Exam 41: Upper Gastrointestinal Problems

After change-of-shift report,which patient should the nurse assess first?

A 58-yr-old woman who was recently diagnosed with esophageal cancer tells the nurse,"I do not feel ready to die yet." Which response by the nurse is most appropriate?

Which assessment should the nurse perform first for a patient who just vomited bright red blood?

A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. The nurse will anticipate the need for

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

Which item should the nurse offer to the patient who is to restart oral intake after being NPO due to nausea and vomiting?

Which prescribed action will the nurse implement first for a patient who has vomited 1100 mL of blood?

A patient admitted with a peptic ulcer has a nasogastric (NG)tube in place. When the patient develops sudden,severe upper abdominal pain,diaphoresis,and a firm abdomen,which action should the nurse take?

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

Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?

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

Which patient statement indicates that the nurse's postoperative teaching after a gastroduodenostomy has been effective?

A patient who requires daily use of a nonsteroidal antiinflammatory drug (NSAID)for the management of severe rheumatoid arthritis has recently developed melena. The nurse will anticipate teaching 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?

Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?

A patient who has gastroesophageal reflux disease (GERD)is experiencing increasing discomfort. Which patient statement to the nurse indicates that additional teaching about GERD is needed?

A 68-yr-old male patient with a stroke is unconscious and unresponsive to stimuli. After learning that the patient has a history of gastroesophageal reflux disease (GERD),the nurse will plan to do frequent assessments of the patient's

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?

An adult with Escherichia coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration. Which prescribed action will the nurse question?

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