GI Review

A nurse is assisting with a paracentesis for a patient with ascites caused by cirrhosis. What should the nurse do first? 1 Monitor for signs of syncope 2 Have the patient empty his bladder 3 Position patient in high Fowler position 4 Observe the site for bleeding or drainage

2. Have the patient empty his bladder

Which clinical manifestation is expected with acute​ appendicitis? a Reduced pain after vomiting b Rebound tenderness c High fever d Pain relieved with ambulation

b

A patient with cirrhosis of the liver is admitted to the hospital for moderate respiratory distress as a result of ascites. The nurse knows to prepare the patient for which procedure? 1 Paracentesis 2 Thoracentesis 3 Esophagoscopy 4 Barium esophagography

1 Paracentesis

A nurse is reinforcing dietary teaching with the guardian of a school-age child who has celiac disease. Which of the following foods should the nurse recommend including in the child's diet? 1) White rice 2) wheat bread 3) Graham crackers 4) French fries

1) White rice The nurse should reinforce to the guardian that celiac disease is a genetic autoimmune disorder in which eating gluten, even in very small amounts, can damage the child's small intestine. Currently , the only treatment for the disease is a lifelong, strict adherence to a gluten-free diet. The nurse should stress the importance of avoiding foods containing wheat, rye, barley, and oats the child should consume foods that are gluten-free, such and milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh poultry, meats, fish, and dried beans

The nurse is preparing to insert a nasogastric tube into a client. The nurse should place the client in which position for insertion? 1. right side 2. low Fowler's 3. high Fowler's 4. supine with the head flat

3. high Fowler's(to facilitate insertion of the tube and reduce the risk of pulmonary aspiration if the pt should vomit)

A nurse is reviewing nutrition teaching for a client who has cholecystitis. The nurse should identify that which of the following food choices can trigger cholecystitis? A. Brownie with nuts B. Bowl of mixed fruit C. Grilled turkey D. Baked potato

A. Brownie with nuts

nurse is providing discharge instructions for a post-cholecystectomy client. The nurse would view the goals for teaching had been effective when the client states he/she would a. call the physician if gas occurs. b. notify the physician of jaundice or itching. c. remain indoors until the dressings are removed. d. report dark-colored stools to the clinic.

ANS: B The nurse should be sure that the client knows which manifestations to report to the physician and how to contact the physician. The client should be instructed to report fever, jaundice, dark-colored urine, pale-colored stools, and pruritus.

A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A. Macaroni and cheese B. Fresh food and whole wheat toast C. Rice pudding and ripe bananas D. Roast chicken and white rice

Answer: B. Fresh food and whole wheat toast. A high fiber diet promotes normal bowel elimination. The choice of fruit and toast is the highest fiber option. Macaroni and cheese is a low residue option that could actually worse and constipation. Rice pudding and ripe bananas are low residue options that could actually worsen constipation. Roast chicken and white rice or low residue options that could actually worsen constipation.

An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following? A. Chicken B. Wheat C. Milk D. Rice

Answer: B. Wheat-B: Children with celiac disease cannot tolerate or digest gluten. Therefore, because of its gluten content, wheat and wheat-containing products must be avoided.-A,C,D: Rice, milk, and chicken do not contain gluten and need not be avoided.

Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours after birth; this may indicate which of the following? A. Celiac disease B. Intussusception C. Hirschsprung's disease D. Abdominal-wall defect

Answer: C. Hirschsprung's disease C: Failure to pass meconium within the first 24 hours after birth may be a sign of Hirschsprung's disease, a congenital anomaly resulting in mechanical obstruction due to weak motility in an intestinal segment.A,B,D: Failure to pass meconium is not connected with celiac disease, intussusception, or abdominal-wall defect.

A client with severe right lower quadrant abdominal pain says that the pain has suddenly stopped. Which nursing interventions are appropriate for this​ client?​(Select all that​ apply.) a Anticipate discharge orders to be written b Anticipate intravenous fluid administration c Prepare the client for surgery d Expect orders for intravenous antibiotics e Notify the physician

B,C,D,E

A patient with gastroesophageal reflux disease (GERD) is on a medication that raises the pH of gastric contents. Which drug does the nurse expect to administer? A.) Ranitidine B.) Mylanta C.) Gaviscon D.) Omeprazole

B.) Mylanta (aluminum hydroxide)

A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide. Which of the following information should the nurse include in the teaching? A. Take the med with food B. Monitor for diarrhea C. Wait 1 hr before taking other oral meds D. Maintain a low-fiber diet

