Chapter 37 Management Of Patients With Gastric And Duodenal Disorders

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Chapter 37  Management Of Patients With Gastric And Duodenal Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. The nurse is caring for a patient who has been diagnosed with a peptic ulcer. The patient asks the nurse what a peptic ulcer is. Which of the following best describes a peptic ulcer?
A) Inflammation of the lining of the stomach
B) Erosion of the lining of the stomach or intestine

C) Bleeding from the mucosa in the stomach D) Viral invasion of the stomach wall

Ans: B
Chapter: 37
Client Needs: D-4
Cognitive Level: Application
Difficulty: Easy
Integrated Process: Teaching/Learning Objective: 1
Page and Header: 1047, Peptic Ulcer Disease

Feedback: A peptic ulcer is erosion of the lining of the stomach or intestine. It is not inflammation, bleeding, or a viral invasion of the stomach wall.

2. A patient comes to the clinic complaining of pain in the epigastric region. The nurse suspects that the patient’s pain is related to a peptic ulcer when the patient states the pain is relieved by what?
A) Eating

B) Drinking milk
C) Suppressing emesis
D) Having a bowel movement

Ans: A
Chapter: 37
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 4
Page and Header: 1049, Peptic Ulcer Disease

Feedback: Taking antacids, eating, or vomiting often relieves the pain. Pain occurs about 2 hours after eating. Milk is contraindicated in relieving peptic ulcer pain.

3. You are doing patient teaching with a patient has just been prescribed Prevacid. What statement would indicate that the patient correctly understands the action of this medication? A) “The medication inhibits acid secretions.”
B) “The medication is an antibiotic.”

C) “The medication is an analgesic.”
D) “The medication will repair my ulcer.”

Ans: A
Chapter: 37
Client Needs: D-2
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 3
Page and Header: 1049, Peptic Ulcer Disease

Feedback: The statement, “The medication inhibits acid secretions,” indicates that the patient understands that the medication inhibits acid secretion. This medication does not act as an antibiotic or analgesic, nor will it repair the ulcer.

4. The nurse is admitting a patient diagnosed with gastric cancer. The nurse is concerned that the patient’s gastric cancer is progressing when the nurse assesses which symptom?
A) Stomach pain relieved with antacids
B) Anemia

C) Diarrhea
D) Bloating after meals

Ans: D
Chapter: 37
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process Objective: 6
Page and Header: 1058, Gastric Cancer

Feedback: The early symptoms of gastric cancer are often not definite. Some studies have shown that early symptoms, such as pain relieved with antacids, resemble those of benign ulcers. Symptoms of progressive disease include dyspepsia (indigestion), early satiety, weight loss, abdominal pain just above the umbilicus, loss or decrease in appetite, bloating after meals, nausea and vomiting, and symptoms similar to those of peptic ulcer disease.

5. A nurse is preparing to discharge a patient after gastric surgery. What is an appropriate discharge outcome for this patient?
A) The patient’s bowel movements are loose.
B) The patient eats three meals a day.

C) The patient maintains or gains weight.
D) The patient consumes a diet high in calcium.

Ans: C
Chapter: 37
Client Needs: D-3
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Teaching/Learning Objective: 8
Page and Header: 1059, Gastric Cancer

Feedback: Expected outcomes for the patient following gastric surgery include daily weights to ensure that the patient is maintaining or gaining weight, experiencing no excessive diarrhea, and tolerating six small meals a day. Patients may require vitamin B12 supplementation by the

intramuscular route and do not require a diet excessively rich in calcium.

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