Question 1

The nursing assistant is delivering patient meals. The nurse would expect the assistant to deliver which of the following trays to a patient who had a gastric bypass surgery the day before?

Accepted Answer

After gastric bypass surgery, patients are typically restricted to clear liquids for the first 24-48 hours to allow their digestive system to heal before advancing to other types of diets. Full liquids, soft diets, or general diets would be inappropriate for a patient who had a gastric bypass surgery the day before.

Question 2

The nurse is contributing to a patient's teaching plan on how to avoid dumping syndrome after a gastrectomy. Which of the following would be included in the teaching?

Accepted Answer

Dumping syndrome occurs when food or liquid moves too quickly from the stomach to the small intestine, causing uncomfortable symptoms such as cramping, nausea, vomiting, and diarrhea. To avoid this, patients are typically advised to avoid fluids with meals and to wait at least 30 minutes after eating before drinking anything. Increasing activity after eating and eating heavy meals can actually worsen dumping syndrome. There is no specific recommendation to increase carbohydrate intake to avoid dumping syndrome.

Question 3

A patient with gastric bleeding who has a nasogastric (NG) tube connected to low intermittent suction and is NPO reports a dry mouth and gagging feeling. What action should the nurse take?

Accepted Answer

The patient reporting a dry mouth and gagging feeling suggests that the patient may be experiencing oral discomfort. Providing oral care, such as moistening the mouth with a swab or providing oral rinses, can alleviate these symptoms. Lidocaine solution and ice chips may not be appropriate in this situation as the patient is NPO due to gastric bleeding and low suction is in place via the NG tube. Pulling out the tube 1 inch without medical orders can jeopardize the therapeutic action of the suction and lead to complications.

Question 4

Which of these factors meet established criteria for the use of surgery in the treatment of obesity? (Select all that apply.?

Accepted Answer

The answer of Which of these factors meet established criteria...

Question 5

The nurse is caring for a patient who has a bleeding gastric ulcer. Which of the following patient statements would indicate correct understanding of beverages to avoid after treatment of a bleeding gastric ulcer? (Select all that apply.?

Accepted Answer

Iced tea, beer, and coffee are all acidic beverages that can irritate the stomach and increase the risk of bleeding.

Question 6

A body mass index of greater than ________________is considered obese.

Accepted Answer

The answer of A body mass index of greater than...

Question 7

The nurse is caring for a patient who is unconscious and begins to vomit blood. What should be the nurse's priority intervention?

Accepted Answer

Turning the patient onto their side is the priority intervention as it will prevent aspiration of the vomit into the lungs, which can cause further complications such as pneumonia or airway obstruction. Administering medication or providing oral care can be done after the patient has been safely positioned on their side. Using water to rinse out the mouth may increase the risk of aspiration.

Question 8

Weight that is ________________percent or more above ideal body weight is obesity.

Accepted Answer

The answer of Weight that is ________________percent or more above...

Question 9

The nurse is caring for a patient who has a nursing diagnosis of acute postoperative pain after a gastrectomy. The patient has a nasogastric (NG) tube. What interventions should the nurse implement? (Select all that apply.?

Accepted Answer

The nurse should evaluate pain regularly and report any changes to the RN, monitor NG tube functioning, and provide pain medication as ordered. Repositioning the NG tube once a shift is not necessary unless there are specific orders to do so. Encouraging total bedrest may not be necessary for this patient's recovery and starting a regular diet once bowel sounds are detected is not indicated as the patient has just had surgery.

Question 10

The nurse is caring for a patient who complains of nausea related to gastric cancer. Which of the following supplements would the nurse suggest?

Accepted Answer

Ginger has been found to have anti-nausea properties and is often used to alleviate nausea in cancer patients undergoing chemotherapy or radiation therapy. Lemon, butterscotch, and black licorice do not have strong evidence for their effectiveness in relieving nausea.

Question 11

The nurse has instructed a patient prescribed omeprazole (Prilosec) for peptic ulcer disease on use of the medication. What statements by the patient indicate understanding of the instructions? (Select all that apply.?

Accepted Answer

The answer of The nurse has instructed a patient prescribed...

Question 12

The nurse is providing care to a patient anticipating radiation therapy for head and neck cancer. Which of these would the nurse include in pretherapy education? (Select all that apply.?

Accepted Answer

Pretherapy education for a patient anticipating radiation therapy for head and neck cancer should include visiting the dentist before therapy begins, using artificial saliva if the therapy causes drying of the mouth, and emphasizing the importance of good oral hygiene habits to prevent decay. Tooth decay occurs more frequently when oral tissues are dry, so it is not appropriate to tell the patient that decay occurs less frequently in dry conditions (choice C). Water is not an appropriate substitute for saliva as it does not have the same protective properties (choice D). Lastly, it is not necessary for all of the patient's teeth to be pulled before radiation therapy begins (choice F).

Question 13

The nurse is caring for a patient who has been diagnosed with gastroesophageal reflux disease (GERD) and has developed esophagitis. The nurse understands that the patient is most at risk for what other complication?

Accepted Answer

Patients with GERD and esophagitis are at increased risk for developing Barrett's esophagus, a precancerous condition where the cells in the lining of the esophagus change and become abnormal. Aspiration pneumonia, bronchospasm, and laryngospasm are all possible complications of GERD, but they are not necessarily more common in patients with esophagitis.

Question 14

The nurse is collecting data for a patient who has peptic ulcer disease and is taking Prevacid. Which data collection finding requires immediate intervention?

Accepted Answer

Tarry stools may indicate the presence of gastrointestinal bleeding, a possible complication of peptic ulcer disease. Immediate intervention, such as notification of the healthcare provider and administration of appropriate treatment, is needed to prevent further complications. The other options (a rash, constipation, changes in mental status) are potential side effects of the medication and may require further monitoring or management, but are not as urgent as tarry stools indicating possible gastrointestinal bleeding.

Question 15

The nurse is reinforcing teaching for a patient who is being tested for type B gastritis.Which of the following statements by the patient would indicate a correct understanding of the test that is used to diagnose this condition?

Accepted Answer

Esophagogastroduodenoscopy (EGD) is the test used to diagnose type B gastritis. During an EGD, a slender, flexible tube with a camera and light on the end is inserted through the mouth and used to examine the lining of the esophagus, stomach, and duodenum. A biopsy may also be taken during the procedure to confirm the diagnosis. Colonoscopy and barium enema are tests used to examine the large intestine, and gastric aspirate analysis involves collecting a sample of stomach fluid for laboratory analysis.

Question 16

The nurse is caring for a patient who has aphthous stomatitis. What care should the nurse provide? (Select all that apply.?

Accepted Answer

A) Applying a topical anesthetic can provide pain relief.
B) Irritating foods should be avoided as they can exacerbate the condition.
C) Fluid restriction is not necessary for this condition and may potentially worsen dehydration.
D) Stress can exacerbate the condition, so suggesting stress management techniques can be beneficial. 
E) Making the patient NPO is not necessary for this condition.

Question 17

The nurse is caring for a patient who has bulimia. The nurse recognizes that the patient is at highest risk for which of the following complications?

Accepted Answer

Metabolic alkalosis is the most common electrolyte disturbance seen in patients with bulimia due to repeated episodes of vomiting. Ischemic stroke and fluid overload are possible complications but not as common as metabolic alkalosis. Weight gain is not a complication of bulimia but rather a common symptom.

Quiz 33: Nursing Care of Patients With Upper Gastrointestinal Disorders