Upper Gastro Flashcards
The daughter of a client calls to tell the nurse that her 85 year old mother has been nauseated all day and has vomited twice. Before the nurse hangs up and telephones the health care provider to communicate the assessment data, what does the nurse instruct the clients daughter to do?
A) administer antispasmodic drugs and observe skin turgor
B) give her mother sips of water and elevate the head of her bed to prevent aspiration
C) offer her mother a high-protein liquid supplement to drink to maintain her nutritional needs.
D) offer her mother large quantities of Gatorade to drink because older adults are at risk for sodium depletion
B) give her mother sips of water and elevate the head of her bed to prevent aspiration
The nurse explains to a patient with Vincent’s infection that treatment will include which of the following?
A) small pox vaccinations
B) viscous lidocaine rinses
C) amphotericin B suspension
D) topical application of antibiotics
D) topical application of antibiotics
The nurse is involved in health promotion related to oral cancer. Which behaviors are included in the teaching of adolescents with regard to behaviors that put them at risk for oral cancer (sata)
A) avoiding use of perfumed lip gloss
B) discouraging use of chewing gum
C) avoiding use of smokeless t obacco
D) discouraging drinking of carbonated beverages
E) avoiding excessive alcohol consumption
C) avoiding use of smokeless t obacco
E) avoiding excessive alcohol consumption
What information is included when the nurse is explaining gastro- esophageal reflux disease (GERD) to a client with GERD?
A) results in acid erosion and ulceration of the esophagus caused by frequent vomiting
B) will require surgical wrapping or reapir of the pyloric sphincter to control the symptoms
C) is the protrusion of a portion of the stomach into the esophagus through an opening in the diaphragm
D) often includes relaxation of the lower esophageal sphincter, allowing stomach contents to back up into esophagus
D) often includes relaxation of the lower esophageal sphincter, allowing stomach contents to back up into esophagus
A client who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever and dyspnea when a full liquid diet is started postoperatively. What are these symptoms most indicative of?
A) an intolerance to the feedings
B) extension of the tumor into the aorta
C) leakage of fluid of foods into the mediastinum
D) esophageal perforation with fistula formation in the lung
C) leakage of fluid of foods into the mediastinum
The pernicious anemia that may accompany gastritis is caused by which of the following?
A) chronic autoimmune destruction of cobalamin stores in the body
B) progressive gastric atrophy from chronic breakage in the mucosal barrier and blood loss
C) a lack of intrinsic factor normally produced by acid-secreting cells of the gastric mucosa
D) hyperchlorhydria resulting from an increase in acid-secreting parietal cells and degradation of blood cells.
C) a lack of intrinsic factor normally produced by acid-secreting cells of the gastric mucosa
for the client being discharged after an acute episode of gastro-intestinal (GI) bleeding, what information would the nurses teaching plan include?
A) taking only drugs prescribed by the HCP
B) avoid taking ASA (aspirin) with acidic beverages such as orange juice
C) taking all drugs 1 hour before mealtime to prevent further bleeding
D) reading all over-the-counter drug labels to avoid those containing stearic acid and calcium
A) taking only drugs prescribed by the HCP
The nurse is teaching the client and her family about possible causes of peptic ulcers. How does the nurse explain ulcer formation?
A) caused by a stressful lifestyle and other acid-producing factors such as Helicobacter pylori
B) inherited within families and reinforced by bacterial spread of staphlyococcus aureus in childhood
C) promoted by factors that tend to cause oversecreation of acid, such as excess dairy fats, smoking and h.pylori
D) promoted by a combination of possible factors that may result in Erosion of the gastric mucosa, including certain drugs and alcohol
D) promoted by a combination of possible factors that may result in Erosion of the gastric mucosa, including certain drugs and alcohol
_______ is defined as any clinically significant symptomatic condition or histopathological alteration presumed to be secondary to reflux of gastric contents into the lower esophagus
GERD
Another complication of GERD is_______ _______ ,
which is considered a precancerous lesion that increases the patient’s risk for
esophageal cancer
Barretts esophagus
A ______ ______ is a herniation of a portion of the stomach into the esophagus through an
opening (hiatus) in the diaphragm
Hiatal hernia
________ is an inflammation of the gastric mucosa that may be acute or chronic, and may be diffuse or localized
Gastritis
