Exam 2 Study Questions 2

A nurse provides medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy? a."antacids will coat my stomach" b."Omeprazole (Prilosec) will coat the ulcer and help it heal" c."Sucralfate (Carafate) will change the fluid in my stomach" d."The nizatidine (Axid) will cause me to produce less stomach acid."

d."The nizatidine (Axid) will cause me to produce less stomach acid."

A nurse is teaching a client with a newly diagnosed hiatal hernia about measures to prevent recurrence of symptoms. Which statement would be included in the teaching? a."Be sure to sleep with you head elevated in bed" b."This problem is best resolved with a surgical procedure" c."Eat foods that are higher in fat in order to slow down digestion" d."Lie in a supine position for at least an hour after eating meals or snacks"

a."Be sure to sleep with you head elevated in bed"

A nurse has been reinforcing dietary teaching for a client with peptic ulcer disease who has a routine follow-up visit. Which behavior is the best indicator of a successful outcome for this client? a.A decrease in sour eructation b.Taking in increased dairy products c.Use of only decaffeinated coffee and tea d.Decreased use of as-needed (prn) medications

a.A decrease in sour eructation

A client complains of stomach pain 30 minutes to 1 hour after eating. The pain is not relieved by further intake of food, although it is relieved by vomiting. A gastric ulcer is suspected. Which of the following data would further support this diagnosis? a.History of alcohol use, smoking and weight loss b.Frequent heartburn with a sour taste in the mouth c.Complaints of stress with a history of chronic renal failure d.History of chronic obstructive pulmonary disease with weight gain

a.History of alcohol use, smoking and weight loss

A client with hiatal hernia chronically experiences heartburn after meals. The nurse would teach the client to avoid which of the following, which is contraindicated with hiatal hernia? a.Lying recumbent after meals b.Eating small, frequent, bland meals c.Raising the head of the bed on 6 inch blocks d.Taking histamine receptor antagonist medication, as prescribed

a.Lying recumbent after meals

A nurse is performing colostomy irrigation on a client. During the irrigation, the client begins to complain of abdominal cramps. Which of the following is the appropriate nursing action? a.Stop the irrigation temporarily b.Increase the height of the irrigation c.Medicate for pain and resume irrigation d.Notify the registered nurse immediately

a.Stop the irrigation temporarily

A client who has undergone a colostomy several days ago is reluctant to leave the hospital and has not yet looked at the ostomy site. Which measures are most likely to promote coping? Select all that apply. a.Remind the client frequently that he will be responsible for caring for the colostomy at home b.Ask a member of the local ostomy club to visit with the client before discharge c.Ask the enterostomal nurse specialist to consult with the client before discharge d.Remind the client frequently that infection is a major complication of a colostomy e.Ask the client to begin doing one part of the ostomy care and increase tasks daily

b.Ask a member of the local ostomy club to visit with the client before discharge c.Ask the enterostomal nurse specialist to consult with the client before discharge e.Ask the client to begin doing one part of the ostomy care and increase tasks daily

A nurse gathers data from a client admitted to the hospital with gastroesophageal reflux disease (GERD) who is scheduled for a Nissen fundoplication. Based on an understanding of this disease, the nurse determines that the client may be at risk for which complication? a.Diarrhea b.Belching c.Aspiration d.Abdominal pain

c.Aspiration

A client with a possible hiatal hernia complains of frequent heartburn and regurgitation. Which sign or symptom would support this diagnosis? a.Severe dizziness after meals b.Left lower quadrant pain 2 hours after eating c.Difficulty swallowing both liquids and solids d.Moderate right upper quadrant pain unrelated to eating

c.Difficulty swallowing both liquids and solids

A nurse would include which of the following when reinforcing home care instructions for a client who has peptic ulcer disease? a.Limit intake of trigger foods b.Smoke only when not eating c.Learn to use stress reduction techniques d.take nonsteroidal anti-inflammatory drugs for pain relief

c.Learn to use stress reduction techniques

A client with a peptic ulcer is scheduled for a vagotomy and the client asks the nurse about the purpose of this procedure. The nurse tells the client that a vagotomy: a.Halts stress reactions b.Heals the gastric mucosa c.Reduces the stimulation of acid secretions d.Decreases food absorption in the stomach

c.Reduces the stimulation of acid secretions

A nurse is collecting data from a client admitted to the hospital with a diagnosis of suspected gastric ulcer and is asking the client questions about pain. Which statement, if made by the client, would support the diagnosis of gastric ulcer? a."the pain doesn't usually come right after I eat" b."the pain gets so bad that it wakes me up at night" c."the pain that I get is located on the right side of my chest" d."my pain comes shortly after I eat, maybe a half hour or so later"

d."my pain comes shortly after I eat, maybe a half hour or so later"

A client with peptic ulcer disease is scheduled for a pyloroplasty and the client asks the nurse about the procedure. The nurse bases the response on which of the following? a.A pyloroplasty involves cutting the vagus nerve b.A pyloroplasty involves removing the distal portion of the stomach c.A pyloroplasty involves removal of the ulcer and a large portion of the cells that produce hydrochloric acid d.A pyloroplasty involves an incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum

d.A pyloroplasty involves an incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum

A nurse is collecting data on a client with a diagnosis of peptic ulcer disease. Which of the following is least likely associated with this disease? a.History of black, tarry stools b.History of alcohol abuse c.History of gastric pain 2 to 4 hours after meals d.History of the use of acetaminophen (Tylenol) for pain and discomfort

d.History of the use of acetaminophen (Tylenol) for pain and discomfort

A client with peptic ulcer disease has been prescribed misoprostol (Cytotec) and sucralfate (Carafate). The nurse teaches the client that these two medications will work primarily to: a.Inhibit histamine action b.Kill intestinal bacteria c.Decrease stomach acid d.Protect the gastric mucosa

d.Protect the gastric mucosa

A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse would observe which of the following appearances in the stoma if prolapse occurred? a.Dark and bluish b.Sunken and hidden c.Narrowed and flattened d.Protruding and swollen

d.Protruding and swollen