Exam Review
- Mr. Lopez, a 57-year-old man, reports burning chest pain that worsens when he lies down after dinner. He says spicy foods and caffeine make it worse. He's been popping antacids like candy. As the nurse, what do you think this is?A)PancreatitisB)PUDC)GastritisD)GERD
- A nurse is reinforcing teaching with a client who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?A)Eat three moderate sized meals a day.B)Increase protein in the diet.C)Drink at least on glass of water with each meal.D)Eat a bedtime snack right before bed that contains a milk product.
- A patient is admitted with chronic gastritis. Which of the following signs and symptoms would the nurse anticipate finding?A)AnorexiaB)Feeling of emptinessC)Low blood sugarD)Pain that goes away with eating food
- The nurse is collecting the health history of a male client with abdominal discomfort. The nurse suspects a diagnosis of gastritis and knows which of the following is not a symptom?A)RefluxB)Frequent UrinationC)BelchingD)Feeling of fullness
Exam Review
- This procedure is used to directly view the esophagus, stomach, and duodenum; a biopsy can be obtained.A)ERCPB)HIDA ScanC)EGDD)Liver Biopsy
- A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?A)History of ibuprofen useB)Drinks green teaC)History of bulimiaD)Consumes spicy foods 5 to 8 times weekly
- Excessive use of ______ and ________ can lead to oral and/or esophageal cancer.A)NSAIDs and smokingB)alcohol and gum chewingC)alcohol and tobaccoD)floss and toothpaste
- The nurse is contributing to the plan of care for a 78-year-old patient's elimination needs. Which of the following interventions should the nurse recommend to reduce complications due to her aging change of slowed motility? Select all that apply.(SATA)A)Increase dietary fiberB)Decrease ambulation.C)Increase activity level.D)Decrease fluid intake.
Exam Review
- 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 peptic ulcer disease?A)"Taking my lasix daily caused my peptic ulcer disease."B)"Drinking hot tea with honey caused my peptic ulcer disease."C)"Increasing my daily fiber caused my peptic ulcer disease."D)"Taking too many ibuprofen during the day caused my peptic ulcer."
- A 26-year-old nursing student. a 20-year-old nursing student, and a 30-year-old nursing student in the DCIU program are speaking with the 50-year-old nursing instructor, on the importance of a colonoscopy, which of these people is due to get a routine colonoscopy?A)The 30-year-oldB)The 20-year-oldC)The 26-year-oldD)The 50-year-old
- A patient is received a barium swallow test to rule out esophageal strictures and gastric ulcer. The nurse is educating the patient on what is expected post barium swallow. What statement indicates that the patient did not understand all of the teaching by the nurse?A)"I know the barium swallow test examined my esophagus, stomach, duodenum and jejunum."B)"I may need to take laxatives to prevent constipation from the barium."C)"My stools will be normal in color."D)"I need to increase my fluid intake."
- A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?A)"The pain is worse after I eat a meal high in fat."B)"The pain radiates down to my lower back."C)"My pain is relieved by having a bowel movement."D)"I feel so much better after eating."
Exam Review
- A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.) _______ ML
- A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect?A)High hematocritB)High hemoglobinC)Yellowing of the skinD)Acute, sharp and severe abdominal pain.
- A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet?A)Air-popped popcornB)Hot chocolateC)Raw vegetablesD)Lean beef
- A nurse is reinforcing dietary teaching with a client who has GERD. Which of the following food choices by the client indicates an understanding of the teaching?A)Lemon pepper fishB)Corned beef brisketC)Baked turkey breastD)Spaghetti with red sauce
Exam Review
- A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?A)IronB)Vitamin B12C)Vitamin CD)Folate
- What action should the nurse take prior to initiating an enteral feeding using a newly inserted nasogastric feeding tube?A)Auscultate bowel soundsB)Review abdominal x-ray resultsC)Review chest x-ray resultsD)Flush the feeding tube
- A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) ______ mL
- 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?A)Decreasing high fiber complex carbohydrates.B)Avoid fluids with meals.C)Increase activity after eating.D)Eat heavy meals to delay emptying.
Exam Review
- A nurse is assisting with teaching a class about long-term effects of childhood obesity. The nurse should include which of the following conditions as a potential complication of childhood obesity?A)Diabetes mellitusB)Attention-deficit/hyperactivity disorderC)HypotensionD)Rheumatoid arthritis
- A nurse is taking care of a patient in the emergency room that presented with jaundice sclera. The nurse knows that this symptom is a sign of what disease?A)Kidney diseaseB)Bladder diseaseC)Cardiac DiseaseD)Liver or gallbladder disease
- The nurse is teaching a patient about dumping syndrome and food choices. Which of these foods would the nurse instruct the patient to avoid?A)Coffee with sugar and a glazed donutB)JelloC)Spinach and avocado saladD)Eggs and toast
- Which of the following surgical procedures is most likely treatment for a patient with gastric cancer?A)GastrorrhaphyB)GastrectomyC)GastroplastyD)Gastric stapling