Chapter 46: Management of Patients With Gastric and Duodenal Disorders 1
Irritating foods Ingestion of strong acids Overuse of aspirin
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.
"Be sure to wear sunscreen while taking this medicine."
A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would the nurse give the client?
Fowler's
A client is recovering from gastric surgery. What is the correct position for the nurse to place this client?
Dumping syndrome
A client who had a Roux-en-Y bypass procedure for morbid obesity ate a chocolate chip cookie after a meal. After ingestion of the cookie, the client reported cramping pains, dizziness, and palpitation. After having a bowel movement, the symptoms resolved. What should the nurse educate the client about regarding this event?
10 to 14 days
A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?
Hemorrhage
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?
Black and tarry
A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects the client's stools to have which description?
Perforation of the peptic ulcer
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?
o
Peptic ulcer disease occurs more frequently in people with which blood type?
"I have learned some relaxation strategies that decrease my stress."
The nurse determines that teaching for the client with peptic ulcer disease has been effective when the client makes which statement?
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?
Peptic ulcers
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?
Most clients are asymptomatic during the early stage of the disease.
Which is a true statement regarding gastric cancer?
Nothing by mouth
A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission?
IBW = 145 lbs; weight = 290 lbs; BMI = 31 kg/m2
Review the following four examples of ideal body weight (IBW), actual weight, and body mass index (BMI). Using three criteria for each example, select the body weight that indicates morbid obesity.
"You may have ingested some irritating foods." "It can be caused by ingestion of strong acids." "Is it possible that you are overusing aspirin."
A patient has been diagnosed with acute gastritis and asks the nurse what could have caused it. What is the best response by the nurse? (Select all that apply.)
Omeprazole
Which medication classification represents a proton (gastric acid) pump inhibitor?
Diet
Which of the following appears to be a significant factor in the development of gastric cancer?
Eat slowly. Include two protein snacks per day. Eat three meals per day.
Which of the following dietary guidelines should be followed following bariatric surgery? Select all that apply.
Removal of the tumor
Which of the following is the most successful treatment for gastric cancer?
