chpater 43 and 44

The nurse recognizes that medium-length nasoenteric tubes are used for

feeding

A patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm3. What should the nurse cautiously monitor this patient for?

infection

The client has been taking famotidine (Pepcid) at home. The nurse prepares a teaching plan for the client indicating that the medication acts primarily to achieve which of the following?

inhibit gastric acid secretions

chp 45, 46, 47 A nurse is caring for an older adult who has been experiencing severe Clostridium difficile-related diarrhea. When reviewing the client's most recent laboratory tests, the nurse should prioritize what finding?

potassium level -In elderly patients, it is important to monitor the patient's serum electrolyte levels closely. Diarrhea is less likely to cause an alteration in white blood cell, creatinine, and hemoglobin levels

A client who has had a radical neck dissection is being prepared for discharge. The discharge plan includes referral to an outpatient rehabilitation center for physical therapy. What should the goals of physical therapy for this client include?

promoting maximum shoulder function

A nurse is assessing a client for GI dysfunction. What is the most common symptom in a client with GI dysfunction?

dyspepsia

Which enzyme aids the digestion of protein?

pepsin/ trypsin

Blood flow to the GI tract is approximately what percentage of the total cardiac output?

20%

A patient is receiving continuous tube feedings via a small bore feeding tube. The nurse irrigates the tube after administering medication to maintain patency. Which size syringe would the nurse use?

30ml

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has?

A general reduction in all white blood cells

A nurse is preparing to discharge a client newly diagnosed with peptic ulcer disease. The client's diagnostic test results were positive for H. pylori bacteria. The health care provider has ordered the "triple therapy" regimen. Which medications will the nurse educate the client on?

proton pump inhibitor and two antibiotics -currently, the most commonly used therapy for peptic ulcers is a combination of antibiotics, proton-pump inhibitors, and bismuth salts that suppress or eradicate h.pylori bacteria. recommended therapy for 10-14 days includes triple therapy with two antibiotics (eg metronidazole (flagyl) or amoxicillin (amoxil) and calrithromycin (biaxin) plus a proton pump inhibitor (eg, lansoprazole (prevacid), omeprazole (prilosec), or rabeprazole (aciphex), or quadruple therapy with two antibiotics (metronidazole and tetracycline) plus a proton-pump inhibotr and bismuth salts (pepto-bismol). research is being conducted to develop a vaccine against h. pylori

The nurse inspects a client's tongue. Which finding would the nurse evaluate as an indication of potential oral cancer?

red plaque on under surface of tongue

A client has been diagnosed with an esophageal diverticulum after undergoing diagnostic imaging. When taking the health history, the nurse should expect the client to describe what sign or symptom?

regurgitation of undigested food

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 - clients with chronic gastritis from vitamin deficiency usually have evidence of malabsorption of vitamin b12 caused by production of antibiotics that interfere with the binding of vitamin b12 to intrinsic factor. however, some clients with chronic gastritis have no symptoms. vitamin a, c, and e are not affected by gastritis.

A client has been experiencing lower GI difficulties that have increased in severity, and the gastroenterologist is concerned that the client's bowel is not functioning properly. What function of the lower GI tract is most likely to be affected by the client's disorder?

water and electrolyte absorption -disorders of the lower gi tract usually affect movement of feces toward the anus, absorption of water and electrolytes, and elimination of dietary wastes.

A client will be undergoing abdominal computed tomography (CT) with contrast. The nurse has administered IV sodium bicarbonate and oral acetylcysteine (Mucomyst) before the study, as prescribed. What would indicate that these medications have had the desired therapeutic effect?

The client's BUN and creatinine levels are within reference range following the CT.

The nurse instructs the client with gastroesophageal reflux disease (GERD) regarding dietary measures. Which action by the client demonstrates that the client has understood the recommended dietary changes?

avoiding chocolate and coffee

The nurse is assessing a patient with appendicitis. The nurse is attempting to elicit a Rovsing's sign. Where should the nurse palpate for this indicator of acute appendicitis?

left lower quadrant

A client has completed induction therapy and has diarrhea and severe mucositis. What is the appropriate nursing goal?

maintain nutrition

A client who reports increasing difficulty swallowing, weight loss, and fatigue is diagnosed with esophageal cancer. Because this client has difficulty swallowing, what should the nurse assign highest priority to?

maintaining a patent airway