ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 54 : Care of Patients with Esophageal Problems Questions
Question 1 of 5
A client has a nasogastric (NG) tube. What action by the nursing student requires the registered nurse to intervene?
Correct Answer: C
Rationale: Pinning the NG tube to restrict head movement is incorrect, as it can cause discomfort or dislodge the tube. The client should have freedom to move their head. The other actions are appropriate for NG tube care.
Question 2 of 5
A client has a nasogastric (NG) tube after a Nissen fundoplication. The nurse answers the call light and finds the client vomiting bright red blood with the NG tube lying on the floor. What action should the nurse take first?
Correct Answer: B
Rationale: Standard precautions require putting on gloves first to protect the nurse from exposure to blood and body fluids. This is the priority before assessing vital signs, notifying the surgeon, or attempting to reinsert the NG tube.
Question 3 of 5
A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump inhibitor. About what medication should the nurse anticipate teaching the client?
Correct Answer: C
Rationale: Omeprazole is a proton pump inhibitor used for GERD. Famotidine and ranitidine are histamine blockers, and magnesium hydroxide is an antacid, none of which are proton pump inhibitors.
Question 4 of 5
After hiatal hernia repair surgery, a client is on IV pantoprazole (Protonix). The client asks the nurse why this medication is given since there is no history of ulcers. What response by the nurse is best?
Correct Answer: D
Rationale: Pantoprazole is given post-surgery to prevent stress-related ulcers, which can occur due to surgical stress, not because of bacteria, the operation itself, or blood pH regulation.
Question 5 of 5
A nurse works on the surgical unit. After receiving the hand-off report, which client should the nurse see first?
Correct Answer: C
Rationale: A respiratory rate of 32/min post-esophagectomy suggests possible sepsis, a life-threatening condition requiring immediate assessment. The other clients' conditions (elevated pulse, oral intake, pain) are less urgent.