Nursing Management Upper Gastro-intestinal Problems

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Question 1
Free
Multiple Choice

The nurse is caring for a client with deep partial-thickness burns who is anxious about the upcoming dressing change, is in severe pain, and is nauseated. Which of the following actions will be most useful in decreasing the client's nausea?

Choose correct answer/s
A

The client NPO for 2 hours before and after dressing changes.

B

Avoid performing dressing changes close to the client's mealtimes.

C

Administer the prescribed morphine sulphate before dressing changes.

D

Give the ordered prochlorperazine before dressing changes.

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Question 2
Free
Multiple Choice

The nurse is caring for a client who has been NPO during treatment for nausea and vomiting caused by gastric irritation and is to start oral intake. Which of the following menu choices should the nurse offer to the client?

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A

A glass of orange juice

B

A dish of lemon gelatin

C

A cup of coffee with cream

D

A bowl of hot chicken broth

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Question 3
Free
Multiple Choice

The nurse is caring for a client who is receiving chemotherapy and develops a Candida albicans oral infection. Which of the following actions should the nurse anticipate?

Choose correct answer/s
A

Hydrogen peroxide rinses

B

The use of antiviral agents

C

Referral to a dentist for professional tooth cleaning

D

Administration of nystatin oral tablets

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Question 4
Free
Multiple Choice

The nurse is assessing the mouth of a client who uses smokeless tobacco for signs of oral cancer. Which of the following findings is of most concern?

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A

Bleeding during tooth brushing

B

Painful blisters at the border of the lips

C

Red, velvety patches on the buccal mucosa

D

White, curdlike plaques on the posterior tongue

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Question 5
Free
Multiple Choice

To decrease the risk for cancers of the tongue and buccal mucosa, which of the following information should the nurse include when teaching a client who is seen for an annual physical examination in the outpatient clinic?

Choose correct answer/s
A

Avoid use of cigarettes and smokeless tobacco.

B

Use sunscreen when outside even on cloudy days.

C

Complete antibiotics used to treat throat infections.

D

Use antivirals to treat herpes simplex virus (HSV) infections.

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Question 6
Multiple Choice

The nurse is assessing a client with gastro-esophageal reflux disease (GERD) who is experiencing increasing discomfort. Which of the following client statements indicate that additional client education about GERD is needed?

Choose correct answer/s
A
"I take antacids between meals and at bedtime each night."
B
"I sleep with the head of the bed elevated on 10-cm blocks."
C
"I quit smoking several years ago, but I still chew a lot of gum."
D
"I eat small meals throughout the day and have a bedtime snack."
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Question 7
Multiple Choice

The nurse is admitting a client with a stroke who is unconscious and unresponsive to stimuli and learns from the client's family that the client has a history of gastro-esophageal reflux disease (GERD). Which of the following assessment parameters shouldthe nurse plan to assess frequently?

Choose correct answer/s
A
Apical pulse
B
Bowel sounds
C
Breath sounds
D
Abdominal girth
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Question 8
Multiple Choice

The nurse is caring for a client with recurring heartburn who receives a new prescription for esomeprazole. Which of the following information should the nurse include when teaching the client about this medication?

Choose correct answer/s
A
It neutralizes stomach acid and provides relief of symptoms in a few minutes.
B
It reduces the reflux of gastric acid by increasing the rate of gastric emptying.
C
It coats and protects the lining of the stomach and esophagus from gastric acid.
D
It treats gastro-esophageal reflux disease by decreasing stomach acid production.
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Question 9
Multiple Choice

The nurse is teaching a client with gastro-esophageal reflux disease (GERD) about recommended dietary modifications. Which of the following diet choices for a snack 2 hours before bedtime indicates that the teaching has been effective?

Choose correct answer/s
A
Chocolate pudding
B
Glass of low-fat milk
C
Peanut butter sandwich
D
Cherry gelatin and fruit
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Question 10
Multiple Choice

The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic. Which of the following information should the nurse include in the teaching plan?

