Prep U Exam2

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? Select all that apply. A. Burning sensation localized in the back or mid-epigastrium B. Feeling of emptiness that precedes meals from 1 to 3 hours C. Severe gnawing pain that increases in severity as the day progresses D. Pain that radiates to the shoulder or jaw E. Vomiting without associated nausea

ABC

Which neuroregulator increase gastric acid secretion?

acetylcholine

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:

alcohol abuse and smoking.

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 (PUD)

The nurse is admitting a client whose medication regimen includes regular injections of vitamin B12. The nurse should question the client about a history of:

total gastrectomy.

A nurse is caring for a client admitted with a suspected malabsorption disorder. The nurse knows that one of the accessory organs of the digestive system is the pancreas. What digestive enzymes does the pancreas secrete? Select all that apply. A. Pepsin B. Lipase C. Amylase D. Trypsin E. Ptyalin

BCD

A patient is admitted to the hospital with a possible common bile duct obstruction. What clinical manifestations does the nurse understand are indicators of this problem? (Select all that apply.) A. Amber-colored urine B. Clay-colored feces C. Pruritus D. Jaundice E. Pain in the left upper abdominal quadrant

BCD

The nurse is assessing a client with a bleeding gastric ulcer. When examining the client's stool, which characteristic would the nurse be most likely to find?

Black and tarry appearance

A nurse is preparing a client for surgery. During preoperative teaching, the client asks where is bile stored. The nurse knows that bile is stored in the:

Gallbladder

Which of the following medications is classified as a proton pump inhibitor (PPI)?

Omeprazole

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

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?

Perforation of the peptic ulcer

The nurse determines a client scheduled to undergo an abdominal ultrasonography should receive which instruction?

Restrict eating of solid food for 6 to 8 hours before the test.

A client has been scheduled for a urea breath test in one month's time. What nursing diagnosis most likely prompted this diagnostic test?

Risk for impaired skin integrity related to peptic ulcers

A nurse is assessing an older adult client with gallstones. The nurse is aware that the client may not exhibit typical symptoms, and that particular symptoms that may be exhibited in the elderly client may include what examples?

Signs and symptoms of septic shock

A client is admitted with a gastrointestinal bleed. What client symptom may indicate a peptic ulcer perforation to the nurse?

Sudden, severe upper abdominal pain

A client taking metronidazole for the treatment of H. pylori states that the medication is causing nausea. What teaching should the nurse provide to the client to alleviate the nausea?

Take the medication with meals to decrease the nausea.

The nurse is collecting a stool specimen from a patient. What characteristic of the stool indicates to the nurse that the patient may have an upper GI bleed?

Tarry and black

The nurse is caring for a geriatric client experiencing diarrhea. When teaching about the site in the body where water and electrolytes are absorbed, the nurse is most correct to instruct on which location?

The Large Intestine

A client was diagnosed with pernicious anemia. Which vitamin cannot be absorbed without an intrinsic factor?

Vitamin B12

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?

Vitamin B12

A client with peptic ulcer disease wants to know nonpharmacologic ways to prevent recurrence. Which of the following measures would the nurse recommend? Select all that apply. A. Smoking cessation B. Substituting decaffeinated products for all forms of coffee C. Avoidance of alcohol D. Eating whenever hungry E. Following a regular schedule for rest, relaxation, and meals

ABCE

A client with acute gastritis asks the nurse what might have caused the problem. What is a possible cause of acute gastritis? Select all that apply. A. Dietary indiscretion B. Overuse of allergy medicine C. Excessive alcohol intake D. Drinking fruit juices E. Radiation therapy

ACE

The nurse teaches a client scheduled for a colonoscopy. Which instruction should be included as part of the preparation for the procedure?

Follow the dietary and fluid restrictions and bowel preparation procedures

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Fried chicken

A nurse is preparing a client for endoscopic retrograde cholangiopancreatography (ERCP). The client asks what this test is used for. Which statements by the nurse explains how ERCP can determine the difference between pancreatitis and other biliary disorders? Select all that apply. A. "It can evaluate the presence and location of ductal stones and aid in stone removal." B. "It is used in the diagnostic evaluation of acute pancreatitis." C. "It can assess the anatomy of the pancreas and the pancreatic and biliary ducts." D. "It can detect unhealthy tissues in the pancreas and assess for abscesses and pseudocysts." E. "It can assess for ecchymosis in the body."

