Question 1

The nurse is providing care to a patient who is diagnosed with acute gastritis.Which assessment data supports this diagnosis?

Accepted Answer

Acute gastritis is characterized by inflammation of the stomach lining, which can cause symptoms such as epigastric pain, nausea, and vomiting. Weight gain and increased appetite are not typical symptoms of acute gastritis. Increased blood pressure is also not directly related to this condition.

Question 2

The nurse is providing discharge instructions for a patient diagnosed with peptic ulcer disease.Which statement indicates the need for additional education?

Accepted Answer

Eating a large meal before bedtime can exacerbate peptic ulcer disease symptoms, so this statement indicates a need for additional education. The other statements are correct and reflect appropriate self-management of peptic ulcer disease.

Question 3

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing a perforation?

Accepted Answer

Absent bowel sounds could indicate a perforation, as the contents may leak into the abdominal cavity causing inflammation and pain. Tarry stools may indicate gastrointestinal bleeding but may not necessarily indicate a perforation. Pain in the right arm and emesis of undigested food are not typically associated with perforation.

Question 4

Which medication,acting as a physical barrier,does the nurse anticipate for a patient diagnosed with gastritis?

Accepted Answer

Carafate (sucralfate) acts as a physical barrier by binding to the ulcer and forming a protective coating, reducing further damage and allowing it to heal. Maalox and Mylanta are antacids that neutralize stomach acid. Pepcid is a histamine-2 blocker that reduces the amount of acid produced by the stomach. While these medications may be used to treat gastritis, they do not act as a physical barrier.

Question 5

Which food should the nurse encourage for a patient,diagnosed with gastritis,when a heavier liquid diet is prescribed?

Accepted Answer

Milk is often recommended for patients with gastritis as it can help coat the stomach lining and provide some relief from irritation.

Question 6

The nurse is providing care to a patient who is status post partial gastrectomy for the treatment of gastric carcinoma.Which should the nurse include in the plan of care to decrease the risk of dumping syndrome?

Accepted Answer

Providing smaller meals at more frequent intervals can help decrease the risk of dumping syndrome by allowing for more gradual digestion and absorption of food. Providing larger meals at less frequent intervals and combining liquids and solids together can increase the risk of dumping syndrome. Providing liquids only can lead to dehydration and inadequate nutrition.

Question 7

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing penetration to another organ?

Accepted Answer

Penetration of a peptic ulcer into another organ can cause referred pain, such as pain in the right arm, due to irritation of the diaphragm or other structures.

Question 8

The nurse is conducting an assessment for a patient who is suspected of having peptic ulcer disease.Which is a risk factor identified in the patient's health history?

Accepted Answer

The answer of The nurse is conducting an assessment for...

Question 9

Which food should the nurse encourage for a patient,diagnosed with gastritis,when a clear liquid diet is prescribed?

Accepted Answer

Broth is a suitable choice for a clear liquid diet for a patient with gastritis. Milk, pudding, and cream soup are not considered clear liquid foods and may aggravate symptoms.

Question 10

Which principal risk factor should the nurse assess for during the health history in a patient who is suspected of having peptic ulcer disease?

Accepted Answer

H.pylori infection is a known risk factor for the development of peptic ulcer disease. Stress and anxiety may exacerbate symptoms but are not considered primary risk factors. Use of NSAIDs, not acetaminophen, is also a known risk factor for the development of peptic ulcer disease.

Question 11

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing an obstruction?

Accepted Answer

Emesis of undigested food can indicate an obstruction in the gastrointestinal tract preventing the breakdown and absorption of food. Tarry stools indicate bleeding in the upper gastrointestinal tract, pain in the right arm is unlikely to indicate a GI obstruction, and absent bowel sounds can occur with a variety of GI issues, but do not necessarily indicate an obstruction.

Question 12

The nurse is providing care to a patient who is prescribed sequential therapy for the treatment of peptic ulcer disease.Which drugs should the nurse educate this patient about based on this data?