Choose correct answer/s
A
Barium swallow
B
Radionuclide tests
C
Endoscopy procedures
D
Proton pump inhibitors
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Question 11
Multiple Choice

The nurse is caring for an older-adult client who has diagnosed with esophageal cancer and the client tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet." Which of the following responses by the nurse is best?

Choose correct answer/s
A
"You may have quite a few years still left to live."
B
"Thinking about dying will only make you feel worse."
C
"Having this new diagnosis must be very hard for you."
D
"It is important that you be realistic about your prognosis."
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Question 12
Multiple Choice

Which of the following information should the nurse include when teaching a client with newly diagnosed gastro-esophageal reflux disease (GERD)?

Choose correct answer/s
A
"Peppermint tea may be helpful in reducing your symptoms."
B
"You should avoid eating between meals to reduce acid secretion."
C
"Vigorous physical activities may increase the incidence of reflux."
D
"It will be helpful to keep the head of your bed elevated on blocks."
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Question 13
Multiple Choice

The nurse is caring for a client who has just arrived on the postoperative unit after having a laparoscopic esophagectomy for treatment of esophageal cancer. Which of the following nursing actions should be included in the postoperative plan of care?

Choose correct answer/s
A
Elevate the head of the bed to at least 30 degrees.
B
Reposition the nasogastric (NG) tube if drainage stops or decreases.
C
Notify the doctor immediately about bloody NG drainage.
D
Start oral fluids when the client has active bowel sounds.
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Question 14
Multiple Choice

Which of the following information should the nurse plan to teach to a client with newly diagnosed achalasia?

Choose correct answer/s
A
A liquid or blenderized diet will be necessary.
B
Drinking fluids with meals should be avoided.
C
Endoscopic procedures may be used for treatment.
D
Lying down and resting after meals is recommended.
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Question 15
Multiple Choice

The nurse is caring for a client who is nauseated, vomiting up blood-streaked fluid and has acute gastritis. Which of the following assessments should the nurse ask the client about to determine possible risk factors for gastritis?

Choose correct answer/s
A
The amount of fat in the diet
B
History of recent weight gain or loss
C
Any family history of gastric problems
D
Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
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Question 16
Multiple Choice

Cobalamin injections have been prescribed for a client with chronic atrophic gastritis. Which of the following client statements indicate that the teaching regarding the injections has been effective?

Choose correct answer/s
A
"The cobalamin injections will prevent me from becoming anemic."
B
"These injections will increase the hydrochloric acid in my stomach."
C
"These injections will decrease my risk for developing stomach cancer."
D
"The cobalamin injections need to be taken until my inflamed stomach heals."
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Question 17
Multiple Choice

The nurse is caring for a client with peptic ulcer disease associated with the presence of Helicobacter pylori and is being treated with triple drug therapy. Which of the following medications should the nurse include in the client teaching?

Choose correct answer/s
A
Sucralfate, nystatin and bismuth
B
Amoxicillin, clarithromycin and omeprazole
C
Famotidine, magnesium hydroxide, and pantoprazole
D
Metoclopramide, bethanechol, and promethazine
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Question 18
Multiple Choice

The nurse is admitting a client to the emergency department who has had several episodes of bloody diarrhea. Which of the following actions should the nurse anticipate taking?

Choose correct answer/s
A
Obtain a stool specimen for culture.
B
Administer antidiarrheal medications.
C
Teach about adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs).
D
Provide education about antibiotic therapy.
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Question 19
Multiple Choice

The nurse is caring for a client with vomiting of "coffee-ground" emesis. Which of the following procedures should the nurse anticipate for the client?

Choose correct answer/s
A
Endoscopy
B
Angiography
C
Gastric analysis testing
D
Barium contrast studies
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Question 20
Multiple Choice

The nurse is admitting a client with Escherichia coli O157:H7 food poisoning who has bloody diarrhea and dehydration. Which of the following prescriptions should the nurse question?

Choose correct answer/s
A
Infuse lactated Ringer's solution at 250 mL/hour.
B
Monitor blood urea nitrogen and creatinine daily.
C
High protein, high fat diet.
D
Provide a clear liquid diet and progress diet as tolerated.
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