Exam 44: Nursing Management Upper Gastro-intestinal Problems

The nurse is admitting a client with Escherichia coli O157:H7 food poisoning who has bloody diarrhea and dehydration. Which of the following prescriptions should the nurse question?

The nurse is caring for a client who has been NPO during treatment for nausea and vomiting caused by gastric irritation and is to start oral intake. Which of the following menu choices should the nurse offer to the client?

The nurse is admitting a client who is vomiting bright red blood to the emergency department. Which of the following assessments should the nurse perform first?

To decrease the risk for cancers of the tongue and buccal mucosa, which of the following information should the nurse include when teaching a client who is seen for an annual physical examination in the outpatient clinic?

Which of the following information is best for the nurse to include when teaching a client with peptic ulcer disease (PUD) about dietary management of the disease?

The nurse is caring for a client with vomiting of "coffee-ground" emesis. Which of the following procedures should the nurse anticipate for the client?

A client who requires daily use of a nonsteroidal anti-inflammatory drug (NSAID) for management of severe rheumatoid arthritis has recently developed melena. Which of the following information should the nurse include in the teaching plan?

Which of the following symptoms should the nurse anticipate in a client with a duodenal ulcer? (Select all that apply.)

All of the following prescriptions are received for a client who has vomited 1 500 mL of bright red blood. Which order will the nurse implement first?

Which of the following findings in a client with a hiatal hernia who returned from a laparoscopic Nissen fundoplication 4 hours ago is most important for the nurse to address immediately?

After receiving change-of-shift report, which of the following clients should the nurse assess first?

The nurse is caring for a client with recurring heartburn who receives a new prescription for esomeprazole. Which of the following information should the nurse include when teaching the client about this medication?

The nurse is admitting a client to the emergency department who has had several episodes of bloody diarrhea. Which of the following actions should the nurse anticipate taking?

Twelve hours after undergoing a gastroduodenostomy (Billroth I), a client has symptoms of increasing abdominal pain. The client has absent bowel sounds and 200 mL of bright red nasogastric (NG) drainage in the last hour. Which of the following actions shouldthe nurse take next?

The nurse is caring for a client with peptic ulcer disease associated with the presence of Helicobacter pylori and is being treated with triple drug therapy. Which of the following medications should the nurse include in the client teaching?

The nurse is assessing a client who recently has been experiencing frequent heartburn in the clinic. Which of the following information should the nurse include in the teaching plan?

The health care provider prescribes the following therapies for a client who has been admitted with dehydration and hypotension after 3 days of nausea and vomiting. Which order should the nurse implement first?

The nurse is caring for an older-adult client who has diagnosed with esophageal cancer and the client tells the nurse, "I know that my chances are not very good, but I do not feel ready to die yet." Which of the following responses by the nurse is best?

The nurse is caring for a client with a peptic ulcer and a nasogastric (NG) tube who develops sudden, severe upper abdominal pain, diaphoresis, and a very firm abdomen. Which of the following actions should the nurse take next?

The nurse is assessing the mouth of a client who uses smokeless tobacco for signs of oral cancer. Which of the following findings is of most concern?