Exam 55: Care of Patients with Stomach Disorders

A nurse is preparing to administer pantoprazole (Protonix)intravenously.What actions by the nurse are most appropriate? (Select all that apply.)

A client has dumping syndrome after a partial gastrectomy.Which action by the nurse would be most helpful?

A client with peptic ulcer disease asks the nurse about taking slippery elm supplements.What response by the nurse is best?

An older female client has been prescribed esomeprazole (Nexium)for treatment of chronic gastric ulcers.What teaching is particularly important for this client?

A client who had a partial gastrectomy has several expected nutritional problems.What actions by the nurse are best to promote better nutrition? (Select all that apply.)

A client is being taught about drug therapy for Helicobacter pylori infection.What assessment by the nurse is most important?

A client had an upper gastrointestinal hemorrhage and now has a nasogastric (NG)tube.What comfort measure may the nurse delegate to the unlicensed assistive personnel (UAP)?

A client with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days.The client's blood pressure when lying down was 122/80 mm Hg and when standing was 98/52 mm Hg.What action by the nurse is most appropriate?

A nurse is teaching a client about magnesium hydroxide with aluminum hydroxide (Maalox).What instruction is most appropriate?

A client has a pyloric obstruction and reports sudden muscle weakness.What action by the nurse takes priority?

A nurse working with a client who has possible gastritis assesses the client's gastrointestinal system.Which findings indicate a chronic condition as opposed to acute gastritis? (Select all that apply.)

A client has a recurrence of gastric cancer and is in the gastrointestinal clinic crying.What response by the nurse is most appropriate?

An older client has gastric cancer and is scheduled to have a partial gastrectomy.The family does not want the client told about her diagnosis.What action by the nurse is best?

For which client would the nurse suggest the provider not prescribe misoprostol (Cytotec)?

A nurse answers a client's call light and finds the client in the bathroom,vomiting large amounts of bright red blood.Which action should the nurse take first?

The nurse caring for clients with gastrointestinal disorders should understand that which category best describes the mechanism of action of sucralfate (Carafate)?

A client has dumping syndrome.What menu selections indicate the client understands the correct diet to manage this condition? (Select all that apply.)

A client with a bleeding gastric ulcer is having a nuclear medicine scan.What action by the nurse is most appropriate?

The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain.On palpation,the client's abdomen is tense and rigid.What action takes priority?

The student nurse studying stomach disorders learns that the risk factors for acute gastritis include which of the following? (Select all that apply.)