Exam 38: Nursing Management: Upper Gastrointestinal Problems

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 will anticipate preparing a 71-year-old female patient who is vomiting "coffee-ground" emesis for

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?

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 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?

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

A 68-year-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

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

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

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

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

A 50-year-old patient who underwent a gastroduodenostomy (Billroth I)earlier today complains of increasing abdominal pain.The patient has no bowel sounds and 200 mL of bright red nasogastric (NG)drainage in the last hour.The highest priority action by the nurse is to

Which medications will the nurse teach the patient about whose peptic ulcer disease is associated with Helicobacter pylori?

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?

Which action should the nurse in the emergency department anticipate for a 23-year-old patient who has had several episodes of bloody diarrhea?

In which order will the nurse take the following actions when caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec)therapy? (Put a comma and a space between each answer choice [A,B,C,D].)

A 49-year-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting.Which order from the health care provider will the nurse implement first?

A 44-year-old man 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 patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago.Which assessment finding is most important for the nurse to address immediately?

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