Exam 38: Nursing Management: Upper Gastrointestinal Problems

A 62-year-old man 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

When a 72-year-old patient is diagnosed with achalasia,the nurse will teach the patient that

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease,which patient action indicates that the teaching has been effective?

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

A family member of a 28-year-old patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine (Pepcid).The nurse will explain that the medication will

A 58-year-old patient has just been admitted to the emergency department with nausea and vomiting.Which information requires the most rapid intervention by the nurse?

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

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

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

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

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

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

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?

Which patient should the nurse assess first after receiving change-of-shift report?

Which nursing action should be included in the postoperative plan of care for a patient after a laparoscopic esophagectomy?

Vasopressin (Pitressin)0.2 units/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI)bleeding.The vasopressin label states vasopressin 100 units/250 mL normal saline.How many mL/hr will the nurse infuse?

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