Duodenum Explanation:Peptic ulcers occur mainly in the gastroduodenal mucosa because this tissue cannot withstand the digestive action of gastric acid (HCl) and pepsin.
  • The nurse is creating a discharge plan of care for a patient with a peptic ulcer. The nurse tells the patient to avoid which of the following? Tylenol Decaffeinated coffee Skim milk Octreotide
  • The nursing student approaches his instructor to discuss the plan of care for his client diagnosed with peptic ulcer disease. The student asks what is the most common site for peptic ulcer formation? The instructor would state which one of the following? Duodenum Esophagus Pylorus Stomach
  • After teaching a client who has had a Roux-en-Y gastric bypass, which client statement indicates the need for additional teaching? "I need to chew my food slowly and thoroughly." "I need to drink 8 ounces of water before eating." "A total serving should amount to be less than one cup." "I should pick cereals with less than 2 g of fiber per serving."
  • The nurse is conducting a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which of the following diseases/conditions? Pernicious anemia Systemic infection Peptic ulcers Colostomy
Fowler's Explanation:Placing the client in the Fowler's position after gastric surgery promotes comfort and allows emptying of the stomach.
  • Which of the following clients is at highest risk for peptic ulcer disease? Client with blood type A Client with blood type B Client with blood type AB Client with blood type O
  • Clients with Type O blood are at higher risk for which of the following GI disorders? Gastric cancer Duodenal ulcers Esophageal varices Diverticulitis
  • xA client is recovering from gastric surgery. Which of the following is the correct position for the nurse to place this client? Supine Semi-Fowler's Trendlenberg Fowler's
  • A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen? 4 to 6 days 7 to 9 days 10 to 14 days 15 to 20 days
Omeprazole (Prilosec) Explanation:Omeprazole (Prilosec) is a proton pump inhibitor that, if used according to the health care provider's directions, will result in healing in 90% of patients. The other drugs are H2 receptor antagonists that need to be used for 6 weeks.
  • The nurse is educating a patient with peptic ulcer disease about the disease process. What decreases the secretion of bicarbonate from the pancreas into the duodenum, resulting in increased acidity of the duodenum? Smoking Eating spicy foods Drinking carbonated beverages Taking antacids
  • A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease. Choose the drug that can be used for 4 weeks and has a 90% chance of healing the ulcer. Ranitidine (Zantac) Cimetidine (Tagamet) Famotidine (Pepcid) Omeprazole (Prilosec)
  • A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? Regular diet Skim milk Nothing by mouth Clear liquids
  • The nurse is assessing a client with a bleeding gastric ulcer. When examining the client's stool, which of the following characteristics would the nurse be most likely to find? Green color and texture Bright red blood in stool Black and tarry appearance Clay-like quality
Client with blood type O Explanation:Clients with blood type O are more susceptible to peptic ulcers than those with blood types A, B, and AB.
  • Which of the following are classified as a histamine-2 receptor antagonist? Pepcid Prevacid Flagyl Nexium
  • Which of the following surgical procedures for obesity utilizes a prosthetic device to restrict oral intake? Roux-en-Y gastric bypass Gastric banding Vertical-banded gastroplasty Biliopancreatic diversion with duodenal switch
  • Which of the following clients is at highest risk for peptic ulcer disease? Client with blood type A Client with blood type B Client with blood type AB Client with blood type O
  • Which of the following medications used for obesity improves cardiovascular disease risk factors in obese patients with metabolic syndrome? Rimonabant (Acomplia) Orlistat (Xenical) Alli Sibutramine (Meridia)
Acute gastritis Explanation:The client with acute gastritis may have a rapid onset of symptoms, including abdominal discomfort, headache, lassitude, nausea, anorexia, vomiting, and hiccuping, which can last from a few hours to a few days. Acute gastritis is often caused by dietary indiscretion--a person eats food that is irritating, too highly seasoned, or contaminated with disease-causing microorganisms.
  • xA patient is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed? A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum. A sectioned portion of the stomach is joined to the jejunum. The antral portion of the stomach is removed and a vagotomy is performed. The vagus nerve is cut and gastric drainage is established.
  • A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the client also appears to be confused. Which of the following complications has the client most likely developed? Hemorrhage Penetration Perforation Pyloric obstruction
  • A client admitted for treatment of a gastric ulcer is being prepared for discharge on antacid therapy. Discharge teaching should include which instruction? "Continue to take antacids even if your symptoms subside." "You may take antacids with other medications." "Avoid taking antacids containing magnesium if you develop a heart problem." "Be sure to take antacids with meals."
  • A client reports to the clinic, stating that she rapidly developed headache, abdominal pain, nausea, hiccuping, and fatigue about 2 hours ago. For dinner, she ate buffalo chicken wings and beer. Which of the following medical conditions is most consistent with the client's presenting problems? Acute gastritis Duodenal ulcer Gastric cancer Gastric ulcer
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