Deck 29: Disorders of the Esophagus,stomach,and Small Intestine

Question 1

A client tells the nurse,"I have had abdominal pain,bloating,visual disturbances,and bone pain for the last 3 to 6 months." On assessment,the nurse finds excessive weight loss and suspects an autoimmune hypersensitivity disorder.Which diagnostic test does the primary health-care provider recommend for further confirmation?
1)Abdominal CT scan
2)Ultrasound abdomen
3)Serology celiac panel
4)Barium contrast x-ray series

Answer 1

3

Question 2

A client is admitted into the emergency room with vomiting blood,dark urine,and black,tarry feces.On examination,the nurse finds that the client has weight loss and a distended abdomen.Which condition does the nurse expect in the client?
1)Hiatal hernia
2)Acute gastritis
3)Pyloric stenosis
4)Esophageal varices

Answer 2

4

Question 3

A client tells the nurse,"I have intense stomach pain for 3 hours after eating." On assessment the nurse finds abdominal pain and tenderness of the abdomen.The nurse suspects duodenal ulcers in the client.Which diagnostic procedure does the primary health-care provider recommend?
1)Ultrasound
2)Urea breath test
3)Fecal occult blood test
4)Computed tomography (CT)scan

Answer 3

2

Question 4

Which is the characteristic feature of dumping syndrome?
1)Steatorrhea
2)Diaphoresis
3)Colicky cramping
4)Hematemesis

Question 5

The nurse is caring for a client who is due for a laparoscopic fundoplication.On reviewing the medical history,the nurse notes the client complains of dysphagia,substernal burning,and belching.The endoscopy and barium test reports are yet to be received.Which condition can the nurse expect in the client?
1)Hiatal hernia
2)Gastritis
3)Stomach cancer
4)Schatzki ring

Question 6

Which pathophysiological changes are responsible for pain in a client with acute gastritis? Select all that apply.
1)Atrophy of the gastric wall
2)Eradication of prostaglandins by medications
3)Increased blood supply at the inflammatory area
4)Increased pressure within the layers of the stomach
5)Accumulation of white blood cells at the inflammatory area

Question 7

The primary health-care provider instructs the client with symptoms of peptic ulcer to take a fasting serum gastrin level test and have an MRI scan done.On reviewing the laboratory reports,the nurse finds hypergastrinemia and a tumor.The PHP instructs the nurse to administer proton pump inhibitors.Which condition can the nurse expect?
1)Dumping syndrome
2)Mallory-Weiss syndrome
3)Zollinger-Ellison syndrome
4)Plummer-Vinson syndrome

Question 8

Which is the most common etiologic agent of gastroenteritis in adults?
1)Norovirus
2)Escherichia coli (E.coli)
3)Candida albicans
4)Helicobacter pylori (H.pylori)

Question 9

Which statement correctly describes the mechanism of inflammatory diarrhea?
1)It occurs as a result of intestinal neuromuscular disorders.
2)It occurs if the pathogen stimulates the intestine to secrete fluid and mucus.
3)It occurs if the mucosal lining of the intestine is injured.
4)It occurs because of an increase in the osmotic load.

Question 10

Which part of the stomach most commonly harbors Helicobacter pylori (H.pylori)?
1)Body
2)Fundus
3)Pylorus
4)Duodenum

Question 11

Which gastrointestinal disorder occurs due to removal of part of the stomach?
1)Dumping syndrome
2)Mallory-Weiss syndrome
3)Zollinger-Ellison syndrome
4)Plummer-Vinson syndrome

Question 12

A client with sudden,excruciating abdominal pain,pale skin,and hematemesis is admitted to the emergency room.On assessment,the client states that he had an overdose of NSAIDs and has a history of substance abuse.The primary health-care provider instructs the nurse to prepare the client for a gastrojejunostomy procedure.Which condition can the nurse expect in the client?
1)Hiatal hernia
2)Acute gastritis
3)Pyloric stenosis
4)Peptic ulcer disease

Question 13

The nurse concludes that an obese client is suffering from a rare type of hernia.Which finding confirmed the condition?
1)Belching
2)Acute chest pain
3)Substernal burning
4)Epigastric discomfort

Question 14

Which diagnostic test screens H.pylori in a client with peptic ulcer disease?
1)Urea breath test
2)Stool antigen test
3)Blood test for antibodies
4)All of the above

Question 15

Which therapeutic procedure treats peritonitis?
1)Upper endoscopy
2)Laparotomy
3)Paracentesis
4)Peritoneal lavage

Question 16

On assessing a client with a gastrointestinal disorder,the nurse finds steatorrhea,abdominal distension,and muscle wasting.The primary health-care provider prescribes corticosteroid therapy for the client.Which instructions does the nurse provide to effectively manage the condition?
1)Reduce alcohol ingestion
2)Reduce coffee consumption
3)Avoid fiber-containing foods
4)Avoid gluten-containing foods

Question 17

The nurse is assessing a client with complaints of nausea,vomiting,abdominal pain,and discomfort.The nurse finds that the abdomen is firm and peristalsis is visible.The laboratory reports show electrolyte imbalances.Which condition does the nurse anticipate in the client?
1)Hiatal hernia
2)Acute gastritis
3)Pyloric stenosis
4)Peptic ulcer disease

Question 18

The nurse finds a note stating "Reduction in 15% to 20% from the original stomach size" while reviewing the medical record of an obese client.Which surgical procedure can the nurse expect for this client?
1)Gastric bypass
2)Gastric banding
3)Sleeve gastrectomy
4)Biliopancreatic diversion with duodenal switch