Digestive & Gastrointestinal System Disorders | NCLEX Quiz 78

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  • 1/10 Questions

    The nurse is caring for a client with chronic gastritis. The nurse monitors the client. knowing that this client is at risk for which of the following vitamin deficiencies?

    • Vitamin A
    • Vitamin B12
    • Vitamin C
    • Vitamin E
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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 78 - Quiz
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  • 2. 

    A client with a peptic ulcer reports epigastric pain that frequently awakens her at night. a feeling of fullness in the abdomen. and a feeling of anxiety about her health. Based on this information. which nursing diagnosis would be most appropriate?

    • Imbalanced Nutrition: Less than Body Requirements related to anorexia.

    • Disturbed Sleep Pattern related to epigastric pain

    • Ineffective Coping related to exacerbation of duodenal ulcer

    • Activity Intolerance related to abdominal pain

    Correct Answer
    A. Disturbed Sleep Pattern related to epigastric pain
    Explanation
    Based on the data provided. the most appropriate nursing diagnosis would be Disturbed Sleep pattern. A client with a duodenal ulcer commonly awakens at night with pain. The client’s feelings of anxiety do not necessarily indicate that she is coping ineffectively.

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  • 3. 

    A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information. the nurse would determine that which of the following is the most likely cause of the client’s constipation?

    • The client has not been including enough fiber in his diet

    • The client needs to increase his daily exercise

    • The client is experiencing a side effect of the aluminum hydroxide.

    • The client has developed a gastrointestinal obstruction.

    Correct Answer
    A. The client is experiencing a side effect of the aluminum hydroxide.
    Explanation
    It is most likely that the client is experiencing a side effect of the antacid. Antacids with aluminum salt products. such as aluminum hydroxide. form insoluble salts in the body. These precipitate and accumulate in the intestines. causing constipation. Increasing dietary fiber intake or daily exercise may be a beneficial lifestyle change for the client but is not likely to relieve constipation caused by the aluminum hydroxide. Constipation. in isolation from other symptoms. is not a sign of bowel obstruction.

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  • 4. 

    A client with peptic ulcer disease tells the nurse that he has black stools. which he has not reported to his physician. Based on this information. which nursing diagnosis would be appropriate for this client?

    • Ineffective coping related to fear of diagnosis of chronic illness

    • Deficient knowledge related to unfamiliarity with significant signs and symptoms

    • Constipation related to decreased gastric motility

    • Imbalanced nutrition: Less than body requirements due to gastric bleeding

    Correct Answer
    A. Deficient knowledge related to unfamiliarity with significant signs and symptoms
    Explanation
    Black. tarry stools are an important warning sign of bleeding in peptic ulcer disease. Digested blood in the stomach causes it to be black. The odor of the stool is very stinky. Clients with peptic ulcer disease should be instructed to report the incidence of black stools promptly to their physician.

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  • 5. 

    The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the T-tube has drained 750ml of green-brown drainage. Which nursing intervention is most appropriate?

    • Notify the physician

    • Document the findings

    • Irrigate the T-tube

    • Clamp the T-tube

    Correct Answer
    A. Document the findings
    Explanation
    Following cholecystectomy. drainage from the T-tube is initially bloody and then turns to green-brown. The drainage is measured as output. The amount of expected drainage will range from 500 to 1000 ml per day. The nurse would document the output.

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  • 6. 

    A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?

    • “I should take my antacid before I take my other medications.”

    • “I need to decrease my intake of fluids so that I don’t dilute the effects of my antacid.”

    • “My antacid will be most effective if I take it whenever I experience stomach pains.”

    • “It is best for me to take my antacid 1 to 3 hours after meals.”

    Correct Answer
    A. “It is best for me to take my antacid 1 to 3 hours after meals.”
    Explanation
    Antacids are most effective if taken 1 to 3 hours after meals and at bedtime. When an antacid is taken on an empty stomach. the duration of the drug’s action is greatly decreased. Taking antacids 1 to 3 hours after a meal lengthens the duration of action. thus increasing the therapeutic action of the drug. Antacids should be administered about 2 hours after other medications to decrease the chance of drug interactions. It is not necessary to decrease fluid intake when taking antacids.

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  • 7. 

    The nurse is reviewing the medication record of a client with acute gastritis. Which medication. if noted on the client’s record. would the nurse question?

    • Digoxin (Lanoxin)

    • Indomethacin (Indocin)

    • Furosemide (Lasix)

    • Propranolol hydrochloride (Inderal)

    Correct Answer
    A. Indomethacin (Indocin)
    Explanation
    Indomethacin (Indocin) is a NSAID and can cause ulceration of the esophagus. stomach. duodenum. or small intestine. Indomethacin is contraindicated in a client with GI disorders.

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  • 8. 

    The nurse is caring for a client who has had a gastroscopy. Which of the following symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply.

    • The client complains of a sore throat

    • The client has a temperature of 100*F

    • The client appears drowsy following the procedure

    • The client complains of epigastric pain

    • The client experiences hematemesis

    Correct Answer(s)
    A. The client has a temperature of 100*F
    A. The client complains of epigastric pain
    A. The client experiences hematemesis
    Explanation
    Following a gastroscopy. the nurse should monitor the client for complications. which include perforation and the potential for aspiration. An elevated temperature. complaints of epigastric pain. or the vomiting of blood (hematemesis) are all indications of a possible perforation and should be reported promptly. A sore throat is a common occurrence following a gastroscopy. Clients are usually sedated to decrease anxiety and the nurse would anticipate that the client will be drowsy following the procedure.

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  • 9. 

    A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?

    • Before meals

    • With meals

    • At bedtime

    • When pain occurs

    Correct Answer
    A. At bedtime
    Explanation
    Ranitidine blocks secretion of hydrochloric acid. Clients who take only one daily dose of ranitidine are usually advised to take it at bedtime to inhibit nocturnal secretion of acid. Clients who take the drug twice a day are advised to take it in the morning and at bedtime.

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  • 10. 

    While caring for a client with peptic ulcer disease. the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings. which nursing actions would be most appropriate for the nurse to take? Select all that apply.

    • Administering an antacid hourly until nausea subsides.

    • Monitoring the client’s vital signs

    • Notifying the physician of the client’s symptoms

    • Initiating oxygen therapy

    • Reassessing the client on an hour

    Correct Answer(s)
    A. Monitoring the client’s vital signs
    A. Notifying the physician of the client’s symptoms
    Explanation
    The symptoms of nausea and dizziness in a client with peptic ulcer disease may be indicative of hemorrhage and should not be ignored. The appropriate nursing actions at this time are for the nurse to monitor the client’s vital signs and notify the physician of the client’s symptoms. To administer an antacid hourly or to wait one hour to reassess the client would be inappropriate; prompt intervention is essential in a client who is potentially experiencing a gastrointestinal hemorrhage. The nurse would notify the physician of assessment findings and then initiate oxygen therapy if ordered by the physician.

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  • Mar 21, 2023
    Quiz Edited by
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  • Oct 02, 2017
    Quiz Created by
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