Concepts of Care for of Patients With Stomach Disorders Flashcards
The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?
a. “I need to cut down on drinking martinis every might.”
b. “I should decrease my intake of caffeinated drinks, especially coffee.”
c. “I will only take ibuprofen once in a while when I really need it.”
d. “I can continue smoking cigarettes which is better than chewing tobacco.”
d. “I can continue smoking cigarettes which is better than chewing tobacco.”
To prevent another episode of acute gastritis, alcohol, caffeinated drinks, and NSAIDs should be avoided or kept at a minimum. Smoking and all forms of tobacco should also be avoided.
The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure would the nurse expect for the client to make an accurate diagnosis?
a. Esophagogastroduodenoscopy (EGD)
b. Abdominal arteriogram
c. Nuclear medicine scan
d. Magnetic resonance imaging (MRI)
a. Esophagogastroduodenoscopy (EGD)
The gold standard for diagnosing disorders of the stomach is an EGD which allows direct visualization by the endoscopist into the esophagus, stomach, and duodenum.
The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which complication would the nurse monitor?
a. Large bowel obstruction
b. Dyspepsia
c. Upper gastrointestinal (GI) bleeding
d. Gastric cancer
c. Upper gastrointestinal (GI) bleeding
Peptic ulcer disease (PUD) can cause gastric mucosal damage or perforation, which causes upper GI bleeding. Dyspepsia is a symptom of PUD, gastritis, and gastric cancer. PUD affects the stomach and/or duodenum, not the colon.
A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect?
a. Pyloric obstruction
b. Dumping syndrome
c. Delayed gastric emptying
b. Dumping syndrome
Dumping syndrome causes autonomic symptoms as food quickly leaves the stomach due to its decreased size after surgery.
A client who has peptic ulcer disease is prescribed quadruple drug therapy for Helicobacter pylori infection. What health teaching related to bismuth would the nurse include?
a. “Report stool changes to your primary health care provider immediately.”
b. “Do not take aspirin or aspirin products of any kind while on bismuth.”
c. “Take bismuth about 30 minutes before each meal and at bedtime.”
b. “Do not take aspirin or aspirin products of any kind while on bismuth.”
Bismuth is a salicylate drug and causes stool discoloration but not vomiting and diarrhea. It does not have to be taken at a specif
The nurse caring for clients with gastrointestinal disorders would recall that omeprazole is a drug in which classification?
a. Gastric acid inhibitor
b. Histamine receptor blocker
c. Mucosal barrier fortifier
d. Proton pump inhibitor
d. Proton pump inhibitor
The nurse is caring for a client experiencing upper gastrointestinal (GI) bleeding. What is the priority action for the client’s care?
a. Maintain airway, breathing, and circulation.
b. Monitor vital signs, including orthostatic blood pressures.
c. Draw blood for hemoglobin and hematocrit immediately.
d. Insert a nasogastric (NG) tube and connect to intermittent suction.
a. Maintain airway, breathing, and circulation.
The priority action for any client experiencing deterioration or an emergent situation is monitor and maintain airway, breathing, and circulation (ABCs). Taking orthostatic blood pressures would not be appropriate, but the nurse would monitor vital signs carefully and draw blood for hemoglobin and hematocrit. An NG tube would also need to be inserted and connected to gastric suction to rest the GI tract. However, none of these actions take priority over maintaining ABCs.
A client has a nasogastric (NG) tube as a result of an upper gastrointestinal (GI) hemorrhage. What comfort measure would the nurse remind assistive personnel (AP) to provide?
a. Lavaging the tube with ice water
b. Performing frequent oral care
c. Re-positioning the tube every 4 hours
d. Taking and recording vital signs
b. Performing frequent oral care
Clients with NG tubes need frequent oral care both for comfort and to prevent infection. Lavaging the tube is done by the nurse. Repositioning the tube, if needed, is also done by the nurse. The can take vital signs, but this is not a comfort measure.
A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be appropriate?
a. Arrange a dietary consult.
b. Increase fluid intake.
c. Limit the client’s foods.
d. Make the client NPO.
a. Arrange a dietary consult.
The client with dumping syndrome after a gastrectomy has multiple dietary needs. A referral to the registered dietitian nutritionist will be extremely helpful. Food and fluid intake is complicated and needs planning. The client should not be NPO.
The nurse recalls that the risk factors for acute gastritis include which of the following? (Select all that apply.)
a. Alcohol
b. Caffeine
c. Corticosteroids
d. Fruit juice
e. Nonsteroidal anti-inflammatory drugs (NSAIDs)
a. Alcohol
b. Caffeine
c. Corticosteroids
e. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Risk factors for acute gastritis include alcohol, caffeine, c
The nurse is caring for a client with a long history of peptic ulcer disease. What assessment findings would the nurse anticipate if the client experiences upper gastrointestinal (GI) bleeding? (Select all that apply.)
a. Decreased heart rate
b. Decreased blood pressure
c. Bounding radial pulse
d. Dizziness
e. Hematemesis
f. Decreased urinary output
b. Decreased blood pressure
d. Dizziness
e. Hematemesis
f. Decreased urinary output
A client has dumping syndrome. What menu selections indicate the client understands the correct diet to manage this condition? (Select all that apply.)
a. Apricots
b. Coffee cake
c. Milk shake
d. Potato soup
e. Steamed broccoli
a. Apricots
d. Potato soup
The nurse assesses a client who has possible gastritis. Which assessment finding(s) indicate(s) that the client has chronic gastritis? (Select all that apply.)
a. Anorexia
b. Dyspepsia
c. Intolerance of fatty foods
d. Pernicious anemia
e. Nausea and vomiting
c. Intolerance of fatty foods
d. Pernicious anemia
Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis. Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute gastritis.
What action(s) by the nurse is (are) appropriate to promote nutrition in a client who had a partial gastrectomy? (Select all that apply.)
a. Administer vitamin B12 injections.
b. Ask the primary health care provider about folic acid replacement.
c. Educate the client on enteral feedings.
d. Obtain consent for total parenteral nutrition.
e. Provide iron supplements for the client.
a. Administer vitamin B12 injections.
b. Ask the primary health care provider about folic acid replacement.
e. Provide iron supplements for the client.
After a partial or total gastrectomy, clients are at high risk for anemia due to vitamin B12 deficiency, folic acid deficiency, or iron deficiency. The nurse would provide supplements for all these nutrients. The client does not need enteral feeding or total parenteral nutrition.
A nurse is preparing to administer pantoprazole intravenously to prevent stress ulcers during surgery. What action(s) by the nurse is (are) most appropriate? (Select all that apply.)
a. Administer the drug through a separate IV line.
b. Infuse pantoprazole using an IV pump.
c. Keep the drug in its original brown container.
d. Take vital signs frequently during infusion.
e. Use an in-line IV filter when infusing.
ANS: A, B, E
a. Administer the drug through a separate IV line.
b. Infuse pantoprazole using an IV pump.
e. Use an in-line IV filter when infusing.
When infusing pantoprazole, use a separate IV line, a pump, and an in-line filter. A brown wrapper and frequent vital signs are not needed.