C

A nurse is teaching a client who has a new prescription for famotidine. Which of the following statements by the client indicates understanding of the teaching? A. the medicine coats the linen of my stomach B. The med should stop the pain right away C. I will take my pill 1 hr before meals D. I will monitor for bleeding from my nose

C

A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching? A. Eat three moderate-sized meals a day B. Drink at least one glass of water with each meal C. Eat a bedtime snack that contains a milk product D. increase protein in the diet

D

A nurse reviews a 3wk old infant's record and notes the physician documented a Dx of suspected Hirschsprung's disease. The nurse knows which symptom led mom to seek health care? A. Diarrhea B. Vomiting C. Regurgitation D. Foul smelling, ribbon like stool

D-Hirschsprung's manifestations=Chronic constipation beginning in the 1st month and results in foul smelling, ribbon like stool, Bowel obstruction, Abdominal pain, Distention, Failure to thrive-Delayed passage or absence of meconium is the cardinal sign

A 23 year old patient is admitted with suspected appendicitis. The patient states he is having pain around the umbilicus that extends into the lower part of his abdomen. In addition, he says that the pain is worst on the right lower quadrant. The patient points to his abdomen at a location which is about a one-third distance between the anterior superior iliac spine and umbilicus. This area is known as what?

McBurney's Point

Post op care following abdominal surgery

Monitor pain and give meds Monitor I and O Monitor bowels Monitor fluid electrolytes Patient teaching on incision care, bleeding, foul odor, redness, edema, weightlifting restriction, early ambulation, splinting the abdomen when coughing, using incentive spirometry, deep breathe

A patient has been placed on enzyme replacement for treatment of chronic pancreatitis. In teaching the patient about this therapy, the nurse advises the patient not to mix enzyme preparations with foods containing which element? 1. Protein 2. High fat 3. High fiber 4. Carbs

1. Enzyme preparations should not be mixed with foods containing protein because the enzymes will dissolve the food into a watery substance.(No evidence suggests that enzyme preparations should not be mixed with carbohydrates, food with high fat content, and food with high fiber content.)

A patient's gastric residual volume was 250 mL at 0800 and 350 mL at 1200. What is the appropriate nursing action? 1. Assess bowel sounds 2. Raise the head of the bed to at least 45 degrees 3. Position the patient on his or her right side to promote stomach emptying 4. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider

4. Do not reinstall aspirate and hold the feeding until you talk to the primary care provider

A nurse is taking care of a patient with Hirschsprung's disease, what clinical manifestations may the patient present with? (SATA) A. Abdominal distention B. Episodes of vomiting bile C. Constipation D. Failure to thrive E. Failure to pass meconium w/in 24-48 hrs F. Ribbon-like stool

All

The nurse recognizes that metoclopramide (Reglan) is useful in treating postoperative nausea and vomiting because of what action? A. It inhibits chemoreceptor stimulation. B. It promotes motility in the small intestine. C. It decreases peristalsis in the intestinal wall. D. It improves the body's response to analgesia.

B Metoclopramide works by increasing gastrointestinal (GI) motility in the small intestine, thus minimizing gastric distention and accompanying stimulation of the vomiting center.

Which assessment finding should the nurse expect in an infant with Hirschsprung disease? a. "Currant jelly" stools b. Constipation with passage of foul-smelling, ribbon-like stools c. Foul-smelling, fatty stools d. Diarrhea

B. Constipation results from absence of ganglion cells in the rectum and colon, and is present since the neonatal period with passage of frequent foul-smelling, ribbon-like, or pellet-like stools.

A patient is scheduled for appendectomy at noon. While performing your morning assessment, you note that the patient has a fever of 103.8 'F and rates abdominal pain 9 on 1-10. In addition, the abdomen is distended and the patient states, "I was feeling better last night but it seems the pain has become worst." The patient is having tachycardia and tachypnea. Based on the scenario, what do you suspect the patient is experiencing?* A. Pulmonary embolism B. Colon Fistulae C. Peritonitis D. Hemorrhage

C. Based on the patient's presenting symptoms, the patient is most likely experiencing peritonitis because the appendix has ruptured. The key clues in this scenario are the classic signs and symptoms of peritonitis (tachycardia, tachypnea, high temperature, and abdominal pain/distension) along with the patient's statement that they were feeling better last night (hence probably the time the appendix ruptured) which periodically relieved the pain at the appendix but allowed for the contents of the appendix to leak into the peritoneal cavity....hence causing peritonitis.

