Topic 7: Upper and Lower Gastrointestinal and Nutritional Problems - Angelo DIwa | Library

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Which of the following statements made by the student nurse indicates understanding of the client's GERD syndrome?

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The nurse is caring for a 45 year old woman experiencing GERD symptoms. The client has a history of peptic ulcer disease, IBS, and an abdominal aortic dissection. The RN can attribute the symptoms to which main impairment?

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A nurse is caring for a client exhibiting a flare-up of GERD and is reviewing their medication history. Which of the following medications would prompt the nurse to suspect an increase in pressure of the LES? SATA.

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Which of the following in the client's diet and medication history would prompt a nurse to suspect an decrease in LES pressure? SATA.

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Which of the following medications would NOT prompt a nurse to suspect a decrease in LES pressure?

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A client is admitted to the medical-surgical unit for unmanaged and exacerbated symptoms of GERD. The client is complaining of chest pain and suspects a heart attack. Which of the following physiological explanations can be used as a rationale for differentiating the chest pain induced by an MI and GERD?

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A new grad nurse is providing education about the complications of GERD. Which of the following conditions would the new grad include in their teaching when considering cellular changes and inflammation specific to the lower esophagus?

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Which of the following conditions would the nurse include in the discharge teaching of a client with GERD?

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A client presents to the ED complaining of the classic symptoms associated with gastroesophogeal reflux disease. Which of the following should be the nurse's priority action?

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Which of the following should the nurse use as a priority teaching to a client being discharged with GERD?

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A client is expressing concerns and distress about a chronic diagnosis of GERD. Which of the following is the best response by the nurse?

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A client has just been prescribed a medication to help with their symptoms of GERD. The provider has stated that he will order an H2 blocker. Which medication would the nurse anticipate?

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Which of the following drug classes works to decrease the conversion of Pepsinogen into Pepsin?

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A client is complaining of heartburn and chest pain upon waking up in the morning. Which of the following findings can the nurse suspect as the reason for GERD exacerbation?

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When providing education about drug therapy treatment for GERD, which of the following information would be included in regards to therapy goals? SATA.

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A client asks why their prescription of Protonix (Pantoprazole) is so little with such a weak dose. What is the nurse's best response?

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A client returns to the unit along with their spouse. Their spouse states that ever since they began drug therapy for GERD management, the client has started experiencing hallucinations, increased anxiety, tremors, and dyskinesia. Which medication would the nurse suspect to be the cause of these symptoms?

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Which is true of the medications used to treat GERD? SATA.

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A client has been admitted to the Med-Surg unit for an asymptomatic cardiac dysrhythmia. The client is complaining of symptoms of heartburn associated with their history of GERD. Which of the following is the nurse's priority action?

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A client is 1 month post op following a laparoscopic fundoplication procedure to fix an incompetent lower esophageal sphincter. The client is currently complaining of difficulties swallowing. Which of the following statements should the nurse respond with?

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A client has just been prescribed Aluminum Hydroxide (Amphojel) for temporary heartburn relief. Which of the following side effects should the nurse look out for?

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A client asks the nurse about the possible side effects of prolonged calcium carbonate (tums) use. What is the appropriate response?

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Which of the following diagnoses would prompt the nurse to take extra caution for in a prescription for magnesium-containing antacids?

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A client was just admitted to the observation unit following a Nissen fundoplication. The client has a history of primary hypertension and gout. Which of the following medications would prompt the nurse to take extra precautions?

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Which of the following physiological findings would be included in the identification of milk-alkali/ Burnett syndrome? SATA

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A 30 year old female reports to the outpatient clinic for a follow up on GERD drug therapy. The client's Beta-HCG test shows a positive result, indicating pregnancy. The client also has a history of hypertension, dysmenorrhea, and hyperlipidemia. Which of the following medications would the APRN most likely stop?

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Which of the following explanations of a hiatal hernia is accurate?

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A student nurse is helping out at the triage station in the local emergency department. 4 clients are experiencing an onset of symptoms similar to that of GERD. Which of the following patients is more likely to have developed a hiatal hernia?

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Which is the main physiological change that occurs with aging that contributes to the development of hiatal hernias?

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The nurse is teaching a new-grad about the potential complications of a hiatal hernia. Which complications would the nurse include? SATA

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Which would the nurse note as a contributing external factor in the development of hernias in older adults?

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Which of the following is true when considering esophageal cancer?

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A client is admitted to the observation unit of a new diagnosis of esophageal cancer. Which statement is true about the onset of the disease?

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Which of the following manifestations are indicative of a possible esophageal cancer diagnosis? SATA

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How is esophageal cancer definitively diagnosed?

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A client is in the Oncology PACU for recovery after having an endoscopic photodynamic therapy procedure. The client is groggy after her procedure and is asking the RN to remind her what procedure she just had done. Which of the following explanations would the nurse provide to the client?

