Question 1

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

Accepted Answer

A)  contact the surgeon. 
B)  irrigate the NG tube. 
C)  monitor the NG drainage. 
D)  administer the prescribed morphine.

Question 2

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

Accepted Answer

A)  "You will need to remain on a bland diet." 
B)  "Avoid foods that cause pain after you eat them." 
C)  "High-protein foods are least likely to cause you pain." 
D)  "You should avoid eating any raw fruits and vegetables."

Question 3

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?

Accepted Answer

A)  The patient is experiencing intermittent waves of nausea. 
B)  The patient complains of 7/10 (0 to 10 scale) abdominal pain. 
C)  The patient has absent breath sounds in the left anterior chest. 
D)  The patient has hypoactive bowel sounds in all four quadrants.

Question 4

The nurse explaining esomeprazole (Nexium)to a patient with recurring heartburn describes that the medication

Accepted Answer

A)  reduces gastroesophageal reflux by increasing the rate of gastric emptying. 
B)  neutralizes stomach acid and provides relief of symptoms in a few minutes. 
C)  coats and protects the lining of the stomach and esophagus from gastric acid. 
D)  treats gastroesophageal reflux disease by decreasing stomach acid production.

Question 5

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?

Accepted Answer

A)  Patient orders nonfat milk for each meal. 
B)  Patient uses the prescribed corticosteroid inhaler. 
C)  Patient schedules an appointment for allergy testing. 
D)  Patient takes ibuprofen (Advil) to control throat pain.

Question 6

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

Accepted Answer

A)  lying down after meals is recommended. 
B)  a liquid or blenderized diet will be necessary. 
C)  drinking fluids with meals should be avoided. 
D)  treatment may include endoscopic procedures.

Question 7

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

Accepted Answer

A)  substitution of acetaminophen (Tylenol) for the NSAID. 
B)  use of enteric-coated NSAIDs to reduce gastric irritation. 
C)  reasons for using corticosteroids to treat the rheumatoid arthritis. 
D)  misoprostol (Cytotec) to protect the gastrointestinal (GI) mucosa.

Exam 42: Nursing Management: Upper Gastrointestinal Problems

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

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?

The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes that the medication

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?

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

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