A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement indicates that additional teaching about GERD is needed? Answers available here: http://bit.
...
A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement indicates that additional teaching about GERD is needed? Answers available here: http://bit.ly/2IZEFUs
a. “I take antacids between meals and at bedtime each night.”
b. “I sleep with the head of the bed elevated on 4-inch blocks.”
c. “I eat small meals during the day and have a bedtime snack.”
d. “I quit smoking several years ago, but I still chew a lot of gum.”
A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To determine possible risk factors for gastritis, the nurse will ask the patient about
a. the amount of saturated fat in the diet.
b. any family history of gastric or colon cancer.
c. a history of a large recent weight gain or loss.
d. use of nonsteroidal antiinflammatory drugs (NSAIDs).
Answers available here: http://bit.ly/2IZEFUs
The nurse determines that teaching regarding cobalamin injections has been effective when the patient
with chronic atrophic gastritis states which of the following?
a. “The cobalamin injections will prevent gastric inflammation.”
b. “The cobalamin injections will prevent me from becoming anemic.”
c. “These injections will increase the hydrochloric acid in my stomach.”
d. “These injections will decrease my risk for developing stomach cancer.”
Answers available here: http://bit.ly/2IZEFUs
The nurse will anticipate preparing a 71-year-old female patient who is vomiting “coffee-ground” emesis for
a. endoscopy.
b. angiography.
c. barium studies.
d. gastric analysis.
Answers available here: http://bit.ly/2IZEFUs
A family member of a 28-year-old patient who has suffered massive abdominal trauma in an automobile accident asks the nurse why the patient is receiving famotidine (Pepcid). The nurse will explain that the medication will
a. decrease nausea and vomiting.
b. inhibit development of stress ulcers.
c. lower the risk for H. pylori infection.
d. prevent aspiration of gastric contents.
At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II), a patient reports
that dizziness, weakness, and palpitations occur about 20 minutes after each meal. The nurse will teach
the patient to
a. increase the amount of fluid with meals.
b. eat foods that are higher in carbohydrates.
c. lie down for about 30 minutes after eating.
d. drink sugared fluids or eat candy after meals.
Answers available here: http://bit.ly/2IZEFUs
Which assessment should the nurse perform first for a patient who just vomited bright red blood?
a. Measuring the quantity of emesis
b. Palpating the abdomen for distention
c. Auscultating the chest for breath sounds
d. Taking the blood pressure (BP) and pulse
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