Exam 42: Nursing Management: Upper Gastrointestinal Problems

A 68-year-old patient with a bleeding duodenal ulcer has a nasogastric (NG)tube in place,and the health care provider orders 30 mL of aluminum hydroxide/magnesium hydroxide (Maalox)to be instilled through the tube every hour.To evaluate the effectiveness of this treatment,the nurse

Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)?

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI)bleeding.Which assessment finding is most important for the nurse to communicate to the health care provider?

The nurse and a licensed practical/vocational nurse (LPN/LVN)are working together to care for a patient who had an esophagectomy 2 days ago.Which action by the LPN/LVN requires that the nurse intervene?

A 26-year-old patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer.The nurse will teach the patient to avoid

A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the workplace experiences severe pain followed by nausea during dressing changes.Which action will be most useful in decreasing the patient's nausea?

A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis.To determine possible risk factors for gastritis,the nurse will ask the patient about

The nurse is assessing a patient who had a total gastrectomy 8 hours ago.What information is most important to report to the health care provider?

The nurse determines that teaching regarding cobalamin injections has been effective when the patient with chronic atrophic gastritis states which of the following?

Which information will the nurse include for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?

A 73-year-old patient is diagnosed with stomach cancer after an unintended 20-pound weight loss.Which nursing action will be included in the plan of care?

A 46-year-old female with gastroesophageal reflux disease (GERD)is experiencing increasing discomfort.Which patient statement indicates that additional teaching about GERD is needed?

At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II),a patient reports that dizziness,weakness,and palpitations occur about 20 minutes after each meal.The nurse will teach the patient to

Which patient choice for a snack 2 hours before bedtime indicates that the nurse's teaching about gastroesophageal reflux disease (GERD)has been effective?

The health care provider prescribes antacids and sucralfate (Carafate)for treatment of a patient's peptic ulcer.The nurse will teach the patient to take

The nurse will anticipate teaching a patient experiencing frequent heartburn about

Which information will the nurse include when teaching adults to decrease the risk for cancers of the tongue and buccal mucosa?

Which order from the health care provider will the nurse implement first for a patient who has vomited 1200 mL of blood?

A 26-year-old woman has been admitted to the emergency department with nausea and vomiting.Which action could the RN delegate to unlicensed assistive personnel (UAP)?

A 57-year-old man with Escherichia coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration.Which order will the nurse question?