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Chapter 58: Care of Patients with Stomach Disorders Test Bank

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1. The nurse is caring for a client who is at risk for developing gastritis. Which finding from the client’s history leads the nurse to this conclusion? a. Client is lactose intolerant and cannot ... drink milk. b. Client recently traveled to Mexico and South America. c. Client works at least 60 hours per week in a stressful job. d. Client takes naproxen sodium (Naprosyn) 500 mg daily for arthritis pain. 2. The nurse is caring for a female client who has just received a prescription for misoprostol (Cytotec). Which instructions does the nurse provide to the client regarding this medication? a. “You may dissolve the contents of the capsule in warm water if it is difficult for you to swallow.” b. “Take this medication on an empty stomach just before going to bed every evening.” c. “You will need to stop taking your magnesium hydroxide (Mylanta) now that you are on this drug.” d. “You should add extra fiber to your diet because this medication may cause constipation.” 3. The nurse is caring for a client with a gastric ulcer who suddenly develops sharp midepigastric pain. The nurse notes that the client’s abdomen is hard and very tender to light palpation. Which is the priority action of the nurse? a. Place the client in a knee-chest position. b. Prepare the client for emergency surgery. c. Insert a nasogastric (NG) tube to low intermittent suction. d. Assess the client’s pain and administer analgesics. 4. The nurse is caring for a client with peptic ulcer disease. The client vomits a large amount of undigested food after breakfast. Which intervention does the nurse prepare to provide for the client? a. Administer a soap suds cleansing enema. b. Change the client’s diet to clear liquids only. c. Insert a nasogastric (NG) tube to low intermittent suction. d. Administer prochlorperazine (Compazine) 10 mg IM. 5. The home care nurse is caring for a client who has recently undergone a subtotal gastrectomy. The nurse notes that the client’s tongue is shiny and beefy red. Which assessment question does the nurse ask the client regarding this finding? a. “Have you been taking your multivitamin every day?” b. “How much weight have you lost since your surgery?” c. “Have you been experiencing heartburn or nausea after eating?” d. “What kind of mouthwash do you use after you brush your teeth?” Helicobacter pylori infection. Which statement by the client indicates that additional teaching is needed? a. “I will avoid drinking coffee, even if it is decaffeinated.” b. “I will take a multivitamin every morning with breakfast.” c. “I will go to my tai chi class to wind down after a busy day.” d. “I will take my medication every day until my heartburn is gone.” 7. The nurse is teaching a health promotion class about preventing cancer. Which statement by a student indicates understanding of gastric cancer development? a. “I should skip my morning bacon and egg sandwich to reduce my risk of gastric cancer.” b. “I have been lactose intolerant for many years, so I should have a yearly test for gastric cancer.” c. “I should switch from regular to decaffeinated coffee to reduce my risk of gastric cancer.” d. “I am at low risk for developing gastric cancer because I am a vegetarian and I eat only organic produce.” [Show More]

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