missed prep u exam 3

recumbent position legs elevated

The nurse is caring for a patient who is suspected to have developed a peptic ulcer hemorrhage. Which action would the nurse perform first? Place the patient in a

Baking soda and water

The nurse is creating a plan of care for a client who is not able to tolerate brushing his teeth. The nurse includes which mouth irrigation in the plan of care?

TCDB

The nurse is planning care for a client following an incisional cholecystectomy for cholelithiasis. Which intervention is the highest nursing priority for this client? Assisting the client to? every 2 hours

NSAIDs

The nurse is teaching a client with peptic ulcer disease who has been prescribed misoprostol. What information from the nurse would be most accurate about misoprostol? Prevents ulceration in clients taking

Hematemesis

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?

elevate the diaphragm

The nurse is caring for a client with acute pancreatitis who is admitted to the intensive care unit to monitor for pulmonary complications. What is the nurse's understanding of the pathophysiology of pulmonary complications related to pancreatitis? Pancreatitis can ? and alter the breathing pattern.

Curling ulcer

Which ulcer is associated with extensive burn injury?

B12

A nurse is performing discharge teaching with a client who had a total gastrectomy. Which statement indicates the need for further teaching? "I will have to take vitamin ? shots up to 1 year after surgery."

face or limbs

A client has a new order for metoclorpramide (Reglan). The nurse knows that this medication should not be used long term and only in cases where all other options have been exhausted. This is because this medication has the potential for extrapyramidal side effects. Extrapyramidal side effects include which of the following? Uncontrolled rhythmic movements of the ?

CT Endoscopic ultrasound

A client has given a confirmed diagnosis of gastric cancer. Two more procedures may be performed to assess tumor depth and lymph node involvement and surgical resectability. Which two are the procedures?

metastasis to liver

A client has recently been diagnosed with gastric cancer. On palpation, the nurse would ? Ascites Hepatomegaly

Relieving abdominal pain

A client is admitted to the health care facility with abdominal pain, a low-grade fever, abdominal distention, and weight loss. The physician diagnoses acute pancreatitis. What is the primary goal of nursing care for this client?

Elevated urine amylase levels

A client is admitted to the healthcare facility suspected of having acute pancreatitis and undergoes laboratory testing. Which of the following would the nurse expect to find?

fluid intake

A client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, what would the nurse stress the importance of? Increasing ? to prevent dehydration

surgical resection of esophagus

After recovery from the anesthesia, the nurse will include Assess lung sounds every 4 hours and prn. Monitor drainage in the closed chest drainage system. Verify rhythm on the cardiac monitoring system. in the postoperative care plans for?

Hypokalemia

An elderly client diagnosed with diarrhea is taking digoxin. Which electrolyte imbalance should the nurse be alert to?

Staphylococcus aureus

An elderly patient is diagnosed with parotitis. The nurse is aware that this bacterial infection is most likely caused by:

Metabolic imbalance

At its most fundamental level, what does obesity result from?

High fiber diet

Diet therapy for clients diagnosed with irritable bowel syndrome (IBS) includes:

ascites

Management of a patient with ? includes nutritional modifications and diuretic therapy. the following interventions a nurse expect to be part of patient care Aldactone, an aldosterone-blocking agent would be used. Daily salt intake would be restricted to 2 grams or less. The diuretic will be held if the serum sodium level decreases to <134 m Eq/L.

venous thromboembolism

Place the pathophysiological steps in order of how a client with obesity is at greater risk for ? in comparison to the general population. Increased adipose tissue Impairment of peripheral blood flow Blood stasis Formation of a thrombus

Mental confusion

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

Amylase

The digestion of carbohydrates is aided by

nasogastric intubation

The healthcare provider of a client with oral cancer has ordered the placement of a GI tube to provide nutrition and to deliver medications. What would be the preferred route?

Dysphagia

The most common symptom of esophageal disease is

1-2

The nurse establishes a learning contract with an overweight client. The contract is best if it includes an incremental goal of ? pound weight loss this week

Achalasia

failure of the lower esophagus sphincter muscle to relax

B12

the following manifestations are associated with a deficiency of vitamin ? Pernicious anemia Macrocytic anemia Thrombocytopenia

nsaids

A nurse is providing discharge instruction for a client who is postoperative bariatric surgery. What statement will the nurse include when providing teaching aimed at decreasing the risk of gastric ulcers? Avoid taking

undernutrition and obesity

A nurse researcher is reviewing data obtained from a developing nation on nutrition and metabolism issues facing that country. What is the nurse's understanding of the "double-burden" many developing nations now face?

30mg/dl

A nurse should monitor blood glucose levels for a patient diagnosed with hyperinsulinism. What blood value does the nurse recognize as inadequate to sustain normal brain function?

Billroth

A patient is scheduled for a ? I procedure for ulcer management. The nurse understands A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum.

Metformin

A client with obesity is diagnosed with type 2 diabetes. In order to promote weight loss in the client and aid in glucose management, which medication will the nurse anticipate the health care provider ordering?

Cushings disease

A nurse cares for a client who has secondary obesity. Which condition is the most likely to result in secondary obesity?

Low fowlers

A nurse cares for a client who is post op bariatric surgery. Which position will the nurse place the client in order to best promote comfort?

18 months

A nurse cares for a female client of childbearing age who will undergo bariatric surgery. When teaching the client about precautions after surgery, which teaching will the nurse include that is specific to this population? "You should avoid pregnancy for at least ? after surgery."

35 kg/m2

A nurse caring for adults with obesity recognizes that obesity is classified based on BMI. Which BMI does the nurse recognize as Class II obesity?

Six small meals

A client is recovering from gastric surgery. Toward what goal should the nurse progress the client's enteral intake? ? daily with 120 mL fluid between meals

Fowlers

A client is recovering from gastric surgery. What is the correct position for the nurse to place this client?

Insufficient water intake

A client who is post op from bariatric surgery reports constipation. What is the most likely cause of the client's symptoms?

O

Peptic ulcer disease occurs more frequently in people with which blood type?

Nasogastric tube

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?

coffee and alcoholic

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? "Avoid ? beverages."

Metabolic alkalosis

Vomiting results in which of the following acid-base imbalances?

abdomen and vital signs

When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain in the right shoulder. What is the intial appropriate action by the nurse? Assess the clients

Difficulty swallowing

Which is the primary symptom of achalasia?