Therapeutic management of most children with Hirschsprung disease is primarily a. Daily enemas b. Low-fiber diet c. Permanent colostomy d. Surgical removal of the affected section of the bowel

D. Most children with Hirschsprung disease require surgical rather than medical management. Surgery is done to remove the aganglionic portion of the bowel, relieve obstruction, and restore normal bowel motility and function of the internal anal sphincter.

The nurse is completing discharge teaching to the client diagnosed with acute pancreatitis. What instruction should the nurse discuss with the client? A. Instruct the importance to avoid all stress B. Explain the correct way to take pancreatic enzymes C. Instruct the client to decrease alcohol intake D. Discuss the importance of stopping smoking

D. Rationale: Alcohol must be avoided completely due to its destruction of the pancreas. Stress stimulates the liver, but it is unrational to avoid all stress. Pancreatic enzymes are only needed for chronic pancreatitis. Smoking stimulates the pancreas to release pancreatic enzymes.

A nurse is reinforcing teaching with the parent of a school-age child who has lactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet? A. Vitamin C B. Vitamin D C. Vitamin K D. Vitamin E

Vitamin D Lactose intolerance is managed by eliminating dairy products from the diet. However, this can result in a decrease in bone density because of the lack of calcium and vitamin D in the diet. The nurse should instruct the parent to administer a vitamin D supplement to the child to enhance the absorption of calcium from foods other than those containing lactose.

During a physical​ assessment, the nurse becomes concerned that​ 75-year-old Hattie Jackson is experiencing acute appendicitis. Which assessment finding supports this​ diagnosis? a Hyperactive bowel sounds b Confusion c 2 cm mass in right lower abdominal quadrant d Pain with abduction of the left hip

b

Why is a heating pad not applied to the abdomen for acute​ appendicitis? a Increases the need for fluids b Encourages perforation c Reduces white blood cell count d Increases spread of infection

b

The nurse is caring for a patient who has been prescribed metoclopramide for the treatment of postoperative nausea and vomiting. Which is the action of this drug? 1. It decreases the stimulation of receptors. 2. It increases motility in the small intestine. 3. It decreases motility in the gastrointestinal (GI) tract. 4. It sensitizes the chemoreceptor trigger zone (CTZ) to impulses it receives from the GI tract.

2. It increases motility in the small intestine. Metoclopramide acts by increasing motility in the small intestine, thus minimizing gastric distension. It does not decrease motility in the GI tract; instead, it stimulates peristalsis. It blocks receptor stimulation of the vomiting center in the brain and desensitizes the CTZ to impulses it receives from the GI tract.

A patient who has been prescribed famotidine is being discharged home. Which statement by the patient indicated a need for further discharge teaching by the nurse? A.) "I will double up on the dose if I begin to feel increased heartburn." B.) "I will avoid all alcohol." C.) "I will call the health care provider if I continue to have heartburn." D.) "This drug is available over the counter."

A.) "I will double up on the dose if I begin to feel increased heartburn."

A nurse is completing nutritional teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching? (SATA) A. I plan to eat small, frequent meals. B. I will eat easy-to-digest foods with limited spice C. I will use skim milk when cooking D. I plan to drink regular cola E. I will limit alcohol intake to two drinkers per day

A,B C Rationale: Patients with pancreatitis should eat small, frequent, easy to digest, low-fat meals. Pt should avoid alcohol and caffeinated beverages.

A patient is recovering after having an appendectomy. The patient is 48 hours post-opt from surgery and is tolerating full liquids. The physician orders for the patient to try solid foods. What types of foods should the patient incorporate in their diet?* A. Foods high in fiber B. Foods low in fiber C. Foods high in carbohydrates D. Foods low in protein

A. Foods high in fiber It is best for the patient to follow a diet high in fiber to prevent straining during bowel movements.

A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing interventions is the highest priority when the nurse suspects aspiration of the feeding? A. Auscultate breath sounds B. Stop the feeding C. Obtain a chest x-ray D. Initiate oxygen therapy

A. INCORRECT - the nurse should listen to breath sounds when there is suspicion of aspiration however this is not the highest priority. B. CORRECT - greatest risk to pt. is aspiration pneumonia. The first action the nurse should take is to stop the feeding so that no more formula can enter the lungs. C. INCORRECT - not the highest priority D. INCORRECT - Oxygen therapy should be delivered whenever there is suspicion of aspiration, however this is not the highest priority.

