CH 41 PU, CH 42 Bowel d/o & GI d/o

Question 1

23. A client asks the nurse what has caused their irritable bowel syndrome. Which information should the nurse prepare to discuss with the client?
24. Imbalance of the normal flora
25. Autoimmune response
26. Hyperactive immune response
27. Psychosomatic

Answer 1

3. Hyperactive immune response

Question 2

4. A client asks the nurse why esomeprazole (Nexium) works better than cimetidine (Tagamet). Which response should the nurse provide the client?
5. “It is about the same but a lot cheaper than your cimetidine (Tagamet).”
6. “It decreases acid in your stomach better than cimetidine (Tagamet).”
7. “It is about the same but has fewer side effects than your cimetidine (Tagamet).”
8. “It is not as effective as cimetidine (Tagamet) but kills bacteria better.”

Answer 2

2. “It decreases acid in your stomach better than cimetidine (Tagamet).”

Question 3

9. A client with peptic ulcer disease and positive for H. pylori asks the nurse why the healthcare provider would like to treat them with a combination therapy. Which information should the nurse provide the client?
10. Combination therapy has the best outcomes when antibiotics are used with antacids.
11. Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.
12. The use of sucralfate (Carafate) along with antibiotics is the best combination therapy for peptic ulcer disease (PUD).
13. Various antibiotics are used to eradicate the bacteria that are responsible for the development of peptic ulcer disease (PUD).

Answer 3

2. Combination therapy has the best outcomes when antibiotics are used with proton-pump inhibitors.

Question 4

. A client asks the nurse how misoprostol (Cytotec) will treat their peptic ulcer disease (PUD)? Which response should the nurse provide the client?

1. “It dissolves into a gel and sticks to your ulcer.”
2. “It increases mucus production in your stomach.”
3. “It inhibits bacterial growth.”
4. “It neutralizes stomach acid.”

Answer 4

2. “It increases mucus production in your stomach.”

Question 5

3) Which clients are at risk for peptic ulcer disease?
Select all that apply.
1. A client with decreased intrinsic factor
2. A client with Type O blood
3. A client that smokes
4. A client experiencing excessive psychological stress
5. A client with a low fiber diet

Answer 5

2. A client with Type O blood
3. A client that smokes
4. A client experiencing excessive psychological stress

Question 6

6. The nurse has provided education about peptic ulcer disease (PUD) for a client. Which statement made by the client indicates an understanding of the information?
7. “I will limit my intake of caffeine products.”
8. “I will take ibuprofen (Motrin) for my headaches.”
9. “I will drink more milk and limit spicy foods.”
10. “I will join a gym and increase my exercise.”

Answer 6

1. “I will limit my intake of caffeine products.”

Question 7

19) Which should the nurse recognize is a risk factor for gastroesophageal reflux disease (GERD)?
1. Obesity
2. Stress
3. Esophageal ulcers
4. Aging

Answer 7

1. Obesity

Question 8

8. Which condition should the nurse identify as a complication for long-term use of proton-pump inhibitors (PPIs)?
9. Anemia
10. Osteoporosis
11. Hypertension
12. Intestinal irritation

Answer 8

2. Osteoporosis

Question 9

12. Which assessment finding should the nurse be concerned about for the client receiving Ranitidine (Zantac) for treatment of peptic ulcer disease (PUD)?
13. Constipation
14. Pain 24 hours after treatment
15. Increased diarrhea
16. Headache

Answer 9

3. Increased diarrhea

Question 10

13. Which electrolyte should the nurse assess for a client prescribed aluminum hydroxide (AlternaGEL)?
14. Potassium
15. Phosphate
16. Calcium
17. Sodium

Answer 10

2. Phosphate

Question 11

14. Which can be combined with aluminum compounds such as aluminum hydroxide (AlternaGEL) to increase their effectiveness and reduce the potential for constipation?
15. Phosphate
16. Potassium
17. Magnesium
18. Calcium

Answer 11

3. Magnesium

Question 12

11) Which information should the nurse include in the education of a client prescribed an antacid?
1. Antacids can be safely administered with H2-receptor medications.
2. Antacids can be safely administered with antibiotics.
3. Administer antacids at least 2 hours before other oral medications.
4. Lie down for 30 minutes after taking antacids.

Answer 12

3. Administer antacids at least 2 hours before other oral medications.

Question 13

15) A client asks the nurse how misoprostol (Cytotec) will treat their peptic ulcer disease (PUD)? Which response should the nurse provide the client?
1. “It dissolves into a gel and sticks to your ulcer.”
2. “It increases mucus production in your stomach.”
3. “It inhibits bacterial growth.”
4. “It neutralizes stomach acid.”

Answer 13

2. “It increases mucus production in your stomach.”

Question 14

4) Which should the nurse include in the plan of care for the client experiencing frequent constipation?
Select all that apply.
1.	Increase dietary protein.
2.	Increase the fluid intake.
3.	Increase dairy products.
4.	Increase dietary fiber.
5.	Increase daily physical exercise.

Answer 14

2. Increase the fluid intake.
3. Increase dietary fiber.
4. Increase daily physical exercise.

Question 15

Which acid-base imbalance should the nurse be concerned about for the client that has been vomiting for several days?

1. Metabolic acidosis
2. Respiratory alkalosis
3. Metabolic alkalosis
4. Respiratory acidosis

Answer 15

3. Metabolic alkalosis

Question 16

A client asks the nurse how probiotics can be beneficial in the treatment of their irritable bowel syndrome. Which response should the nurse provide?

1. Probiotics attack infective bacteria in the intestine.
2. Probiotics restore the normal intestinal bacteria.
3. Probiotics decrease the bowel frequency.
4. Probiotics decrease the intestinal water absorption.

Answer 16

2. Probiotics restore the normal intestinal bacteria.