Accepted Answer

Sequential therapy for peptic ulcer disease typically involves a proton pump inhibitor (to reduce gastric acid secretion) and two antibiotics to eradicate Helicobacter pylori. Amoxicillin and clarithromycin are commonly used in sequential therapy. Levofloxacin and metronidazole are alternative antibiotics that may be used in place of or in addition to amoxicillin or clarithromycin, but they are not typically used together in sequential therapy. Bismuth subsalicylate and tetracycline are part of a different treatment regimen (quadruple therapy) and are not used in sequential therapy.

Question 13

Which diagnostic test should the nurse anticipate to detect active infection with H.pylori for a patient diagnosed with gastritis?

Accepted Answer

The urea breathing test is the diagnostic test that detects active infection with H. pylori. The other options, Guaiac, Hematest, and Hemoccult, are tests used to detect blood in the stool, but they do not specifically test for H. pylori infection.

Question 14

Which diagnostic test should the nurse anticipate to rule out anemia when providing care to a patient diagnosed with peptic ulcer disease?

Accepted Answer

Hematocrit measures the percentage of red blood cells in the blood, and low levels may indicate anemia. Peptic ulcer disease can cause bleeding, which may result in anemia. Stool antigen, white blood cell, and fecal occult blood tests are not specific to ruling out anemia.

Question 15

Which diagnostic test should the nurse anticipate to rule out peritonitis when providing care to a patient diagnosed with peptic ulcer disease?

Accepted Answer

An elevated white blood cell count is an indicator of inflammation, which can be a sign of peritonitis. Hematocrit, stool antigen, and fecal occult blood tests are not typically used to diagnose or rule out peritonitis.

Question 16

The nurse is providing education for a patient who is diagnosed with gastritis.Which statement indicates the need for further education?

Accepted Answer

Aspirin can irritate the stomach lining and worsen the symptoms of gastritis. The patient should avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and take acetaminophen instead for headaches.

Question 17

The nurse is providing care to a patient who is prescribed levofloxacin-based triple therapy for the treatment of peptic ulcer disease.Which drugs should the nurse educate this patient about based on this data?

Accepted Answer

Levofloxacin-based triple therapy typically includes a proton pump inhibitor, levofloxacin, and amoxicillin for the treatment of peptic ulcer disease.

Question 18

Which assessment data would indicate active bleeding for a patient who is diagnosed with peptic ulcer disease?

Accepted Answer

Bright red blood in emesis is an indication of active bleeding for a patient with peptic ulcer disease. Absent bowel sounds and black tarry stools with a foul odor may also be associated with the condition, but they indicate gastrointestinal obstruction and upper gastrointestinal bleeding respectively, not necessarily active bleeding in peptic ulcer disease. Coffee-ground emesis may indicate upper gastrointestinal bleeding, but it does not necessarily indicate active bleeding in peptic ulcer disease.

Question 19

Which is the priority nursing diagnosis when planning care for this patient who is diagnosed with acute gastritis?

Accepted Answer

Acute pain is the priority nursing diagnosis for a patient diagnosed with acute gastritis. The inflammation of the stomach lining can cause severe abdominal pain which needs to be managed promptly to ensure the patient's comfort and well-being. Anxiety, deficient knowledge, and risk for deficient fluid volume may also be relevant nursing diagnoses, but they do not take precedence over pain management in this case.

Question 20

The nurse is providing care to a patient who is hospitalized for complications associated with peptic ulcer disease.Which data supports the patient is experiencing a gastrointestinal bleed?

Accepted Answer

Tarry stools (also known as melena) is a common sign of gastrointestinal bleeding. Pain in the right arm is not a typical symptom of gastrointestinal bleeding. Absent bowel sounds and emesis of undigested food can be indicative of other gastrointestinal issues, but are not specifically associated with a gastrointestinal bleed.

Quiz 57: Coordinating Care for Patients With Stomach Disorders