CHAPTER 50 MED SURG

A client who has peptic ulcer disease is prescribed quadruple drug therapy for Helicobacter pylori infection. What health teaching related to bismuth would the nurse include?

"Do not take aspirin or aspirin products of any kind while on bismuth."

The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?

"I can continue smoking cigarettes which is better than chewing tobacco."

A client has a recurrence of gastric cancer and is crying. What response by the nurse is most appropriate?

"Would you tell me what you are feeling now."

A nurse is preparing to administer pantoprazole intravenously to prevent stress ulcers during surgery. What action(s) by the nurse is (are) most appropriate? (Select all that apply.)

- Administer the drug through a separate IV line. - Infuse pantoprazole using an IV pump. - Use an in-line IV filter when infusing.

What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (Select all that apply.)

- Administer vitamin B12 injections. - Ask the primary health care provider about folic acid replacement. - Provide iron supplements for the client

The nurse recalls that the risk factors for acute gastritis include which of the following? (Select all that apply.)

- Alcohol - Caffeine - Corticosteroids - Non-steroidal anti-inflammatory drugs (NSAIDs)

A client has dumping syndrome. What menu selections indicate the client understands the correct diet to manage this condition? (Select all that apply.)

- Apricots - Potato soup

The nurse is caring for a client with a long history of peptic ulcer disease. What assessment findings would the nurse anticipate if the client experiences upper gastrointestinal (GI) bleeding? (Select all that apply.)

- Decreased blood pressure - Dizziness - Hematemesis - Decreased urinary output

The nurse assesses a client who has possible gastritis. Which assessment finding(s) indicate(s) that the client has chronic gastritis? (Select all that apply.)

- intolerance of fatty foods - Pernicious anemina

Which of the following is (are) (a) risk factor(s) for gastric cancer? (Select all thatapply.)

-Achlorhydria -Chronic atrophic gastritis -H. pylori infection -Pernicious anemia

A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be appropriate?

Arrange a dietary consult

A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect?

Dumping syndrome

The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect for the client to make an accurate diagnosis?

Esophagogastroduodenoscopy (EGD)

The nurse is caring for a client experiencing upper gastrointestinal (GI) bleeding. What is the priority action for the client's care?

Maintain airway, breathing, and circulation.

During an interview, the client tells the nurse that the client has a duodenal ulcer. Which assessment finding would the nurse expect?

Melena

A client has a nasogastric (NG) tube as a result of an upper gastrointestinal (GI) hemorrhage. What comfort measure would the nurse remind assistive personnel (AP) to provide?

Preforming frequent oral care

The nurse caring for clients with gastrointestinal disorders would recall that omeprazole is a drug in which classification?

Proton pump inhibitor

A client with peptic ulcer disease is in the emergency department and reports gastric pain that has gotten much worse over the last 24 hours. The client's blood pressure when lying down is 112/68 mm Hg and when standing is 98/52 mm Hg. What action by the nurse is most appropriate?

Start a large-bore IV with normal saline.

The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor?

Upper GI bleeding