Chapter 46: Management of Patients With Gastric and Duodenal Disorders 4

Vomiting is uncommon in clients with duodenal ulcers.

Which statement correctly identifies a difference between duodenal and gastric ulcers?

Omeprazole (Prilosec)

A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease. Choose the drug that can be used for 4 weeks and has a 90% chance of healing the ulcer.

Feeling of emptiness that precedes meals from 1 to 3 hours Severe gnawing pain that increases in severity as the day progresses Burning sensation localized in the back or mid-epigastrium

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.

Tachycardia Hypotension A rigid, board-like abdomen

A nurse is monitoring a client with peptic ulcer disease. Which assessment findings would most likely indicate perforation of the ulcer? Select all that apply.

"My appetite should come back tomorrow."

A nurse is teaching a client who has experienced an episode of acute gastritis. The nurse knows further education is necessary when the client makes which statement?

Separation of the jejunum with an anastomosis

A health care provider counsels a client about bariatric surgery and recommends the Roux-en-Y gastric bypass. What is the best response by the nurse to further explain this procedure to the client?

Famotidine will inhibit gastric acid secretions.

A client has been taking famotidine at home. What teaching should the nurse include with the client?

Ascites Hepatomegaly

A client has recently been diagnosed with gastric cancer. On palpation, the nurse would note what two signs that confirm metastasis to the liver? Select all that apply.

450 mL

A client who is being treated for pyloric obstruction has a nasogastric (NG) tube in place to decompress the stomach. The nurse routinely checks for obstruction which would be indicated by what amount?

Correcting nutritional deficits

A client with gastric cancer is having a resection. What is the nursing management priority for this client?

"I need to drink 8 ounces of water before eating."

After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching?

Refrain from food until the GI symptoms subside.

The nurse advises the patient who has just been diagnosed with acute gastritis to:

Bloating after meals

The nurse is assessing a client with advanced gastric cancer. The nurse anticipates that the assessment will reveal which finding?

gram-negative bacteria.

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:

Observing stools and vomitus for color, consistency, and volume Checking the blood pressure and pulse rate every 15 to 20 minutes Frequently monitoring hemoglobin and hematocrit levels

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.

Pernicious anemia Macrocytic anemia Thrombocytopenia

Which of the following manifestations are associated with a deficiency of vitamin B12? Select all that apply.

Rimonabant (Acomplia)

Which of the following medications used for obesity improves cardiovascular disease risk factors in obese patients with metabolic syndrome?

Approximately 75%

A client with gastric cancer is scheduled to undergo a Billroth II procedure. The client's spouse asks how much of the client's stomach will be removed. What would be the most accurate response from the nurse?

Amount of hydrochloric acid (HCL) secretion in the stomach

The nurse practitioner suspects that a patient may have a gastric ulcer after completing a history and physical exam. Select an indicator that can be used to help establish the distinction.

Avoid fruit drinks and soda. Drink plenty of water, from 90 minutes after each meal to 15 minutes before each meal. Do not eat and drink at the same time.

The nurse reviews dietary guidelines with a client who had a gastric banding. Which teaching points are included? Select all that apply.