Question 1

The nurse and a licensed practical/vocational nurse (LPN/LVN)are working together to care for a patient who had an esophagectomy 2 days ago.Which action by the LPN/LVN requires that the nurse intervene?

Accepted Answer

The patient's bed should be in Fowler's position to prevent reflux and aspiration of gastric contents.The other actions by the LPN/LVN are appropriate.

Question 2

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease,which patient action indicates that the teaching has been effective?

Accepted Answer

Eosinophilic esophagitis is frequently associated with environmental allergens,so allergy testing is used to determine possible triggers.Corticosteroid therapy may be prescribed,but the medication will be swallowed,not inhaled.Milk is a frequent trigger for attacks.NSAIDs are not used for eosinophilic esophagitis.

Question 3

After change-of-shift report,which patient should the nurse assess first?

Accepted Answer

This older patient is at high risk for problems such as aspiration,dehydration,and fluid and electrolyte disturbances.The other patients will also need to be assessed,but the information about them indicates symptoms that are typical for their diagnoses and are not life threatening.

Question 4

An 80-year-old who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations.Which prescribed medication will the nurse discuss with the health care provider before administration?

Accepted Answer

Metoclopramide can cause central nervous system (CNS)side effects ranging from anxiety to hallucinations.Hallucinations are not a side effect of proton-pump inhibitors,mucosal protectants,or antacids.

Question 5

In which order will the nurse take the following actions when caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec)therapy? (Put a comma and a space between each answer choice [A,B,C,D].)
A) Contact the health care provider.
B) Assess blood pressure and heart rate.
C) Give the PRN acetaminophen (Tylenol).
D) Place the patient on contact precautions.

Accepted Answer

The answer of In which order will the nurse take...

Question 6

Vasopressin (Pitressin)0.2 units/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI)bleeding.The vasopressin label states vasopressin 100 units/250 mL normal saline.How many mL/hr will the nurse infuse?

Accepted Answer

The answer of Vasopressin (Pitressin)0.2 units/min infusion is prescribed for...

Question 7

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI)bleeding.Which assessment finding is most important for the nurse to communicate to the health care provider?

Accepted Answer

The patient's lung sounds indicate that pulmonary edema may be developing as a result of the rapid infusion of IV fluid and that the fluid infusion rate should be slowed.The return of coffee-ground material in an NG tube is expected for a patient with upper GI bleeding.The BP is slightly elevated but would not be an indication to contact the health care provider immediately.Hyperactive bowel sounds are common when a patient has GI bleeding.

Quiz 42: Nursing Management: Upper Gastrointestinal Problems

The nurse and a licensed practical/vocational nurse (LPN/LVN) are working together to care for a patient who had an esophagectomy 2 days ago.Which action by the LPN/LVN requires that the nurse intervene?

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease,which patient action indicates that the teaching has been effective?

After change-of-shift report,which patient should the nurse assess first?

An 80-year-old who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations.Which prescribed medication will the nurse discuss with the health care provider before administration?

Vasopressin (Pitressin)0.2 units/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI)bleeding.The vasopressin label states vasopressin 100 units/250 mL normal saline.How many mL/hr will the nurse infuse?

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding.Which assessment finding is most important for the nurse to communicate to the health care provider?