Lesson 1: Upper GI tract

The patient with chronic gastritis is being put on a combination of mediations to eradicate Helicobacter Pylori. Which drug does the nurse know will probably be used for this patient? Antibiotic, proton pump inhibitor, and bismuth Antibiotic, and NSAIDS Antibiotic, antacids, and corticosteroid Antibiotic, aspirin, and anti ulcer/protectant

Antibiotic, proton pump inhibitor, and bismuth

Which of the following tests can be performed to diagnosed a hiatal hernia? Lower GI series Barium swallow Abdominal x-rays Colonoscopy

Barium swallow

Type A chronic gastritis can be distinguished from type B by its ability to: Decrease gastric secretions Affect the antrum of the stomach Cause atrophy of the gastric tissue/parietal cells Thin the lining of the stomach walls

Cause atrophy of the gastric tissue/parietal cells

A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client? Imbalance nutrition: Less than body requirement due to gastric bleeding Constipation related to decreased gastric motility Deficient knowledge related to unfamiliarity with significant signs & symptoms Ineffective coping related to fear of diagnosis of chronic illness

Deficient knowledge related to unfamiliarity with significant signs & symptoms

The nurse is preparing a patient with gastric cancer for total gastrectomy. The patient tells the nurse that he's anxious. Which of the following should be the initial step of the nurse? Provide the patient with written material about post-op care Determine what the patient already knows about the surgical procedure Show the patient some pictures of the surgical procedure Arrange for someone who underwent total gastrectomy to visit the patient

Determine what the patient already knows about the surgical procedure

A client with a peptic ulcer reports epigastric pain that frequently awakens her at night, a feeling of fullness in the abdomen, and a feeling of anxiety about her health. Based on this information, which nursing diagnosis would be appropriate? Imbalance Nutrition Less Than Body Requirements related to anorexia Activity intolerance related to abdominal pain Disturbed Sleep Pattern related to epigastric pain Ineffective Coping related to exacerbation of duodenal ulcer

Disturbed Sleep Pattern related to epigastric pain

While caring for a client with peptic ulcer disease, the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings, which nursing actions would be most appropriate for the nurse to take? Select all that apply. Initiating oxygen therapy Notifying the physician of the client's symptoms Administering an antacids until nausea subsides Reassessing the client after an hour Monitoring the client's vital signs

Monitoring the client's vital signs Notifying the physician of the client's symptoms

Risk factors for development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications can cause increased abdominal pressure? Intestinal constipation Constipation Obesity Abdominal Pain

Obesity

The nurse is developing the plan of care for a patient with gastric cancer, experiencing dumping syndrome after a Billroth II procedure Which dietary instructions should the nurse include? Decrease protein intake Increase carbohydrates intake Omit fluids with meals Decrease fat intake

Omit fluids with meals

A patient with GERD is complaining of chest discomfort that feels like heartburn following a meal. After administering an ordered antacid, the nurse encourages the client to lie in which of the following positions? On the stomach with the head flat On the right side with the head of the bed elevated 30 degrees Supine with the head of the bed flat On the left side with the head of the bed elevated 30 degrees

On the left side with the head of the bed elevated 30 degrees

Achalasia can present following manifestations, EXCEPT Regurgitation of undigested foods Substernal chest pain and retrosternal burning Aspiration of material in esophagus Pain on left arm

Pain on left arm

Achalasia present with dysphagia for Liquids only Solids and Liquids Solids only Semi solids only

Solids and Liquids

Which of the following information is correct about stomach cancer? The patient can survive for an eternal time with Total Parenteral Nutrition Surgery is often successful treatment Stomach pain is often a late symptoms Chemotherapy and radiation are often successful treatments

Stomach pain is often a late symptoms

A client has been taking aluminum hydroxide 30 ml six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client's constipation. The client need to increase his daily exercise The client is experiencing a side effect of the aluminum hydroxide The client has developed a gastrointestinal obstruction The client has not been including enough fiber in his diet

The client is experiencing a side effect of the aluminum hydroxide

The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies? Vitamin C Vitamin E Vitamin B12 Vitamin A

Vitamin B12

Which of the following conditions can cause hiatal hernia? Increased esophageal muscle pressure Weakness of the esophageal muscle Increased intrathoracic pressure Weakness of muscle in the diaphragm

Weakness of muscle in the diaphragm

A client with gastroesophageal reflux disease complains of chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client in which position during sleep? With the head of the bed elevated 6 to 8 inches Flat Supine with head of the bed flat On the stomach with the head of the bed flat

With the head of the bed elevated 6 to 8 inches

A patient with a history of peptic ulcer disease and vomits coffee - ground emesis indicates that the patient Has gastric bleeding which occurred 2 hours earlier needs immediate saline gastric lavage has fresh, active upper GI bleeding need a transfusion of packed RBCs

has fresh, active upper GI bleeding

A 45-year female client is being evaluated for possible hiatal hernia. When obtaining the client's health history, the nurse would expect her to report that the symptoms worsen when she is upset or angry lying down physically active sitting

lying down