LS1 Week 8 Chapter 46 Management of PT with Gastric and Duodenal Disorders

The nurse is creating a discharge plan of care for a client with a peptic ulcer. The nurse tells the client to avoid a. acetaminophen b. skim milk c. decaffeinated coffee d. octreotide

c. decaffeinated coffee

The nurse is conducting an admission assessment and determines that the client's BMI is 37. The nurse documents the BMI as being whih class of obesity? a. Class III b. Overweight c. Class II d. Class I

c. Class II

Which terms refers to the first portion of the small intestine? a. Plyorus b. Omentum c. Duodenum d. Peritoneum

c. Duodenum

The nurse is assessing a client with advance gastric cancer. The nurse anticipates that the assessment will reveal which finding? a. Bloating after meals b. Abdominal pain below the umbilicus c. Increased appetite d. Wt gain

a. Bloating after meals

Which medication is classified as a histamine-2 receptor antagonist? a. Famotidine b. Lansoprazole c. Esomeprazole d. Metronidazole

a. Famotidine

Which is a true statment regarding the nursing consideration in administration of metronidazole? a. It leaves a metallic taste in the mouth b. Metronidazole decreases the effect of warfarin c. The drug should be given before meals d. It may cuase wt gain

a. It leaves a metalli taste in the mouth

The nurse in the ED admits a client with suspected gastric outlet obstruction. The client's sx include nausea and vomiting. The nurse anticipates the physician will issue which order? a. Nasogastric tube insertion b. Pelvic x-ray c. Stool speciment d. Oral contrast

a. Nasogastric tube insertion

Peptic uler disease occurs more frequently in people with which blood type? a. O b. A c. AB d. B

a. O

Which medication classification represents a proton (gastric acid) pump inhibitor? a. Omeprazole b. Sucralfate c. Famotidine d. Metronidazole

a. Omeprazole

The nure is conductin a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which disease condition? a. Peptic ulcer b. Systemic infection c. Colostomy d. Pernicious anemia

a. Peptic ulcer

Which is an accurate statement regarding gastric cancer? a. The incidence of stomach cancer continues to decrease in the United Stats b. Females have a higher incidence of gastric cancers than males c. Most gastric cancer related deaths occur in people younger than 40 d. A diet high in smoked foods and low in fruits and vegetables may decrease the risk of gastric cancer

a. The incidence of stomach cancer continues to decrease in the United States

The nurse is conducting a community education program on peptic ulcer disease prevention. The nurse includes that the most common cause of peptic ulcer is a. stress and anxiety b. gram-negative bacteria c. ibuprofen and aspirin d. alcohol and tobacco

b. gram-negative bacteria

The nurse is assessing an 80 year old client for s/s of gastric cancer. The nurse differentiates which as a s/s of gastric cancer in the geriatric client, but not in a client under the age of 75? a. Abdominal mass b. Ascites c. Agitation d. Hepatomegalia

c. Agitation

The nurse in the ED is admitting a client with bloody stools. The nurse documents this findins as a. steatorrhea b. tarry stools c. hematochezia d. melena

c. hematochezia

The nurse is evaluating a cient's ulcer sx. to differentiate ulcer as duodenal or gastric. Which sx should the nurse aat attribuet to a duodenal ulcer? a. Vomiting b. Hemorrhage c. Wt loss d. Awakening in pain

d. Awakening in pain

Which ulcer is associated with extensive burn injury? a. Peptic ulcer b. Cushing ulcer c. Duodenal ulcer d. Curling ulcer

d. Curling ulcer

The nurse is teaching a client about preventing dysphagia after bariatic surgery. The nurse tells the client to avoid which foods? Select all that apply a. Peas b. Steak c. Cheese d Doughy bread

d. Doughy bread

The nurse is assess a client with an ulcer for signs and sx of hemorrhage. The nurse interprets which condition as a s/s of possible hemorrhage? a. Polyuria b. Hypertension c. Bradycardia d. Hematemesis

d. Hematemesis

Which is a true statement regarding gastric cancer? a. Most cases are discovered before metastasis b. Women have a higher incidence of gastric cancer c. The prognosis for gastric cancer is good d. Most clients are asymptomatic during the early stage of the disease

d. Most clients are asymptomatic during the early stage of the disease

Which statement correctly identifies a difference between duodenal and gastric ulcers? a. Wt gain may occure with a gastric ulcer b. A gastric ulcer is caused by hypersecretion of stomach acid c. malignancy is associated with duodenal ulcer d. Vomiting is uncommon in clients with duodenal ulcers

d. Vomiting is uncommon in clients with duodenal ulcers

The nurse recognizes that the client dx with a duodenal ulcer will liked experience a. vomiting b. wt loss c. hemorrhage d. pain 2 to 3 hours after a meal

d. pain 2 to 3 hours aftr a meal