chapter 46 exam 4 testbank

the nurse is assessing an 80-year old client for s/sx of gastric cancer. the nurse differentiates which as a s/sx of gastric cancer in the geriatric client, but not in a client under the age of 75? a. agitation b. ascites c. abdominal mass d. hepatomegalia

a. agitation

the nurse is conducting a community education class on gastritis. the nurse includes that chronic gastritis caused by H.pylori is implicated in which disease/condition? a. colostomy b. peptic ulcers c. systemic infection d. pernicious anemia

b. peptic ulcers

which is an accurate statemet regarding gastric cancer? a. most gastric-cancer related deaths occur in people younger than 40 years b. the incidence of stomach cancer continues to decrease in the US c. females have a higher incidence of gastric cancers than males d. a diet high in smoked foods and low in fruits and vegetables may decrease the risk of gastric cancer

b. the incidence of stomach cancer continues to decrease in the US

which medication classification represents a proton (gastric acid) pump inhibitor? a. Metronidazole b. Omeprazole c. Sucralfate d. Famotidine

b. Omeprazole

the nurse is conducting an admission assessment and determines that the clients BMI is 37. the nurse documents the BMI as being which class of obesity? a. class III b. class II c. overweight d. class I

b. class II overewight- 25-30 class I- 30-35 class II- 35-40 class III- >40

peptic ulcer disease occurs more frequently in people with which blood type? a. AB b. A c. B d. O

d. O

the nurse is creating a discharge plan of care for a client with a peptic ulcer. the nurse tells the client to avoid a. acetaminophen b. skim milk c. octreotide d. decaffeinated coffee

d. decaffeinated coffee

which medication is classified as a histamine-2 receptor antagonist? a. Famotidine b. Esomeprazole c. Metronidazole d. Lansoprazole

a. Famotidine

which ulcer is associated with extensive burn injury? a. curling ulcer b. duodenal ulcer c. peptic ulcer d. cushing ulcer

a. curling ulcer

the nurse in the ED admits a client with suspected gastric outlet obstruction. the client's symptoms include nausea and vomiting. the nurse anticipates that the physician will issue which order? a. nasogastric tube insertion b. oral contrast c. stool specimen d. pelvic x-ray

a. nasogastric tube insertion

the nurse is teaching a client about preventing dysphagia after bariatric surgery. the nurse tells the client to avoid which foods? SATA a. cheese b. doughy bread c. steak d. peas

b. doughy bread c. steak

which is a true statement regarding gastric cancer? a. women have a higher incidence of gastric cancer b. most clients are asymptomatic during the early stage of the disease c. most cases are discovered before metastasis d. the prognosis for gastric cancer is good

b. most clients are asymptomatic during the early stage of the disease

which term refers to the first portion of the small intestine? a. peritoneum b. pylorus c. duodenum d. omentum

c. duodenum

which statement correctly identifies a difference between duodenal and gastric ulcers? a. a gastric ulcer is caused by hyper secretion of stomach acid b. weight gain may occur with a gastric ulcer c. vomiting is uncommon in clients with duodenal ulcers d. malignancy is associated with duodenal ulcer

c. vomiting is uncommon in clients with duodenal ulcers

the nurse in the ED is admitting a client with bloody stools. the nurse documents this finding as a. melena b. steatorrhea c. tarry stools d. hematochezia

d. hematochezia

which is a true statement regarding the nursing considerations in administration of metronidazole? a. the drug should be given before meals b. it may cause weight gain c. metronidazole decreases the effect of warfarin d. it leaves a metallic taste in the mouth

d. it leaves a metallic taste in the mouth

the nurse recognizes that the client diagnosed with a duodenal ulcer will likely experience a. hemorrhage b. weight loss c. vomiting d. pain 2-3 hours after a meal

d. pain 2-3 hours after a meal

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? a. polyuria b. hypertension c. bradycardia d. hematemesis

d. hematemesis

the nurse is evaluating a clients ulcer symptoms to differentiate ulcer as duodenal or gastric. which symptom should the nurse at attribute to a duodenal ulcer? a. weight loss b. vomiting c. awakening in pain d. hemorrhage

c. awakening in pain

the nurse is assessing a client with advanced gastric cancer. the nurse anticipates that the assessment will reveal which finding? a. weight gain b. increased appetite c. bloating after meals d. abdominal pain below the umbilicus

c. bloating after meals

the nurse is conducting a community education program on peptic ulcer disease prevention. the nurse includes that the most common cause of peptic ulcers is a. stress and anxiety b. ibuprofen and aspirin c. gram-negative bacteria d. alcohol and tobacco

c. gram-negative bacteria