A nurse is planning care for a client who has a new prescription for TPN. Which of the following interventions should be included in the plan of care? (Select all that apply.) A. Obtain a capillary blood glucose four times daily. B. Administer prescribed medications through a secondary port on the TPN IV tubing. C. Monitor vital signs three times during the 12-hour shift. D. Change the TPN IV tubing every 24 hr. E. Ensure a daily aPTT is obtained.

A. Obtain a capillary blood glucose four times daily. C. Monitor vital signs three times during the 12-hour shift. D. Change the TPN IV tubing every 24 hr.

A nurse is caring for a client who is receiving TPN solution. The current bag of solution was hung 24 hr ago, and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to take? A. Remove the current bag and hang a new bag. B. Infuse the remaining solution at the current rate and then hang a new bag. C. Increase the infusion rate so the remaining solution is administered within the hour and hang a new bag. D. Remove the current bag and hang a bag of lactated Ringer's.

A. Remove the current bag and hang a new bag.

A patient with sever gastroesophageal reflux disease (GERD) tells he nurse that she has pain after each meal that last for 45 minutes and is worse when she lies down. What interventions should the nurse teach this patient? SELECT ALL THAT APPLY. A.) Drink fluids. B.) When you lie down, try lying on your side. C.) Take an antacid as prescribed by your health care provider. D.) Eat something bland such as a slice of white bread. E.) Maintain an upright position for at least 1 hour after you eat. F.) Try pressing over your abdomen to mobilize the food in your stomach.

A.) Drink fluids. C.) Take an antacid as prescribed by your health care provider. E.) Maintain an upright position for at least 1 hour after you eat.

By which action do drugs used to treat gastroesophageal reflux disease (GERD) help to decrease the pain and discomfort the patient experiences? SELECT ALL THAT APPLY. A.) Inhibition of gastric acid production B.) Blocking of pain sensation in the CNS C.) Accelerating gastric emptying D.) Decreasing lower esophageal sphincter pressure E.) Protecting the gastric mucosa F.) Destroying H.pylori bacteria

A.) Inhibition of gastric acid production C.) Accelerating gastric emptying E.) Protecting the gastric mucosa

An older adult with gastroesophageal reflux disease (GERD) is prescribed omeprazole. What PRIORITY teaching point must the nurse instruct the patient about while taking this drug? A.) Older adults taking this drug may be at increased risk for hip fracture because it interferes with calcium absorption. B.) Because of this drug's effect of decreasing potassium, the patient may be prescribed a potassium supplement. C.) This drug causes sodium retention so the patient may be prescribed a sodium restriction. D.) A heart monitor may be needed because of changes in magnesium that can lead to life-threatening dysrhythmias.

A.) Older adults taking this drug may be at increased risk for hip fracture because it interferes with calcium absorption.

In preparing the teaching plan on dietary changes after discharge for a client with chronic pancreatitis, the nurse would know that the statement most indicative of the client's understanding of the information is a. "I won't be eating any more French fries or drinking hard liquor." b. "A chicken breast and a glass of white wine sound like a good dinner." c. "I'm anxious to cooperate if it means I can get rid of this pain permanently." d. "My diet doesn't sound too bad; lots of people have to watch what they eat."

ANS: A For alcohol-related pancreatitis, total abstinence from alcohol is imperative and sometimes successful in itself for pain relief. A low-fat diet should be prescribed and may reduce painful stimulation of pancreatic enzyme secretion. Clients should understand the benefits of eating small, frequent meals high in protein, low in fat, and moderate to high in carbohydrates.

A client is receiving total parenteral nutrition (TPN). On assessment, the nurse notes the clients pulse is 128 beats/min, blood pressure is 98/56 mm Hg, and skin turgor is dry. What action should the nurse perform next? a. Assess the 24-hour fluid balance. b. Assess the clients oral cavity. c. Prepare to hang a normal saline bolus. d. Turn up the infusion rate of the TPN.

ANS: A This client has clinical indicators of dehydration, so the nurse calculates the clients 24-hour intake, output, and fluid balance. This information is then reported to the provider. The clients oral cavity assessment may or may not be consistent with dehydration. The nurse may need to give the client a fluid bolus, but not as an independent action. The clients dehydration is most likely due to fluid shifts from the TPN, so turning up the infusion rate would make the problem worse, and is not done as an independent action.

The nurse is providing discharge teaching for a client who has just undergone laparoscopic cholecystectomy surgery. Which statement by the client indicates understanding of the instructions? a."I will drink at least 2 liters of fluid a day." b."I need a diet without a lot of fatty foods." c."I should drink fluids between meals rather than with meals." d."I will avoid concentrated sweets and simple carbohydrates."

