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A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During assessment, the nurse notes that the client has developed cool skin, tachycardia, labored breathing, and appears to be confused. Which complication has the client most likely developed? Hemorrhage Penetration Perforation Pyloric obstruction

Hemorrhage

A nurse is performing discharge teaching with a client who had a total gastrectomy. Which statement indicates the need for further teaching? "I'm going to visit my pastor weekly for a while." "I will have to take vitamin B12 shots up to 1 year after surgery." "I will call my physician if I begin to have abdominal pain." "I will weight myself each day and record the weight."

"I will have to take vitamin B12 shots up to 1 year after surgery." After a total gastrectomy, a client will need to take vitamin B12 shots for life. Dietary B12 is absorbed in the stomach, and the inability to absorb it could lead to pernicious anemia.

A client with an H. pylori infection asks why bismuth subsalicylate is prescribed. Which response will the nurse make? "It improves digestion in the stomach." "It aids in the healing of the stomach lining." "It enhances the function of the pyloric sphincter." "It helps propel food from the stomach into the duodenum."

"It aids in the healing of the stomach lining."

A client with gastric ulcers caused by H. pylori is prescribed metronidazole. Which client statement indicates to the nurse that teaching about this medication was effective? "It might cause a metallic taste in my mouth." "I can take this medication with my blood thinner." "I can have an alcoholic drink in the evenings." "My appetite may increase while taking this medication."

"It might cause a metallic taste in my mouth." It should not be taken with anticoagulants as it will increase the blood thinning effects of warfarin. Alcohol should be avoided while taking this medication. This medication may cause anorexia and not an increased appetite.

A client is recovering from a neck dissection. What volume of serosanguineous secretions would the nurse expect to drain over the first 24 hours? 20 to 40 mL 50 to 75 mL 80 to 120 mL 160 to 200 mL

80 to 120 mL

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? Hematemesis Bradycardia Hypertension Polyuria

Hematemesis Other signs that can indicate hemorrhage include tachycardia, hypotension, and oliguria/anuria

A client with peptic ulcer disease has a blood pressure of 88/40 mm Hg, dizziness, and nausea. Which complication will the nurse suspect is occurring with this client? Bleeding from the ulcer Evidence of ulcer healing Medication adverse effects Allergic response to the medication

Bleeding from the ulcer

Cancer of the esophagus is most often diagnosed by which of the following? Esophagogastroduodenoscopy (EGD) with biopsy and brushings X-ray Barium swallow Fluoroscopy

Esophagogastroduodenoscopy (EGD) with biopsy and brushings X-ray, barium swallow, and fluoroscopy are used in the diagnosis of hiatal hernia.

A client is being evaluated for esophageal cancer. What initial manifestation of esophageal cancer should the nurse assess? Increasing difficulty in swallowing Sensation of a mass in throat Foul breath Hiccups

Increasing difficulty in swallowing

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. Ingestion of strong acids Irritating foods Overuse of aspirin DASH diet Participation in highly competitive sports

Ingestion of strong acids Irritating foods Overuse of aspirin

Rebleeding may occur from a peptic ulcer and often warrants surgical interventions. Signs of bleeding include which of the following? Mental confusion Bradycardia Bradypnea Hypertension

Mental confusion Signs of bleeding include tachycardia, tachypnea, hypotension, mental confusion, thirst, and oliguria.

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? Pernicious anemia Systemic infection Peptic ulcers Colostomy

Peptic ulcers

Pyrosis refers to a burning sensation in the esophagus and indicates GERD

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The nurse checks residual content before each intermittent tube feeding. When should the patient be reassessed? When the residual is about 50 mL When the residual is between 50 and 80 mL When the residual is about 100 mL When the residual is greater than 200 mL

When the residual is greater than 200 mL

A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to: restrict fluid intake to 1 qt (1,000 ml)/day. drink liquids only with meals. don't drink liquids 2 hours before meals. drink liquids only between meals.

drink liquids only between meals.