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 nurse working with a client who has possible gastritis assesses the client's gastrointestinal system. Which findings indicate a chronic condition as opposed to acute gastritis? (Select all that apply.)
Correct Answer: C,D
Rationale: Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis. Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute gastritis.
Question 2 of 5
A client who had a partial gastrectomy has several expected nutritional problems. What actions by the nurse are best to provide better nutrition? (Select all that apply.)
Correct Answer: A,B,E
Rationale: After gastrectomy, clients are at high risk for anemia due to vitamin B12 deficiency, folic acid deficiency, and iron deficiency. The nurse should administer vitamin B12 injections, ask about folic acid replacement, and provide iron supplements. The client does not need enteral feeding or total parenteral nutrition.
Question 3 of 5
A nurse is preparing to administer pantoprazole (Protonix) intravenously. What actions by the nurse are best? (Select all that apply.)
Correct Answer: A,B,E
Rationale: When infusing pantoprazole, use a separate IV line, a pump, and an in-line filter. A brown wrapper and frequent vital signs are not needed.
Question 4 of 5
The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. On physician and the client is substance and rapid. What action takes priority?
Correct Answer: B
Rationale: This client has manifestations of a perforated ulcer, which is an emergency. The priority is to get the client medical attention. The nurse can take a set of vital signs while someone else calls the provider. The nurse should not persens the abdomen or give pain medication since the client may need to sign consent for surgery.
Question 5 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.