ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 55 : Care of Patients with Stomach Disorders Questions
Question 1 of 5
A client has a peptic obstruction and reports sudden muscle-weakness. What action by the nurse takes priority?
Correct Answer: B
Rationale: Pyloric stenosis can lead to hypokalemia, which is manifested by muscle weakness. The nurse first obtains an ECG because potassium imbalances can lead to cardiac dysrhythmias. A potassium level is also warranted, as is placing the client on the nurse. Priority. Documentation should be thorough, but none of these actions takes priority over the ECG.
Question 2 of 5
A client with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. The client blood pressure when long days was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate?
Correct Answer: C
Rationale: This client has orthostatic changes to the blood pressure, indicating fluid volume loss. The nurse should start a large-bore IV with isotonic solution. Ibuprofen will exacerbate the ulcer. The Rapid Response Team is not needed at this point. The client should be put on safety precautions, which includes staying in bed, but this is not the priority.
Question 3 of 5
A client with a bleeding gastric ulcer is having a nuclear medicine scan. What action by the nurse is most appropriate?
Correct Answer: C
Rationale: A second scan may be performed in 1 to 2 days to see if interventions have worked. The nuclear medicine scan does not use iodine-containing contrast dye or sedation. There is no required bowel preparation.
Question 4 of 5
A client is being taught about drug therapy for Helicobacter pylori infection. What assessment by the nurse is appropriate?
Correct Answer: D
Rationale: Treatment for this infection involves either triple or quadruple drug therapy, which may make it difficult for clients to remain adherent. The nurse should assess the client's willingness and ability to follow the regimen. The other assessment findings are not as critical.
Question 5 of 5
An older female client has been prescribed esomeprazole (Nexium) for treatment of chronic gastric ulcers. What teaching is particularly important for this client?
Correct Answer: B
Rationale: All of this advice is appropriate for any client taking this medication. However, long-term use is associated with osteoporosis and osteoporosis-related fractures. This client is already at higher risk for this problem and should be instructed to increase calcium and vitamin D intake. The other options are appropriate for any client taking any anti-ulcer medication, specific to the use of esomeprazole.