ACD

A nurse is aware that both the sympathetic and parasympathetic portions of the autonomic nervous system affect GI motility. What are the actions of the sympathetic nervous system? Select all that apply. A. Decreases gastric motility B. Relaxes the sphincters C. Increases secretary activities D. Causes blood vessel constriction E. Creates an inhibitory effect on the GI tract

ADE

The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing interventions should be included in the care plan? Select all that apply. A. Making neurovascular checks every 4 hours B. Frequently monitoring hemoglobin and hematocrit levels C. Observing stools and vomitus for color, consistency, and volume D. Checking the blood pressure and pulse rate every 15 to 20 minutes E. Inserting an indwelling catheter for incontinence

BCD

A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine. Before the client is discharged, the nurse should provide which instruction?

"Avoid aspirin and products that contain aspirin."

A nurse is caring for a client who has had extensive abdominal surgery and is in critical condition. The nurse notes that the complete blood count shows an 8 G/dL hemoglobin and a 30% hematocrit. Dextrose 5% in half-normal saline solution is infusing through a triple lumen central catheter at 125 mL/hr. The physician orders include the following: Gentamicin 80 mg IV piggyback in 50 mL D5W over 30 minutes Zantac 50 mg IV piggyback in 50 mL D5W over 30 minutes One unit of 250 mL of PRBCs (packed red blood cells) over 3 hours Flush the nasogastric tube with 30 mL normal saline every 2 hours. How many milliliters should the nurse record as the intake for the 8-hour shift? Enter the correct number ONLY.

1470

A client recovers from an episode of gallbladder inflammation and the client's diet is advanced from a low-fat liquid diet. Which meals will the nurse recommend to the client? Select all that apply. A. Roasted chicken, mashed potatoes, and green beans. B. Marinated lean steak, steamed rice, and roasted zucchini. C. Oatmeal with a cooked fruit compote and hot tea. D. Egg salad sandwich with low fat mayonnaise and a side salad with ranch dressing. E. Vegetable lasagna, bread sticks, and steamed broccoli.

ABC

A nursing student is caring for a client with gastritis. Which of the following would the student recognize as a common cause of gastritis? Choose all that apply. A. Ingestion of strong acids B. Irritating foods C. Overuse of aspirin D. DASH diet E. Participation in highly competitive sports

ABC

The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions? Select all that apply. A. The client must fast for 8 hours before the examination. B. The throat will be sprayed with a local anesthetic. C. After gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours). D. The health care provider will be able to determine if there is a presence of bowel disease. E. The client must have bowel cleansing prior to the procedure.

ABC

A client admitted for treatment of a gastric ulcer is being prepared for discharge. The client will follow a regimen of antacid therapy. Discharge teaching should include which instructions? Choose all that apply. A. "Continue to take antacids even if your symptoms subside." B. "You may take antacids with other medications." C. "You may be prescribed H2-receptor antagonists for up to 1 year." D. "Be sure to take antacids with meals." E. "The antacids will make you sleepy, so do not operate machinery while taking them."

AC

The nurse is providing care for a client whose peptic ulcer disease will be treated with a Billroth I procedure (gastroduodenostomy). The nurse should address which of the following topics when providing health education? Select all that apply. A. The procedure carries a risk for dumping syndrome B. The client is likely to require long-term total parenteral nutrition (TPN) C. The client's vagus nerve may be altered D. The client can resume a usual diet in 3 to 5 weeks E. Part of the client's stomach and colon will be removed

AC

While preparing a client for an upper GI endoscopy (esophagogastroduodenoscopy), the nurse should implement which interventions? Choose all that apply. A. Administer a preparation to cleanse the GI tract, such as Golytely or Fleets Phospha-Soda. B. Tell the client he shouldn't eat or drink for 6 to 12 hours before the procedure. C. ell the client he must be on a clear liquid diet for 24 hours before the procedure. D. Inform the client that he will receive a sedative before the procedure. E. Tell the client that he may eat and drink immediately after the procedure

BD

A client comes into the emergency department with reports of abdominal pain. What should the nurse ask first?

Characteristics and duration of pain

A very ill client with acute cholecystitis is scheduled for surgery. The surgeon plans to create an incision in the common bile duct to remove stones. The nurse correctly documents this surgery in the electronic medical record using which term?

Choledochostomy

The nurse is working in a diagnostic testing unit focusing on gastrointestinal studies. For which testing procedure is the nurse correct to assess the gag reflex before offering fluids?

Esophagogastroduodenoscopy(EGD)

As a nurse completes the admission assessment of a client admitted for gastric bypass surgery, the client states, "Finally! I'll be thin and able to eat without much concern." How should the nurse intervene?

Evaluate the client's understanding of the procedure.

A client has experienced symptoms of dumping syndrome following gastric surgery. To what physiologic phenomenon does the nurse attribute this syndrome?

Influx of extracellular fluid into the small intestine