MS Ch 33

The nurse is reinforcing teaching for a patient who has a hiatal hernia. Which of the following statements by the patient would indicate a correct understanding of the lifestyle modification to reduce symptoms?

"Avoid nicotine and alcohol use."

The nurse is reinforcing teaching for a patient who is being tested for type B gastritis. Which of the following statements by the patient would indicate a correct understanding of the test that is used to diagnose this condition?

"Esophagogastroduodenoscopy." And/or "Gastric aspirate analysis."

The nurse evaluates the understanding of a patient on the relationship between body position and gastro esophageal reflux after a teaching session. Which statement by the patient would indicate that the teaching has been effective?

"I elevate the head of the bed 4-6 inches."

The nurse is teaching a patient about gastric surgery and dumping syndrome. Which statement indicates that the patient understands dumping syndrome?

"I need to eat small frequent meals."

The nurse is caring for a patient who has gastro esophageal reflux disease (GERD). Which patient statement would indicate a need for nutritional instruction?

"I should drink milk, as it is the perfect food."

The nurse has instructed a patient prescribed omeprazole (Prilosec) for peptic ulcer disease on use of the medication. What statements by the patient indicate understanding of the instructions?

"I will take the capsule before eating a meal in the morning." "I will report any abdominal pain, diarrhea, or bleeding that occurs." "I'll have to have regular blood counts and tests of my liver enzymes."

The nurse is providing care to a patient anticipating radiation therapy for head and neck cancer. Which of these would the nurse include in the pretherapy education?

"It is important that you visit the dentist before radiation therapy begins." "Artificial saliva can be used if the radiation therapy causes drying of the mouth." "Good oral hygiene habits are important to prevent decay."

The nurse is reinforcing teaching for a patient who has a peptic ulcer. Which of the following statements by the patient would indicate a correct understanding of what ranitidine (Zantac) does?

"It reduces production of gastric acid."

The nurse is caring for a patient on a gastrointestinal unit. The nurse would be most concerned if a patient reported which of the following?

"Lately, I've had two or three loose, sticky black stools every day."

The nurse is reinforcing teaching for a patient who has been scheduled for pyloroplasty. Which of the following statements by the patient would indicate a correct understanding of the procedure?

"The surgery will improve the movement of food from my stomach to my small intestine."

The nurse is reinforcing teaching for a patient who has dumping syndrome. Which of the following statements by the patient would indicate a correct understandings of the teaching of what this condition is?

"There is a rapid entry of food into the jejunum."

A patient is considering surgery to treat obesity. Which factors meet established criteria for the use of surgery in the treatment of obesity? (Select all that apply.) a. Hypertension b. Presence of gallstones c. Gross obesity for 5 years d. Psychiatric and social stability e. Body weight 50% above ideal weight f. Failure to reduce weight with other forms of therapy

A,C,D,F

The nurse is caring for a patient who has apthous stomatitis. What care should the nurse provide?

Apply a topical anesthetic Teach to avoid irritating foods Suggest stress management techniques

The nurse is caring for a patient who has a hiatal hernia and reports heartburn. Which of the following suggestions should the nurse provide?

Avoid bedtime snacks

The nurse is contributing to a patient's teaching plan on how to avoid dumping syndrome after a gastrectomy. Which of the following would be included in the teaching?

Avoid fluids with meals

The nurse is caring for a patient who has been diagnosed with gastro esophageal reflux disease (GERD) and has developed esophagitis. The nurse understands that the patient is most at risk for what other complication?

Barrett's esophagus

The nurse is caring for a patient who has aphthous stomatitis. What care should the nurse provide? (Select all that apply.) a. Make patient NPO. b. Place on fluid restriction. c. Apply a topical anesthetic. d. Teach to avoid irritating foods. e. Suggest stress management techniques.

