Upper GI Disorders

The nurse is caring for a client with anorexia. What are contributing factors for anorexia? Select all that apply.

Noxious food odors Emotional stress Psychological problems

The nurse is caring for a client with a body mass index (BMI) of 45. In what weight classification will the nurse place the client?

Obese

The nurse is caring for a client with a late-stage oral cancer. Which clinical manifestations can the nurse expect to find? Select all that apply.

Painless, tender ulcers Difficulty swallowing Dysphagia Swollen cervical lymph glands

The nurse is caring for a client with gastric bleeding. After notifying the health-care provider, which interventions can the nurse expect to implement? Select all that apply.

Prepare the client for a CBC Keep the pt NPO Monitor VS Insert NG tube

The nurse is reinforcing teaching to a client with dumping syndrome. Which statement made by the client indicates an understanding of the teaching?

"I will eat six small meals each day."

The nurse is reinforcing teaching for a client who underwent bariatric surgery. Which statement made by the client indicates understanding?

"I will follow a high-protein and low-fat diet."

The nurse is caring for a client who will undergo an adjustable gastric banding procedure. Which statement made by the client indicates an understanding of the procedure?

"I will have an inflatable silicone band around the upper portion of the stomach."

The nurse is teaching a client about the treatment for gastritis. Which statement made by the client requires correction by the nurse?

"I'm going for a drink with my coworkers."

A client asks the nurse to explain a total gastrectomy. Which response by the nurse is most appropriate?

"The surgeon will remove all of the stomach."

The nurse is preparing to administer sucralfate 1 g/10 mL. The available dose is 1,000 mg/10 mL. How many milliliters will the nurse administer? Enter the numeral only.

10

The nurse is preparing to administer aluminum hydroxide 30 mL. How many tablespoons will the nurse administer? Enter the numeral only.

2

The nurse is preparing to administer famotidine 40 mg by mouth. The available dose is famotidine 20 mg tablets. How many tablets will the nurse administer? Enter the numeral only.

2

The nurse is calculating output on a client who recently underwent gastric surgery. The client has 2,200 mL in the bag of an indwelling urinary catheter, 800 mL of blood in the nasogastric suction container, and 120 mL of liquid stool. What is the client's total output? Enter the numeral only.

3120

The nurse is calculating intake for a client who underwent bariatric surgery. The client receiving 3 cups of water of 30 mL each and 4 L boluses of 0.9% normal saline. What is the client's total intake? Enter the numeral only.

4090

The nurse is caring for a group of clients. Which client is at higher risk for developing gastric cancer?

A client who eats a diet high in smoked fish

The nurse is caring for a group of clients. Which client is at highest risk for developing a hiatal hernia?

A client who is pregnant for the first time

The nurse notes a prescription for a laxative. The nurse understands that the prescription is not appropriate for which client?

A client with a gastrointestinal (GI) bleed

The nurse is caring for a group of clients. Which client can the nurse expect to exhibit Mallory-Weiss tear?

A client with chronic alcoholism

The nurse is caring for a group of clients. Which client will the nurse see first?

A client with peptic ulcer disease (PUD) complaining of sudden pain

The nurse is caring for a client receiving treatment for esophageal cancer. Which intervention will the nurse expect to implement?

Administer analgesics as prescribed

The nurse is caring for a client with severe vomiting. Which interventions can the nurse expect to implement?

Administer antiemetics as prescribed

The nurse is preparing to administer medication to a client with Helicobacter pylori (H. pylori). Which medication can the nurse expect to administer?

Amoxicillin and omeprazole

The nurse is performing a stool test for occult blood. Which substance can contribute to a false-positive result?

Anticoagulants

The nurse is caring for a client with gastric bleeding. Which finding should the nurse report to the health-care provider?

BP 82/40

The nurse is caring for a client with a Mallory-Weiss tear. Which clinical manifestation can the nurse expect to find?

Bright red bloody emesis

The nurse is caring for a client with esophageal cancer. Which clinical manifestation can the nurse expect to find?

Chest pain after eating

The nurse is caring for a client who underwent bariatric surgery. Which interventions will the nurse implement?

Discuss with the client a weight loss goal of 1 to 2 pounds weekly

The nurse is caring for a client with dumping syndrome. Which clinical manifestation can the nurse expect to find?

Dizziness

The nurse is caring for a client who recently underwent an esophagoscopy. Which assessment finding will be most concerning to the nurse?

Dysphagia

The nurse is caring for a client who underwent surgery for gastric cancer. Which finding will the nurse report to the health-care provider?

Feeling of repeatedly gagging

The nurse is caring for a client with a hiatal hernia. Which clinical manifestation can the nurse expect to find?

Gastroesophageal reflux

The nurse is caring for a client with gastric cancer. Which clinical manifestations can the nurse expect to find?

Indigestion

The nurse is teaching a client with gastroesophageal reflux disease (GERD) about symptom control. Which client action will the nurse include in the teaching?

Maintain ideal body weight

The nurse is caring for a client receiving calcium carbonate. Which intervention will the nurse implement?

Monitor for symptoms of hypercalcemia

The nurse is taking a medication history for a client with suspected peptic ulcer disease (PUD). Which medication will the nurse question?

Naproxen Sodium

The nurse is caring for a client with a duodenal ulcer. Which symptom describes this type of ulcer?

Nausea and vomiting

The nurse is caring for a client admitted with nausea and vomiting. The client begins to vomit coffee-ground emesis. Which action will the nurse take first?

Notify the health-care provider (HCP)

The nurse is caring for a client with peptic ulcer disease. The client reports sudden onset of sharp, severe pain. Which action will the nurse take first?

Notify the health-care provider (HCP)

A client tells the nurse that the health-care provider will remove 75% of the stomach and leave a narrow tube. Which procedure does this describe?

Sleeve gastrectomy

The nurse is caring for a client who underwent partial removal of the stomach. Which clinical manifestation requires notification of the health-care provider (HCP)?

Sore tongue

The nurse is caring for a client with peptic ulcer disease (PUD) with a suspected cause of helicobacter pylori (H. pylori). Which diagnostic test will the nurses expect to be used to assess the client the for presence of H. pylori?

Urea breath test

The nurse is caring for a client who underwent removal of the stomach. The nurse can expect the client to exhibit which nutritional deficiency?

Vitamin B12

The nurse is caring for a client with aphthous stomatitis. Which clinical manifestations can the nurse expect to find?

White, painful ulcers on inner cheek

The nurse is teaching a client about a barium swallow. Which statement made by the client indicates an understanding regarding the procedure?

"I cannot smoke the morning of the procedure."

The nurse is providing teaching regarding lifestyle changes for a client with hiatal hernia. Which statement made by the client indicates a need for further teaching?

"I don't like to diet, so I don't plan on losing weight."

The nurse is reinforcing teaching for a client diagnosed with obesity. Which statement made by the client indicates an understanding of the teaching?

"I have joined a support group where we can eat healthy together."