Exam 33: Nursing Care of Patients With Upper Gastrointestinal Disorders

The nurse is providing care for a patient who reports nausea following chemotherapy. Which nursing intervention is unlikely to effectively manage the patient's nausea?

The nurse works with cancer patients. Which factor does the nurse identify as a cause of gastric cancer?

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

The nurse is teaching a patient with gastroesophageal reflux related to a hiatal hernia about body position for management of the disease process. Which patient statement indicates that teaching has been effective?

The nurse is planning care for a patient admitted for gastric bleeding, which is presently controlled. If the patient experiences a recurrence of bleeding, which manifestation will indicate to the nurse that the patient is experiencing hypovolemic shock?

A patient who had bariatric surgery presents at the HCP's office and is diagnosed with aphthous stomatitis. Given the patient's medical history, the nurse recognizes which cause of the condition is most likely?

The nurse is collecting health information from a patient. Which patient statement will cause the nurse the most concern?

The nurse is reinforcing teaching provided to a patient with a peptic ulcer. Which patient statement indicates understanding of the medication ranitidine?

A patient who had extensive gastric surgery for stomach cancer reports feeling sick and diaphoretic with abdominal cramping about 20 minutes after eating. The nurse is providing information about dumping syndrome. Which information is correct? (Select all that apply.)

The nurse is reinforcing teaching with a patient who had a large portion of the stomach surgically removed. For which condition related to the surgery will the patient need to receive vitamin B₁₂ for life?

The nurse is providing care for a patient who is receiving chemotherapy and radiation as treatment for esophageal cancer. Which factor in the care of this patient is the nurse's least concern?

The nurse is providing care to a patient 3 days after a Billroth I procedure. About which observation should the nurse be most concerned?

The nurse is providing care for a patient who underwent a Billroth I surgery for stomach cancer. Which nursing care is most important during the postoperative period for this patient?

The nurse is caring for a patient who has developed esophagitis from gastroesophageal reflux disease (GERD). For which additional complication should the nurse anticipate providing care to this patient?

The nurse is providing care for a patient who is diagnosed with a Mallory-Weiss tear (MWT). Which treatment for the condition is the nurse expecting?

The nurse is providing care for a client with a body mass index (BMI) of 44, type 2 diabetes mellitus, sleep apnea, and was recently hospitalized for congestive heart failure. The patient is short of breath and ambulates with difficulty. Which therapeutic management does the nurse suspect the HCP will initially recommend?

The nurse is asking about the type of bariatric surgery the patient had. The patient states, "They folded my stomach inward and sutured the folds in place." Which surgery description does the nurse recognize?

The nurse is providing care for a client with multiple injuries from a serious car accident. The HCP prescribes a diet as tolerated and administration of sucralfate orally. Which condition and goal does the nurse associate with the HCP's prescriptions?

The nurse is providing care for a client who had surgical repair of a paraesophageal hernia. The nurse observes that the patient exhibits signs of dysphagia during the first postoperative meal. Which action does the nurse take?

The nurse is providing care for a patient who is experiencing nausea and vomiting. Which pathological manifestation is unlikely to occur with prolonged vomiting?