Management of Patients with Gastric and Duodenal Disorders Chapter
1.
A nurse is caring for a patient who just has been diagnosed with a peptic
... [Show More] ulcer.
When teaching the
patient about his new diagnosis, how should the nurse best describe a peptic ulcer?
A)
Inflammation of the lining of the stomach
B)
Erosion of the lining of the stomach or intestine
C)
Bleeding from the mucosa in the stomach
D)
Viral invasion of the stomach wall
B
Feedback:
A peptic ulcer is erosion of the lining of the stomach or intestine. Peptic ulcers are
often accompanied by
bleeding and inflammation, but these are not the definitive characteristics
We have an expert-written solution to this problem!
2.A patient comes to the clinic complaining of pain in the epigastric region. What
assessment question
during the health interview would most help the nurse determine if the patient has
a peptic ulcer?
A)
Does your pain resolve when you have something to eat?
B)
Do over-the-counter pain medications help your pain?
C)
Does your pain get worse if you get up and do some exercise?
D)
Do you find that your pain is worse when you need to have a bowel movement?
A
Feedback:
Pain relief after eating is associated with duodenal ulcers. The pain of peptic ulcers
is generally
unrelated to activity or bowel function and may or may not respond to analgesics.
3.
A patient with a diagnosis of peptic ulcer disease has just been prescribed
omeprazole (Prilosec). How
should the nurse best describe this medications therapeutic action?
A)
This medication will reduce the amount of acid secreted in your stomach.
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017)875
B)
This medication will make the lining of your stomach more resistant to damage.
C)
This medication will specifically address the pain that accompanies peptic ulcer
disease.
D)
This medication will help your stomach lining to repair itself.
A
Feedback:
Proton pump inhibitors like Prilosec inhibit the synthesis of stomach acid. PPIs do
not increase the
durability of the stomach lining, relieve pain, or stimulate tissue repair.
4.
A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patients
family is distraught
and angry that she was not diagnosed earlier in the course of her disease. What
factor contributes to the
fact that gastric cancer is often detected at a later stage?
A)
Gastric cancer does not cause signs or symptoms until metastasis has occurred.
B)
Adherence to screening recommendations for gastric cancer is exceptionally low.
C)
Early symptoms of gastric cancer are usually attributed to constipation.D)
The early symptoms of gastric cancer are usually not alarming or highly unusual
D
Feedback:
Symptoms of early gastric cancer, such as pain relieved by antacids, resemble
those of benign ulcers and
are seldom definitive. Symptoms are rarely a cause for alarm or for detailed
diagnostic testing.
Symptoms precede metastasis, however, and do not include constipation
5.
A nurse is preparing to discharge a patient after recovery from gastric surgery.
What is an appropriate
discharge outcome for this patient?
A)
The patients bowel movements maintain a loose consistency.
B)
The patient is able to tolerate three large meals a day.
C)
The patient maintains or gains weight.
D)
The patient consumes a diet high in calcium.
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017)
876
CFeedback:
Expected outcomes for the patient following gastric surgery include ensuring that
the patient is
maintaining or gaining weight (patient should be weighed daily), experiencing no
excessive diarrhea,
and tolerating six small meals a day. Patients may require vitamin B
12
supplementation by the
intramuscular route and do not require a diet excessively rich in calcium.
6.
A nurse caring for a patient who has had bariatric surgery is developing a teaching
plan in anticipation of
the patients discharge. Which of the following is essential to include?
A)
Drink a minimum of 12 ounces of fluid with each meal.
B)
Eat several small meals daily spaced at equal intervals.
C)
Choose foods that are high in simple carbohydrates.
D)
Sit upright when eating and for 30 minutes afterward.
B
Feedback:
Due to decreased stomach capacity, the patient must consume small meals at
intervals to meet nutritionalrequirements while avoiding a feeling of fullness and complications such as
dumping syndrome. The
patient should not consume fluids with meals and low-Fowlers positioning is
recommended during and
after meals. Carbohydrates should be limited.
7.
A nurse is completing a health history on a patient whose diagnosis is chronic
gastritis. Which of the
data should the nurse consider most significantly related to the etiology of the
patients health problem?
A)
Consumes one or more protein drinks daily.
B)
Takes over-the-counter antacids frequently throughout the day.
C)
Smokes one pack of cigarettes daily.
D)
Reports a history of social drinking on a weekly basis.
C
Feedback:
Nicotine reduces secretion of pancreatic bicarbonate, which inhibits neutralization
of gastric acid and
can underlie gastritis. Protein drinks do not result in gastric inflammation. Antacid
use is a response to
experiencing symptoms of gastritis, not the etiology of gastritis. Alcohol ingestion
can lead to gastritis;however, this generally occurs in patients with a history of consumption of alcohol
on a daily basis. [Show Less]