ANS: B After cholecystectomy, clients need a nutritious diet without a lot of excess fat; otherwise a special diet is not recommended for most clients. Good fluid intake is healthy for all people but is not related to the surgery. Drinking fluids between meals helps with dumping syndrome, which is not seen with this operation. Restriction of sweets is not required.

The nurse is caring for a client who is being discharged from the hospital after an attack of acute pancreatitis. Which discharge instructions does the nurse provide for the client to help prevent a recurrence? (Select all that apply.) a. "Take a 20-minute walk at least 5 days each week." b "Attend local Alcoholics Anonymous (AA) meetings weekly." c. "Choose whole grains rather than foods with simple sugars." d. "Use cooking spray when you cook rather than margarine or butter." e. "Stay away from milk and dairy products that contain lactose." f. "We can talk to your doctor about a prescription for nicotine patches."

ANS: B, D, F The client should be advised to stay sober, and AA is a great resource. The client requires a low-fat diet, and cooking spray is low in fat compared with butter or margarine. If the client smokes, he or she must stop because nicotine can precipitate an exacerbation. A nicotine patch may help the client quit smoking. The client must rest until his or her strength returns. The client requires high carbohydrates and calories for healing; complex carbohydrates are not preferred over simple ones. Dairy products do not cause a problem.

The nurse planning the care of a client admitted with severe pancreatitis would anticipate the diet order of a. clear liquids. b. enteral feedings. c. NPO with TPN. d. soft, low fat.

ANS: C Clients with moderate to severe pancreatitis need to be supported nutritionally by total parenteral nutrition (TPN).

The nurse is reinforcing teaching provided to a patient with a hiatal hernia. Which patient statement indicates a correct understanding of lifestyle modification to reduce symptoms? a. Avoid high-stress situations. b. Perform daily aerobic exercise. c. Avoid nicotine and alcohol use. d. Carefully space activity periods with rest.

ANS: C Lifestyle changes for symptomatic hiatal hernia include losing weight, antacids, eating small meals that pass easily through the esophagus, not reclining for 3-4 hours after eating, elevating the head of the bed 6 to 12 inches to prevent reflux, and avoiding bedtime snacks, spicy foods, alcohol, caffeine, and smoking. A. B. D. Stress, exercise, and rest periods are not recommendations for the patient with a hiatal hernia.

A client is receiving total parenteral nutrition (TPN). What action by the nurse is most important? a. Assessing blood glucose as directed b. Changing the IV dressing each day c. Checking the TPN with another nurse d. Performing appropriate hand hygiene

ANS: D Clients on TPN are at high risk for infection. The nurse performs appropriate hand hygiene as a priority intervention. Checking blood glucose is also an important measure, but preventing infection takes priority. The IV dressing is changed every 48 to 72 hours. TPN does not need to be double-checked with another nurse.

The client diagnosed with acute pancreatitis is being discharged home. What statement by the client indicates the teaching has been effective? A. I should decrease my intake of coffee, tea, and cola B. I will eat a low fate diet and avoid spicy food C. I will check my amylase and lipase levels daily D. I will return to work tomorrow but take it easy

B Rationale: High fat and spicy foods stimulate pancreatic enzymes. Caffeinated beverages should be avoided not decreased. There are no daily tests the client can take at home. The client will be fatigued as a result as a lowered metabolic rate and will need to rest.

The nurse is aware of potential complications related to cirrhosis. Which interventions would be included in a safe plan of care (select all that apply.)? A. Provide a high-protein, low-carbohydrate diet. B. Teach the patient to use soft-bristle toothbrush and electric razor. C. Teach the patient to avoid vigorous blowing of nose and coughing. D. Apply gentle pressure for the shortest possible time after venipuncture. E. Use the smallest gauge needle possible when giving injections or drawing blood. F. Instruct the patient to avoid aspirin and nonsteroidal anti-inflammatory (NSAIDs).

B, C, E, F Rationale: Provide a high-protein, low-carbohydrate diet. Teach the patient to use soft-bristle toothbrush and electric razor. Correct Teach the patient to avoid vigorous blowing of nose and coughing. Correct Apply gentle pressure for the shortest possible time after venipuncture. Use the smallest gauge needle possible when giving injections or drawing blood. Correct Instruct the patient to avoid aspirin and nonsteroidal anti-inflammatory (NSAIDs).

