Adult Health Test 4 - PrepU
a home care nurse is caring for a client with reports of epigastric discomfort who is scheduled for a barium swallow. -which statement by the client indicates an understanding of the test?
-I'll avoid eating or drinking anything 6 to 8 hours before the test
peptic ulcer disease occurs more frequently in people with which blood type?
-O
an older client is diagnosed with parotitis. -what bacterial infection does the nurse suspect caused the client's parotitis?
-Staphylococcus aureus
which of the following is the primary function of the small intestine?
-absorption
which of the following digestive enzymes aids in the digestion of starch?
-amylase
a nurse is caring for a client who is undergoing a diagnostic workup for a suspected gastrointestinal problem. the client reports gnawing epigastric pain following meals and heartburn. -what would the nurse suspect this client has?
-peptic ulcer disease
a client is in the hospital for the treatment of peptic ulcer disease. the client reports vomiting and a sudden severe pain in the abdomen. the nurse then assesses a board like abdomen. -what does the nurse suspect these symptoms indicate?
-perforation of the peptic ulcer
tube feedings are advised for a client who is recovering from oral surgery. the nurse manages the tube feedings to minimize the risk of aspiration. -which measures should the nurse include in the care plan to reduce the risk of aspiration? SELECT ALL THAT APPLY
-place the client in semi Fowler's position during and 30 to 60 minutes after an intermittent feeding -check tube placement and gastric residual prior to feedings
a nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:
-alcohol abuse and smoking
while caring for a patient who has had radical neck surgery, the nurse notices an abnormal amount of serosanguineous secretions in the wound suction unit during the first postoperative day. -what does the nurse know is an expected amount of drainage in the wound unit?
-approximately 80 to 120 mL
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 initial appropriate action by the nurse?
-assess the client's abdomen and vital signs
a client is postoperative following a graft reconstruction of the neck. -what intervention is the most important for the nurse to complete with the client?
-assess the graft for color and temperature
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?
-baking soda and water
a client is prescribed tetracycline to treat peptic ulcer disease -which instruction would the nurse give the client?
-be sure to wear sunscreen while taking this medicine
which clinical manifestation is not associated with hemorrhage?
-bradycardia
which term describes a reddened, circumscribed lesion that ulcerates and becomes crusted and is a primary lesion of syphilis?
-chancre
which is the primary symptom of achalasia?
-difficulty swallowing
a client is scheduled for magnetic resonance imaging (MRI). -during the client teaching, what will the nurse discuss?
-do you experience any claustrophobia?
the Zollinger-Ellison syndrome (ZES) consists of severe peptic ulcers, extreme gastric hyperacidity, and gastrin-secreting benign or malignant tumors of the pancreas. -the nurse recognizes that an agent that is used to decrease bleeding and decrease gastric acid secretions is
-octreotide (Sandostatin)
health teaching for a patient with GERD is directed toward decreasing lower esophageal sphincter pressure and irritation. -the nurse instructs the patient to do which of the following? SELECT ALL THAT APPLY
-elevate the head of the bed on 6 to 8 inch blocks -avoid beer, especially in the evening -elevate the upper body on pillows
the nurse is investigating a client's report of pain in the duodenal area. -where should the nurse perform the assessment?
-epigastric area and consider possible radiation of pain to the right subscapular region
an elderly client seeks medical attention for a vague complaint of difficulty swallowing. -which of the following assessment findings is most significant as related to this symptom?
-esophageal tumor
an elderly client states, "I don't understand why I have so many caries in my teeth." -what assessment made by the nurse places the client at risk for dental caries?
-exhibiting hemoglobin A1C 8.2
a client has a new order for metoclopramide. -the nurse identifies that this medication can be safely administered for which condition?
-gastroesophageal reflux disease
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
the nurse is caring for a client who has just returned from the PACU after surgery for peptic ulcer disease. -for what potential complications does the nurse know to monitor? SELECT ALL THAT APPLY
-hemorrhage -perforation -penetration -pyloric obstruction
a client is being evaluated for esophageal cancer. -what initial manifestation of esophageal cancer should the nurse assess?
-increased difficulty in swallowing
a client has a cheesy white plaque in the mouth. the plaque looks like milk curds and can be rubbed off. -what is the nurse's best intervention?
-instruct the client to swish prescribed nystatin solution for 1 minute > a cheesy white plaque in the mouth that looks like milk curds and can be rubbed off is candidiasis. The most effective treatment is antifungal medication such as nystatin (Mycostatin)
a nursing student is caring for a client with gastritis. -which of the following would the student recognize as a common cause of gastritis? SELECT ALL THAT APPLY
-irritating foods -overuse of aspirin -ingestion of strong acids
the nurse provides health teaching to inform the client with oral cancer that:
-many oral cancers produce no symptoms in the early stages
a nurse is giving a client barium swallow test. -what is the most important assessment a nurse would make to ensure that a client does not retain any barium after a barium swallow?
-monitoring the stool passage and its color
which is a true statement regarding gastric cancer?
-most clients are asymptomatic during the early stage of the disease
when bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are:
-normal
the nurse is obtaining a history on a patient who comes to the clinic. -what symptom described by the patient is one of the first symptoms associated with esophageal disease?
-dysphagia
the nurse working in the recovery room is caring for a client who had a radical neck dissection. the nurse notices that the client makes a coarse, high-pitched sound upon inspiration. -which intervention by the nurse is appropriate?
-notify the physician
which medication classification represents a proton (gastric acid) pump inhibitor?
-omeprazole >Omeprazole decreases gastric acid by slowing the hydrogen-potassium adenosine triphosphatase pump on the surface of the parietal cells. Sucralfate is a cytoprotective drug. Famotidine is a histamine-2 receptor antagonist. Metronidazole is an antibiotic, specifically an amebicide.
the nurse is working with clients with digestive tract disorders. -which of the following organs does the nurse realize has effects as an exocrine gland and an endocrine gland?
-pancreas
which of the following is the most successful treatment for gastric cancer?
-removal of the tumor
a nurse enters the room of a client who has returned to the unit after having a radical neck dissection. -which assessment finding requires immediate intervention?
-the client lying in a lateral position, with the head of the bed flat
a client with a peptic ulcer is diagnosed with Helicobacter pylori infection. the nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. -which statement by the client indicates the best understanding of the medication regimen?
-the medications will kill the bacteria and stop the acid production
a nurse is providing care for a client recovering from gastric bypass surgery. during assessment, the client exhibits pallor, perspiration, palpitations, headache, and feelings of warmth, dizziness, and drowsiness. the client reports eating 90 minutes ago. -what will the nurse suspect?
-vasomotor symptoms associated with dumping syndrome
a client is admitted to the hospital with an exacerbation of chronic gastritis. -when assessing the client's nutritional status, the nurse should expect to find what type of deficiency?
-vitamin B12