the client has been having trouble sleeping and is frequently preoccupied with thoughts about how life will change. The client says, "I wish my life could stay the same." The nurse determines that the client is experiencing which problem? A. Having difficulty coping B. Experiencing a sleep disorder C. Going through a grieving process D. Showing signs of anxiety

B. Experiencing a sleep disorder

Following surgery to set a fractured mandible, the client has swelling at the surgery site. What is the PRIORITY goal of nursing care? A. Prevent nausea and vomiting B. Maintain a patent airway C. provide frequent oral hygiene D. Establish a way for the client to communicate

B. Maintain a patent airway

The nurse is teaching a client with a peptic ulcer about the diet that should be followed after discharge. What types of food should the nurse suggest the client include in the diet? A. Bland foods B. High-protein foods C. Any foods that are tolerated D. A glass of milk with each meal

C. Any foods that are tolerated

A client is to take one daily dose of ranitidine at home to treat a peptic ulcer. Which response from the client indicates that the client understands how to take the medication? I'll take the drug: A. Before meals B. With meals C. At bedtime D. When pain occurs

C. At bedtime

The nurse is caring for a cl9ient who has just returned from surgery to treat a fractured mandible. The jaws are wired. What should the nurse do if the Client begins to vomit? A. Administer an antiemetic as prescribed B. Cut the wires and assist the client to expectorate C. Have client sit up, bend over, and spit into an emesis basin D. Insert a suction tube to clear the vomitus from the oral cavity

C. Have the client sit up, bend over, and spit into an emesis basin

Following a subtotal gastrectomy, a client has a nasogastric (NG) tube connected to low suction. What should the nurse do? A. Irrigate the tube with 30 mL of sterile water every hour if needed B. Reposition the tube if it is not draining well C. Monitor the client for nausea, vomiting, and abdominal distention D. Change to high suction if the drainage is sluggish on low suction

C. Monitor the client for nausea, vomiting, and abdominal distension

A client with peptic ulcer disease is admitted to the hospital for a gastric resection. The client reports a sudden sharp pain in the midepigastric area that radiates to the shoulder. What should the nurse do FIRST? A. Establish an IV line B. Administer pain medication C. Notify the surgeon D. Call for a stat ECG

C. Notify the surgeon

A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which indicates the client is ready to try a liquid diet? A. The client is hungry B. The client has not requested pain medication for 8 hours C. The client has frequent bowel sounds D. The client has had a bowel movement

C. The client has frequent bowel sounds

A client has been taking aluminum hydroxide 30 mL six times per day at home to treat a peptic ulcer. The client has been unable to have a bowel movement for 3 days. What should the nurse determine is the MAOST likely cause of the client's constipation? A. The client has not been including enough fiber in the diet B. The client needs to increase the daily exercise C. The client is experiencing an adverse effect of the aluminum hydroxide D. The client has developed a gastrointestinal obstruction

C. The client is experiencing an adverse effect of the aluminum hydroxide

During the assessment of a client's mouth, the nurse notes the absence of saliva. The client reports having pain behind the ear. The client has been nothing-by-mouth (NPO) for several days but now can have liquids. What should the nurse do NEXT? A. Request a prescription for an antifungal mouthwash B. Instruct the client to brush the gums as well as the teeth C. Encourage the client to suck on hard candy D. Give the client a hydrogen peroxide-based mouthwash

C. encourage the client to suck on hard candy

A client is taking an antacid for treatment of a peptic ulcer. Which statement BEST indicates that the client understands how to correctly take the antacid? A. "I should take my antacid before I take my other medications" B. "I need to decrease my intake of fluids so that I do not dilute the effects of my antacid" C. "My antacid will be most effective if I take it whenever I experience stomach pains" D. "It is best for me to take my antacid 1 to 3 hours after meals"

D. "It is best for me to take my antacid 1 to 3 hours after meals"

A client who has a history of bacterial endocarditis is scheduled to have oral surgery to remove a tooth. What should the nurse instruct the client to do? A. Gargle with a saline solution prior to the appointment B. Rinse the mouth with mouthwash the night before and the day of surgery C. Contact the health provider to request a sedative D. Be sure the dentist prescribes a prophylactic antibiotic prior to the oral surgery

D. Be sure the dentist prescribes a prophylactic antibiotic prior to the oral surgery

Within 6 hours following a subtotal gastrectomy, the drainage from the client's NG tube is bright red. What should the nurse do FIRST? A. Clamp the NG tube B. Remove the existing NG tube C. Irrigate the NG tube with iced saline D. Chart the finding in the client's medical record

D. Chart the finding in the client's medical record

To reduce the risk of dumping syndrome, what should the nurse teach the client to do? A. Sit upright for 30 minutes after meals B. Drink liquids with meals, avoiding caffeine C. Avoid milk and other dairy products D. Decrease the carbohydrate content of meals

D. Decrease the carbohydrate content of meals

The nurse is teaching a client with stomatitis about managing oral discomfort. Which instruction is MOST appropriate? A. Drink hot tea at frequent intervals B. Gargle with antiseptic mouthwash C. Use an electric toothbrush D. Eat a soft, bland diet

D. Eat a soft, bland diet

A client with peptic ulcer disease is taking ranitidine. what is the expected outcome of this drug? A. Heal the ulcer B. Protect the ulcer surface from acids C. Reduce acid concentration D. Limit gastric acid secretion

D. Limit gastric acid secretion

A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the midepigrastric region along with a rigid, board-like abdomen. After obtaining the client's vital signs, what should the nurse do NEXT? A. Administer pain medication as prescribed B. Raise the head of the bed C. Prepare to insert a nasogastric tube D. Notify the health care provider (HCP)

D. Notify the health care provider (HCP)

A client admitted to the hospital with peptic ulcer disease tells the nurse about having black, tarry stools. what should the nurse do? A. Encourage the client to increase fluid intake B. Advise the client to avoid iron rich foods C. Place the client on contact precautions D. Report the finding to the HCP

D. Report the finding to the health care provider (HCP)