Gastric & Duodenal Disorders Flashcards
A patient is recovering from gastric surgery. What goal should nurse progress the patient’s enteral intake toward?
a.) 6 small meals & 120 mL fluid daily
b.) 6 small meals & 120 mL fluid between meals
c.) 3 meals & 120 mL fluid daily
d.) 3 meals & 120 mL fluid between meals
b.) 6 small meals & 120 mL fluid between meals
The Zollinger-Ellison Syndrome (ZES) consists of severe peptic ulcers, extreme gastric hyperacidity, & gastrin-secreting benign or malignant tumors of the pancreas. The nurse recognizes that which of the following agents is used to decrease bleeding & decrease gastric secretions?
a.) octreotide (Sandostatin)
b.) nizatidine (Axid)
c.) vasopressin (Pitressin)
d.) omeprazole (Prilosec)
a.) octreotide (Sandostatin)
A patient with an H. pylori infection asks why bismuth subsalicylate is prescribed. How should the nurse respond?
a.) “It helps propel food from the stomach into the duodenum”.
b.) “It aids in the healing of the stomach lining”.
c.) “It enhances the function of the pyloric sphincter”.
d.) “It improves digestion in the stomach”.
b.) “It aids in the healing of the stomach lining”
A patient comes to the clinic reporting pain in the epigastric region. What assessment question during the health interview would help the nurse the most to determine if the patient has a peptic ulcer?
a.) “Do you find that your pain is worse when you need to have a bowel movement?”
b.) “Does your pain resolve when you have something to eat?”
c.) “Do over-the-counter medicaitons help your pain?”
d.) “Does your pain get worse when you get up & exercise?”
b.) “Does your pain resolve when you have something to eat?”
A nurse is caring for a patient who is recovering from gastric bypass surgery. During the assessment, the patient exhibits pallor, perspiration, palpitations, a headache, & feelings of warmth, dizziness, & drowsiness. The patient reports eating 90 minutes ago. What does the nurse suspect?
a.) This is a normal reaction to surgery.
b.) Dehisence of the surgical wound.
c.) Vasomotor symptoms associated with dumping syndrome.
d.) Peritonitis.
c.) Vasomotor symptoms associated with dumping syndrome
A nurse is teaching a patient with gastritis about the need to avoid the intake of caffeinated beverages. Which explanation from the nurse would be most accurate?
a.) “Caffeine intake can cause tears in your esophagus & intestines, which can lead to hemorrhage”.
b.) “Caffeine can interfere with the absorption of vitamin B12, which leads to anemia & further digestive problems”.
c.) “Caffeine stimulates the central nervous system & thus gastric activity and secretions, which need to be minimized to promote recovery”.
d.) “Caffeine increases the fluid volume in yoru system, which irritates your digestive organs”.
c.) “Caffeine stimulates the central nervous system & thus gastrci activity and secretions, which need to be minimized to promote recovery”.
Which of the following symptoms does the nurse recognize that a patient diagnosed with a duodenal ulcer would likely expect?
a.) Weight loss
b.) hemorrhage
c.) vomiting
d.) pain 2-3 hours after a meal
d.) Pain 2-3 hours after a meal
The nurse is teaching a community health class on gastritis. The nurse includes that chronic gastritis caused by H. pylori is implicated in which disease/condition?
a.) Peptic ulcers
b.) Systemic infection
c.) Colostomy
d.) Pernicious anemia
a.) Peptic ulcers
A patient with severe peptic ulcer disease has undergone surgery & is several hours post-op. During an assessment, the nurse notes that the patient has developed cool skin, tachycardia, labored breathing, & appears to be confused. Which complication has the patient most likely developed?
a.) Pyloric obstruction
b.) Penetration
c.) Perforation
d.) Hemorrhage
d.) Hemorrhage
Which medication is classified as a proton pump inhibitor?
a.) Sucralfate
b.) Omeprazole
c.) Metronidazole
d.) Famotidine
b.) Omeprazole
A patient is admitted to the hospital with a diagnosis of bleeding gastric ulcer. The nurse expects the patient’s stools to have which description?
a.) Clay-colored
b.) Black & tarry
c.) Coffee-ground like
d.) Bright red
b.) Black & tarry
- gastric ulcers occur in the stomach
- since the stomach is higher in the GI tract, the blood is old = black & tarry
Which of the following manifestations are associated with vitamin B12 deficiency? (Select all that apply)
a.) Macrocytic anemia
b.) Lethargy
c.) Thrombocytopenia
d.) Pernicious anemia
e.) Hair loss
a.) Macrocytic anemia
c.) Thrombocytopenia
d.) Pernicious anemia
