ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 55 Questions
Question 1 of 5
The student nurse learns about risk factors for gastric cancer. Which factors does this include? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: Achlorhydria, chronic atrophic gastritis, H. pylori infection, and pernicious anemia are all risk factors for developing gastric cancer. Iron deficiency anemia is not a risk factor.
Question 2 of 5
A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory result should be reported to the surgeon immediately?
Correct Answer: D
Rationale: An INR as high as 4.2 poses a serious risk of bleeding during the operation and should be reported. The albumin is low and is an expected finding. The hematocrit and hemoglobin are also low, but this is expected in gastric cancer.
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
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.