Which group of drugs is the main treatment for sever gastroesophageal reflux disease (GERD)? A.) Antacids B.) Histamine receptor agonists C.) Proton pump inhibitors D.) Gaviscon preparations

C.) Proton pump inhibitors

A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching? A."I can take my medications with soda." B. "Peppermint tea will increase my indigestion." C. "Wearing an abdominal binder will limit my symptoms." D."I will drink hot chocolate at bedtime to help me sleep." E. "I can lift weights as a way to exercise."

B. CORRECT: Peppermint decreases LES pressure and should be avoided by the client who has a hiatal hernia A. Carbonated beverages decrease LES pressure and should be avoided by the client who has a hiatal hernia. C. Tight restrictive clothing or abdominal binders should be avoided by the client who has a hiatal hernia, as this increases intra‐abdominal pressure and causes the protrusion of the stomach into the thoracic cavity. D. The client should avoid consuming anything immediately prior to bedtime. Additionally, chocolate relaxes the lower esophageal sphincter and should be avoided by a client who has a hiatal hernia E. Heavy lifting and vigorous activities are to be avoided in the client who has a hiatal hernia.

The nurse is teaching a patient with gastroesophageal reflux disease (GERD) about lifestyle changes. Which key points would the nurse include? SELECT ALL THAT APPLY. A.) Consume 4-6 large meals per day. B.) Limit or eliminate alcohol and tobacco. C.) Eat slowly and chew food thoroughly. D.) Elevate the head of your bed 3-5 inches using wooden blocks. E.) Do not wear restrictive clothing. F.) Reduce or eliminate spicy foods that cause increased gastric acid.

B.) Limit or eliminate alcohol and tobacco. C.) Eat slowly and chew food thoroughly. E.) Do not wear restrictive clothing. F.) Reduce or eliminate spicy foods that cause increased gastric acid.

The nurse has provided teaching to a patient with gastroesophageal reflux disease (GERD). which statement by the patient indicated the teach has been effective? A.) "I will eat three meals a day." B.) "I will not snack 1 hour before I go to bed." C.) "I will stay up for at least 15-30 minutes after eating dinner before going to bed." D.) "I won't lift heavy objects."

D.) "I won't lift heavy objects."

Which statement is true about the drug rabeprazole for treatment of gastroesophageal reflux disease (GERD)? A.) It is rapidly released into the body after it is administered. B.) The tablets are large and may be crushed if the patient has difficulty swallowing them. C.) It is a histamine receptor antagonist .D.) If once-a-day dosing does not control symptoms, it may be taken twice a day.

D.) If once-a-day dosing does not control symptoms, it may be taken twice a day.

The mother of​ 7-year-old Peyton Henderson is upset because the child has not been given any medication for abdominal pain caused by acute appendicitis. Which explanation about the administration of pain medication is most​ appropriate?​ a "Pain from appendicitis is not real and does not need to be​ treated."​ b "Pain medication will mask the change in pain if the appendix​ ruptures." ​c "There is no medication available to reduce the pain caused by​ appendicitis."​ d "Preventing the child from moving the legs will eliminate the abdominal​ pain."

b

The nurse explains to a patient with an episode of acute pancreatitis that the most effective means of relieving pain by suppressing pancreatic secretions is the use of: a. Antibiotics. b. NPO status. c. Antispasmodics. d. H2R blockers or proton pump inhibitors.

b. NPO status

A nurse is planning care for a client who has a single-lumen NG tube for gastric decompression. Which of the following actions should the nurse include in the plan of care? (select all that apply) a. Set the suction machine at 120mm HG b. Provide oral hygiene frequently. c. Measure the amount of drainage from the NG tube every shift d. Secure the NG tube to the client's gown e. Apply petroleum jelly to the client's nares.

b. Provide oral hygiene frequently. c. Measure the amount of drainage from the NG tube every shift d. Secure the NG tube to the client's gown

A nurse is preparing to instill an enteral feeding for a pt who has an NG tube in place Which of the following actions is the nurse's highest priority before performing this procedure? a. check how long the feeding container has been open b. verify the placement of the NG tube c. confirm that the pt does not have diarrhea d. make sure the pt is alert and oriented

b. verify the placement of the NG tube

A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make? a. "You should decrease your caloric intake when abdominal pain is present." b. "You should increase fat intake when experiencing loose stools." c. "You should increase your daily intake of protein." d. "You should limit alcohol intake to 2-3 drinks per week."

c. "You should increase your daily intake of protein."