Glenda has cholelithiasis (gallstones). You expect her to complain of: A. Pain in the right upper quadrant, radiating to the shoulder. B. Pain in the right lower quadrant, with rebound tenderness. C. Pain in the left upper quadrant, with shortness of breath. D. Pain in the left lower quadrant, with mild… Read More »
Care for the postoperative client after gastric resection should focus on which of the following problems? A. Body image B. Nutritional needs C. Skincare D. Spiritual needs Correct Answer: B. Nutritional needs After gastric resection, a client may require total parenteral nutrition or jejunostomy tube feedings to… Read More »
The nurse would teach patients that antacids are effective in the treatment of hyperacidity because they: A. Neutralize gastric acid. B. Decrease stomach motility. C. Decrease gastric pH. D. Decrease duodenal pH. Correct Answer: A. Neutralize gastric acid Antacids work by neutralizing gastric acid, which would cause… Read More »
Mucosal barrier fortifiers are used in peptic ulcer disease management for which of the following indications? A. To inhibit mucus production. B. To neutralize acid production. C. To stimulate mucus production. D. To stimulate hydrogen ion diffusion back into the mucosa. Correct Answer: C. To stimulate mucus… Read More »
Pierre, who is diagnosed with acute pancreatitis, is under the care of Nurse Bryan. Which intervention should the nurse include in the care plan for the client? A. Administration of vasopressin and insertion of a balloon tamponade B. Preparation for a paracentesis and administration of diuretics C. Maintenance of nothing-by-mouth status and… Read More »
Pain control with peptic ulcer disease includes all of the following except: A. Promoting physical and emotional rest. B. Identifying stressful situations. C. Eating meals when desired. D. Administering medications that decrease gastric acidity. Correct Answer: C. Eating meals when desired. Meals should be regularly spaced in… Read More »
After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to: A. Irrigate the incision with a saline solution. B. Prevent bacterial infection of the incision. C. Measure the amount of fluid lost after surgery. D. Prevent… Read More »
Which of the following complications of gastric resection should the nurse teach the client to watch for? A. Constipation B. Dumping syndrome C. Gastric spasm D. Intestinal spasms Correct Answer: B. Dumping syndrome Dumping syndrome is a problem that occurs postprandially after gastric resection because ingested food… Read More »
The nurse would monitor for which of the following adverse reactions to aluminum-containing antacids such as aluminum hydroxide (Amphojel)? A. Diarrhea B. Constipation C. GI upset D. Fluid retention Correct Answer: B. Constipation Aluminum- and calcium-containing antacids cause constipation. The primary side effects of aluminum hydroxide include… Read More »
When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important? A. Eat a low-protein diet. B. Eat a low-fat, low-cholesterol diet. C. Limit exercise to 10 minutes/day. D. Keep weight proportionate to height. Correct Answer: D. Keep weight proportionate to… Read More »