Which type of therapy will the nurse anticipate administering to a patient who has newly diagnosed Helicobacter?

A 53-yr-old male patient with deep partial-thickness burns from a chemical spill in the workplace has severe pain followed by nausea during dressing changes. Which action will be most useful in decreasing the patient’s nausea?

c. Administer prescribed morphine sulfate before dressing changes.

Which item should the nurse offer to the patient restarting oral intake after being NPO due to nausea and vomiting?

A woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. Which intervention should the nurse anticipate?

Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?

c. Red patches on the buccal mucosa

Which information will the nurse include when teaching adults to decrease the risk for cancers of the tongue and buccal mucosa?

b. Avoid cigarettes and smokeless tobacco.

A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement to the nurse indicates that additional teaching about GERD is needed?

b. “I eat small meals and have a bedtime snack.”

A 68-yr-old male patient with a stroke is unconscious and unresponsive to stimuli. After learning that the patient has a history of gastroesophageal reflux disease (GERD), what should the nurse plan to assess more frequently than is routine?

How should the nurse explain esomeprazole (Nexium) to a patient with recurring heartburn?

d. “It treats gastroesophageal reflux disease by decreasing stomach acid production.”

Which patient choice for a snack 3 hours before bedtime indicates that the nurse’s teaching about gastroesophageal reflux disease (GERD) has been effective?

c. Cherry gelatin with fruit

What should the nurse anticipate teaching a patient with a new report of heartburn?

d. Proton pump inhibitors

A 58-yr-old woman who was recently diagnosed with esophageal cancer tells the nurse, “I do not feel ready to die yet.” Which response by the nurse is most appropriate?

c. “Having this new diagnosis must be very hard for you.”

Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?

b. “Keep the head of your bed elevated on blocks.”

Which nursing action should be included in the postoperative plan of care for a patient after a laparoscopic esophagectomy?

b. Elevate the head of the bed to at least 30 degrees.

Which information will the nurse provide for a patient with achalasia?

d. Treatment may include endoscopic procedures.

A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. What should the nurse ask the patient about to determine possible risk factors for gastritis?

c. Use of nonsteroidal antiinflammatory drugs

Which statement by a patient with chronic atrophic gastritis indicates that the nurse’s teaching regarding cobalamin injections has been effective?

b. “The cobalamin injections will prevent me from becoming anemic.”

A patient has peptic ulcer disease that has been associated with Helicobacter pylori. About which medications will the nurse plan to teach the patient?

c. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)

Which action should the nurse in the emergency department anticipate for a young adult patient who has had several acute episodes of bloody diarrhea?

a. Obtain a stool specimen for culture.

What diagnostic test should the nurse anticipate for an older patient who is vomiting “coffee-ground” emesis?

An adult with E. coli O157:H7 food poisoning is admitted to the hospital with bloody diarrhea and dehydration. Which prescribed action will the nurse question?

c. Administer loperamide (Imodium) after each stool.

Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)?

b. “Ranitidine decreases gastric acid secretion.”

A young adult patient is hospitalized with massive abdominal trauma from a motor vehicle crash. The patient asks the nurse about the purpose of receiving famotidine (Pepcid). What should the nurse explain about the action of the medication?

b. “It inhibits development of stress ulcers.”

A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen, which action should the nurse take?

b. Check the vital signs.

A patient who underwent a gastroduodenostomy (Billroth I) 12 hours ago reports increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red nasogastric (NG) drainage in the past hour. What is the highest priority action by the nurse?

Which patient statement indicates that the nurse’s postoperative teaching after a gastroduodenostomy has been effective?

c. “Vitamin supplements may prevent anemia.”

At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II), a patient reports that dizziness, weakness, and palpitations occur about 20 minutes after each meal. What should the nurse teach the patient to do?

c. Lie down for about 30 minutes after eating.

A patient who takes a nonsteroidal antiinflammatory drug (NSAID) daily for the management of severe rheumatoid arthritis has recently developed melena. What should the nurse anticipate teaching the patient?

d. Misoprostol (Cytotec) to protect the gastrointestinal (GI) mucosa

The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a patient’s peptic ulcer. What should the nurse teach the patient to take?

d. Antacids after meals and sucralfate 30 minutes before meals

Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?

b. “Avoid foods that cause pain after you eat them.”

A 73-yr-old patient is diagnosed with stomach cancer after an unintended 20-lb weight loss. Which nursing action will be included in the plan of care?

d. Offer supplemental feedings between meals.

A patient with a family history of stomach cancer asks the nurse about ways to decrease the risk for developing stomach cancer. What should the nurse teach the patient to avoid?

b. Smoked foods such as ham and bacon

The nurse is assessing a patient who had a total gastrectomy 8 hours ago. What information is most important to report to the health care provider?

b. Temperature 102.1° F (38.9° C)

A patient has just been admitted to the emergency department with nausea and vomiting. Which information requires the most rapid intervention by the nurse?

c. The patient is lethargic and difficult to arouse.

A young adult has been admitted to the emergency department with nausea and vomiting. Which action could the RN delegate to unlicensed assistive personnel (UAP)?

c. Assist the patient with oral care.

A 49-yr-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which prescribed action will the nurse implement first?

b. Infuse normal saline at 250 mL/hr.

Which patient should the nurse assess first after receiving change-of-shift report?

a. A patient with esophageal varices who has a rapid heart rate

A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago. Which assessment finding is most important for the nurse to address immediately?

c. The patient has no breath sounds in the left anterior chest.

Which assessment should the nurse perform first for a patient who just vomited bright red blood?

d. Taking the blood pressure (BP) and pulse

Which prescribed action will the nurse implement first for a patient who has vomited 1100 mL of blood?

c. Administer 1 L of lactated Ringer’s solution.

The nurse is administering IV fluid boluses and nasogastric irrigation to a patient with acute gastrointestinal (GI) bleeding. Which assessment finding is most important for the nurse to communicate to the health care provider?

b. The patient’s lungs have crackles audible to the midchest.

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease, which patient action indicates that the teaching has been effective?

c. Patient schedules an appointment for allergy testing.

An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?

d. Metoclopramide (Reglan)

The nurse and a licensed practical/vocational nurse (LPN/VN) are working together to care for a patient who had an esophagectomy 2 days ago. Which action by the LPN/VN requires that the nurse intervene?

b. The LPN/VN positions the head of the bed in the flat position.

After change-of-shift report, which patient should the nurse assess first?

c. A 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa

Vasopressin 0.2 unit/min infusion is prescribed for a patient with acute arterial gastrointestinal (GI) bleeding. The vasopressin label states vasopressin 100 units/250 mL normal saline. How many mL/hr will the nurse infuse

30
There are 0.4 unit/1 mL. An infusion of 30 mL/hr will result in the patient receiving 0.2 units/min as prescribed.

The nurse is caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec) therapy. In which order will the nurse take actions? (Put a comma and a space between each answer choice [A, B, C, D].) a. Contact the health care provider. b. Assess blood pressure and heart rate. c. Give the PRN acetaminophen (Tylenol). d. Place the patient on contact precautions.

d. Place the patient on contact precautions. b. Assess blood pressure and heart rate. a. Contact the health care provider. c. Give the PRN acetaminophen (Tylenol).

Which type of therapy will the nurse anticipate administering to a patient who has newly diagnosed Helicobacter pylori?

Which treatment options will the nurse anticipate when caring for a patient with a newly diagnosed Stage 1 indolent?

Which treatment would the nurse anticipate incorporating into the plan of care for a patient with mild hemophilia A?

Which therapy would be beneficial for a patient who experiences a minor bleeding episode during a dental procedure?