C,D,E

The nurse has instructed a patient prescribed omeprazole (Prilosec) for peptic ulcer disease on use of the medication. What patient statements indicate understanding of the instructions? (Select all that apply.) a. "I should not take antacids while I'm on this medication." b. "If I wish, I can open the capsule and sprinkle it on food." c. "I will take the capsule before eating a meal in the morning." d. "I will need to take this drug for 3 weeks for my ulcer to heal." e. "I will report any abdominal pain, diarrhea, or bleeding that occurs." f. "I'll have to have regular blood counts and tests of my liver enzymes."

C,E,F

The nursing assistant is delivering patient meals. The nurse would expect the assistant to deliver which of the following trays to a patient who had a gastric bypass surgery the day before?

Clear liquids

The nurse is caring for a patient who has a duodenal peptic ulcer and vomits old blood. What description would the nurse use to document the appearance of the vomitus?

Coffee ground particles

The nurse is caring for a patient who had a radical neck dissection for cancer with a tracheostomy. What action by the nurse should take priority?

Ensuring airway patency

The nurse is caring for a patient who has a nursing diagnosis of acute postoperative pain after a gastrectomy. The patient has a nasogastric (NG) tube. What interventions should the nurse implement?

Evaluate pain regularly and report changes to the RN Monitor NG tube functioning Provide pain medication as ordered

Which of these factors meet established criteria for the use of surgery in the treatment of obesity?

Failure to reduce weight with other forms of therapy Gross obesity for 5 years Psychiatric and social stability Hypertension

The nurse is caring for a patient who complains of nausea related to gastric cancer. Which of the following supplements would the nurse suggest?

Ginger

The nurse is caring for a patient who has a bleeding gastric ulcer. Which of the following patient statements would indicate a correct understanding of beverages to avoid after treatment of a bleeding gastric ulcer?

Iced tea Beer Diet soda pop Coffee

The nurse is caring for a patient on who has a vented nasogastric tube ordered "to suction" after a gastrectomy. What type of suction should the nurse use to decrease the development of complications?

Intermittent low suction

The nurse is caring for a patient who has a nasogastric tube in place following gastric surgery. To irrigate the nasogastric tube, the nurse uses normal saline. What is the appropriate rationale for this?

It maintains electrolytes

The nurse is caring for a patient who has a sliding hiatal hernia. The nurse would expect the patient to report that symptoms are worse in which position?

Lying down

The nurse is caring for a patient who has bulimia. The nurse recognizes that the patient is at highest risk for which of the following complications?

Metabolic alkalosis

A patient has a Billroth 1 procedure and has a nasogastric Levin tube set to low intermittent suction. As the patient turns in bed, the Levin tube is partially pulled out. Which of the following actions would be most appropriate for the nurse to take?

Notify the RN

The nurse is caring for the patient who suddenly begins having large amounts of bright red hematemesis. After the patient is turned onto the side, what should the nurse do?

Obtain the patient's vital signs

The nurse is reinforcing teaching for a patient who had a large portion of the stomach removed. Which of the following conditions, if stated by the patient, would indicate a correct understanding of why there usually is a need to receive vitamin B12 for life?

Pernicious anemia

A patient with gastric bleeding who has nasogastric (NG) tube connected to low intermittent suction and is NPO reports a dry mouth and gagging feeling. What action should the nurse take?

Provide oral care

The nurse is providing care to a patient 3 days after a Billroth 1 procedure. Which of the following would cause the highest concern?

Reports of abdominal cramping shortly after eating

A patient has severe trauma from an automobile accident. The nurse is checking the gastric pH and giving antacids as ordered. These interventions are prophylactic to prevent which of the following?

Stress ulcers

The nurse is collecting data for a patient who has peptic ulcer disease and is taking Prevacid. Which data collection finding requires immediate intervention?

Tarry stools

The nurse is caring for a patient who is unconscious and begins to vomit blood. What should be the nurse's priority invention?

Turn patient onto side

A patient who has returned from surgery for a total gastrectomy has a nasogastric tube that is hooked to low intermittent suction. The patient begins to vomit bright red blood. Which of the following actions would be most appropriate for the nurse to take?

Turn the patient onto his or her side