Deck 57: Coordinating Care for Patients With Stomach Disorders

Question 1

The nurse is providing care to a patient who is diagnosed with acute gastritis.Which assessment data supports this diagnosis?

A) Weight gain
B) Epigastric pain
C) Increased appetite
D) Increased blood pressure

Answer 1

Epigastric pain

Question 2

The nurse is providing discharge instructions for a patient diagnosed with peptic ulcer disease.Which statement indicates the need for additional education?

A) "I will avoid spicy foods."
B) "I will be sure to eat a large meal before bedtime."
C) "I will use acetaminophen rather than aspirin for headache."
D) "I will avoid caffeinated beverages,such as coffee,as this increases symptoms."

Answer 2

"I will be sure to eat a large meal before bedtime."

Question 3

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing a perforation?

A) Tarry stools
B) Pain in the right arm
C) Absent bowel sounds
D) Emesis of undigested food

Answer 3

Absent bowel sounds

Question 4

Which medication,acting as a physical barrier,does the nurse anticipate for a patient diagnosed with gastritis?

A) Maalox
B) Mylanta
C) Pepcid
D) Carafate

Question 5

Which food should the nurse encourage for a patient,diagnosed with gastritis,when a heavier liquid diet is prescribed?

A) Milk
B) Broth
C) Gelatin
D) Carbonated beverages

Question 6

The nurse is providing care to a patient who is status post partial gastrectomy for the treatment of gastric carcinoma.Which should the nurse include in the plan of care to decrease the risk of dumping syndrome?

A) Providing smaller meals at more frequent intervals
B) Providing larger meals at less frequent intervals
C) Providing liquids and solids together
D) Providing liquids only

Question 7

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing penetration to another organ?

A) Tarry stools
B) Pain in the right arm
C) Absent bowel sounds
D) Emesis of undigested food

Question 8

The nurse is conducting an assessment for a patient who is suspected of having peptic ulcer disease.Which is a risk factor identified in the patient's health history?

A) Acetaminophen use for pain
B) Hypoparathyroidism
C) Social drinking
D) Sarcoidosis

Question 9

Which food should the nurse encourage for a patient,diagnosed with gastritis,when a clear liquid diet is prescribed?

A) Milk
B) Broth
C) Pudding
D) Cream soup

Question 10

Which principal risk factor should the nurse assess for during the health history in a patient who is suspected of having peptic ulcer disease?

A) Stress
B) Anxiety
C) H.pylori infection
D) Use of acetaminophen

Question 11

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing an obstruction?

A) Tarry stools
B) Pain in the right arm
C) Absent bowel sounds
D) Emesis of undigested food

Question 12

The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of peptic ulcer disease.Which drugs should the nurse educate this patient about based on this data?

A) Proton pump inhibitor,levofloxacin,and amoxicillin
B) Proton pump inhibitor,amoxicillin,and clarithromycin
C) Proton pump inhibitor,clarithromycin,and metronidazole
D) Proton pump inhibitor,bismuth subsalicylate,metronidazole,and tetracycline

Question 13

Which diagnostic test should the nurse anticipate to detect active infection with H.pylori for a patient diagnosed with gastritis?

A) Guaiac
B) Hematest
C) Hemoccult
D) Urea breathing test

Question 14

Which diagnostic test should the nurse anticipate to rule out anemia when providing care to a patient diagnosed with peptic ulcer disease?

A) Hematocrit
B) Stool antigen
C) White blood cell
D) Fecal occult blood

Question 15

Which diagnostic test should the nurse anticipate to rule out peritonitis when providing care to a patient diagnosed with peptic ulcer disease?

A) Hematocrit
B) Stool antigen
C) White blood cell
D) Fecal occult blood

Question 16

The nurse is providing education for a patient who is diagnosed with gastritis.Which statement indicates the need for further education?

A) "I will eat bland,nonspicy foods."
B) "I will eat smaller,more frequent meals."
C) "I will take aspirin for headaches from now on."
D) "I will take an antacid if my symptoms continue."

Question 17

The nurse is providing care to a patient who is prescribed levofloxacin-based triple therapy for the treatment of peptic ulcer disease.Which drugs should the nurse educate this patient about based on this data?

A) Proton pump inhibitor,levofloxacin,and amoxicillin
B) Proton pump inhibitor,amoxicillin,and clarithromycin
C) Proton pump inhibitor,clarithromycin,and metronidazole
D) Proton pump inhibitor,bismuth subsalicylate,metronidazole,and tetracycline

Question 18

Which assessment data would indicate active bleeding for a patient who is diagnosed with peptic ulcer disease?

A) Absent bowel sounds
B) Coffee-ground emesis
C) Bright red blood in emesis
D) Black tarry stools with a foul odor

Question 19

Which is the priority nursing diagnosis when planning care for this patient who is diagnosed with acute gastritis?

A) Anxiety
B) Acute pain
C) Deficient knowledge
D) Risk for deficient fluid volume

Question 20

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing a gastrointestinal bleed?

A) Tarry stools
B) Pain in the right arm
C) Absent bowel sounds
D) Emesis of undigested food

Question 21

Which assessment data collected by the nurse supports the patient's diagnosis of advanced gastric cancer?

A) Anorexia
B) Indigestion
C) Epigastric pain
D) Palpable epigastric mass

Question 22

Which assessment data collected by the nurse supports the patient's diagnosis of early gastric cancer?

A) Anorexia
B) Nausea and vomiting
C) Iron-deficiency anemia
D) Palpable epigastric mass