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A client was recently diagnosed with esophogeal cancer and is in a conference room with an RN to discuss potential treatment options. Which of the following treatment options would the nurse include in the client teaching?

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Which of the following statements is true in regard to radiation therapy for esophogeal cancer?

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A student nurse is performing diagnostic assessments to help out at their local community oncology unit. Which of the following statements made by the student nurse indicates understanding of esophageal cancer prognoses?

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The nurse is caring for a client who has just undergone a surgical esophagogastrostomy. The nurse notes that all of the following are complications of esophageal surgery except: SATA

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A client is complaining of increased discomfort and irritation from their NG tube which is on its 4th day of placement. The client is asking the RN if the tube can be repositioned or insert a brand new tube. Which of the following is an appropriate action for the RN to make?

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Which of the following statements best defines Peptic Ulcer Disease (PUD)

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The nurse is caring for a client with diagnosed peptic ulcer disease. Which of the following symptoms distinguishes the client's condition as being duodenal and not gastric?

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What is the gold standard procedure for diagnosing peptic ulcer disease caused by an H. Pylori infection?

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Which of the following is true regarding antibiotic therapy for H. Pylori induced peptic ulcer disease?

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The RN is reviewing the complications of PUD with a student nurse. Which of the following statements made by the student indicates understanding?

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Which is true regarding the manifestation of symptoms of PUD in the older adult?

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A preceptor RN is quizzing the new grad nurse on medication interventions for the complications of PUD. Which of the following statements indicates understanding emergency medication intervention?

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The nurse is caring for a client with peptic ulcer disease and is reviewing their medication history. Which of the following medications would the nurse note as contributing to the development of the client's condition?

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Which of the following terms best describes the general pathophysiology of stomach cancer?

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Which of the following procedures is considered the gold standard in diagnosing stomach cancer?

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Which of the following is true regarding the assessment of patients with (or may have) stomach cancer?

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A client is about to undergo a partial gastrectomy procedure. Which of the following potential complications should the nurse prepare for? SATA.

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A client is in the outpatient facility for a follow-up appointment following a total gastrectomy 1 month ago. The RN and the client are discussing current lifestyle habits established after the client was discharged home. Which of the following statements indicate the need for further teaching?

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Which of the following conditions is characterized by chronic abdominal pain and altered bowel patterns?

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A nurse is teaching a client about implementing the proper diet habits after a diagnosis of irritable bowel syndrome (IBS). Which of the following statements made by the client indicates a need for further teaching?

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A nurse is hosting a seminar to teach clients about the FODMAPs diet. Which of the following would the nurse plan to include in regard to foods that these clients should avoid? SATA

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A client calls the local outpatient clinic with concerns of a new, persistent onset of symptoms. Which of the following main manifestations would lead the nurse to suspect IBS?

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Which of the following is not an appropriate classification of IBS?

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Which of the following is the gold standard diagnostic for IBS?

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The student nurse is reviewing current medication protocols for the treatment of several gastrointestinal problems. Which of the following statements reflect understanding?

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A 50 year old male is admitted to the Emergency Unit following a severe flare-up of IBS symptoms. The client has a history of prior bowel surgery and mechanical obstruction. Which of the following medications would the nurse NOT anticipate?

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Which of the following accurately differentiates Crohn's Disease from Ulcerative Colitis?

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Which of the following drug classes are commonly used in the drug therapy for inflammatory bowel disease? SATA

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What is the most common cause for small bowel obstructions?

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The nurse is reviewing a client's recent diagnostic study for abdominal pain. Which of the followings would prompt the nurse to anticipate a diagnosis for large bowel obstruction rather than small bowel?

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Nurse is providing teaching for a client who has been ordered to undergo conservative therapy for a partial small bowel obstruction. Which of the following would the nurse include in their teaching?

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Which of the following conditions is treatable through conservative therapy?

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The client has been diagnosed with a non mechanical obstruction of the large bowel. The client is confused and states confusion about an obstruction not caused through a physical blockage. Which of the following explanations is appropriate for the nurse to give?

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A client is admitted to the observation unit while awaiting a sigmoidoscopy for further investigation of a large bowel obstruction. Which of the following is the nurse's priority action?

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Which of the following contributes to a client becoming at risk for colorectal cancer?

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What is considered the gold standard for detecting and diagnosing colorectal cancer?

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Which of the following goals would the nurse create in anticipation of a surgical resection of the bowel (ostomy surgery)?

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Which of the following manifestations points towards a non-mechanical specification of bowel obstruction?

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Which of the following are early signs of colorectal cancer?

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The nurse is volunteering at the community health promotion fair to help locals become more aware of resources and proper health maintenance habits. Which of the following individuals would the nurse advise to seek a colorectal cancer screening?

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A client diagnosed with advanced colorectal cancer has refused to take prescribed palliative medication. The client's family has also noted that the client has become socially withdrawn, refuses enteral feedings, and has become hypertensive in the last few days. Which clinical problem should the nurse document?