Management Of Clients With Digestive Disorders

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Question 1
Free
Multiple Choice

A client needs insertion of a long tube for intestinal decompression. The tube that is inappropriate for intestinal decompression is the

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A

Cantor tube.

B

Harris tube.

C

Miller-Abbott tube.

D

Salem sump tube.

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Question 2
Free
Multiple Choice

An important health promotion activity for nurses to teach clients with chronic gastritis is to

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A

avoid any spicy or overly-hot food.

B

see the health care provider at regular intervals.

C

stick to a regular exercise plan.

D

take only nonsteroidal anti-inflammatory drugs for mild pain.

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Question 3
Free
Multiple Choice

The nurse has just finished inserting a nasogastric (NG) tube in a client who has difficulty swallowing. The best measure to test for placement of the tube is

Choose correct answer/s
A

asking the client to speak.

B

aspirating gastric contents.

C

inspecting the posterior pharynx for correct placement.

D

placing the end of the tube in a glass of water.

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Question 4
Free
Multiple Choice

The nurse planning to irrigate a nasogastric (NG) tube prepares to use

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A

half-strength peroxide.

B

normal saline.

C

sterile water.

D

tap water.

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Question 5
Free
Multiple Choice

A client with acute gastritis is admitted to the emergency department for GI bleeding. The nurse would anticipate the client's history will include

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A

alcohol abuse.

B

anorexia.

C

high-carbohydrate, high-fat diet.

D

recent use of oral penicillin.

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Question 6
Multiple Choice

The client with chronic gastritis is experiencing abdominal pain. In order to provide the client the fastest relief, the nurse plans to administer

Choose correct answer/s
A
aluminum hydroxide with magnesium trisilicate (Gaviscon).
B
clarithromycin (Biaxin).
C
metronidazole (Flagyl).
D
omeprazole (Prilosec).
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Question 7
Multiple Choice

The nurse is caring for a client with chronic atrophic gastritis. When taking an admission history, the nurse would anticipate a history of

Choose correct answer/s
A
cardiac disease.
B
emphysema.
C
intestinal parasites.
D
pernicious anemia.
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Question 8
Multiple Choice

A client is taking cortisone. The nurse schedules the medication with food because cortisone can have which effect on gastric mucosa when given on an empty stomach? Cortisone will cause

Choose correct answer/s
A
dramatically increased gastric pH.
B
increased amount of GI secretions.
C
increased transit time of GI contents.
D
susceptibility of the mucosa to injury.
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Question 9
Multiple Choice

A nurse is instructing a client with a peptic ulcer on recommended dietary changes. A goal of teaching has been met when the client states that he/she will avoid which of the following beverages?

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A
Apple juice
B
Lemonade
C
Milk
D
Water
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Question 10
Multiple Choice

A nurse is caring for a client with severe burns. The client complains of abdominal pain and begins vomiting blood. The nurse anticipates diagnostic testing to determine if the client has developed

Choose correct answer/s
A
a Curling's ulcer.
B
chronic gastritis.
C
H. pylori infection.
D
pyloric stenosis.
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Question 11
Multiple Choice

A nurse is assessing a client with a history of a duodenal ulcer. Which finding is consistent with the nurse's knowledge about this condition?

Choose correct answer/s
A
Certain types of food increase gastric distress.
B
Eating nearly any food causes pain.
C
Pain may awaken the client in the middle of the night.
D
The client complains of spitting up blood.
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Question 12
Multiple Choice

The nurse administers alternating doses of two antacids into the NG tube of a client with a duodenal ulcer. The finding that best indicates that this drug regimen has been successful is

Choose correct answer/s
A
absent NG tube drainage.
B
decreased abdominal rigidity.
C
increased gastric pH.mild diarrhea.
D
mild diarrhea.
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Question 13
Multiple Choice

Ranitidine (Zantac) is prescribed for a client with a gastric ulcer. The statement that best indicates to the nurse that the client understands the action of this drug is

Choose correct answer/s
A
"I will take this medication at bedtime to relieve pain."
B
"Ranitidine will activate protective mucous barriers."
C
"Stomach acids are neutralized by this medication."
D
"This drug reduces the acid in my stomach."
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Question 14
Multiple Choice

The nurse is monitoring a client who has had gastric surgery for manifestations of dumping syndrome. The nurse should be particularly watchful for the early manifestation of

Choose correct answer/s
A
hypertension.
B
pain.
C
tenesmus.
D
vertigo.
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Question 15
Multiple Choice

A client asks the nurse about the prescribed diet after gastric surgery. The nurse clarifies that a high-protein, high-fat, low-carbohydrate, dry diet is the best choice after gastric surgery because this diet

Choose correct answer/s
A
does not cause diarrhea.
B
does not dilate the stomach.
C
is quickly digested.
D
is slow to leave the stomach.
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Question 16
Multiple Choice

An older male client with chronic gastritis asks the nurse, "Do you think I'll get gastric cancer?" The most accurate response by the nurse is

Choose correct answer/s
A
"As long as the chronic gastritis is diagnosed early, there is little risk of gastric cancer."
B
"Chronic gastritis is not associated with the development of gastric cancer in men over 40."
C
"Individual predictions are not possible, but chronic gastritis is associated with the development of gastric cancer."
D
"Women with chronic gastritis are more likely to get gastric cancer than men who have chronic gastritis."
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Question 17
Multiple Choice

Priority nursing actions to achieve critical goals in the postoperative period for a client who has just returned from a Billroth II procedure should include

Choose correct answer/s
A
encouraging oral intake.
B
ensuring frequent coughing and deep breathing.
C
irrigating the client's NG tube every hour.
D
maintaining the client in the semi-Fowler position.
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Question 18
Multiple Choice

A nurse is caring for a patient who had surgery and will be receiving chemotherapy and radiation treatment for stage III gastric cancer. The client is planning several extensive trips after the chemotherapy and radiation are finished. Which statement by the nurse is most appropriate at this time?

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A
"Before you leave, be sure your will and other advance directives are up to date."
B
"What does your family think of your travel plans?"
C
"What has the physician told you about your disease and treatment?"
D
"Your trip sounds wonderful! Tell me more about it."
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Question 19
Multiple Choice

A client in the emergency department is hemorrhaging from a peptic ulcer and is being prepared quickly for emergency surgery. The nurse notes that the client is crying and reaches for the nurse frequently. The best response by the nurse to this client is to

Choose correct answer/s
A
continue working efficiently to get the client ready for the operating room.
B
make eye contact, touch the client, and say, "This must be very scary for you."
C
send someone to find the chaplain to discuss advance directives.
D
sit by the client and say, "I have some time that I can spend with you."
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Question 20
Multiple Choice

Before tube insertion, the nurse performs the NEX measurement, which is the

Choose correct answer/s
A
distance from the tip of the nose to the ear lobe and to the xiphoid.
B
length of a tube from the hub to the tip converted to centimeters.
C
distance from the ear lobe to the umbilicus.
D
width of the lumen of the tube multiplied by the length.
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