lOMoARcPSD|3013804
Chapter 50 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 50: Concepts of Care for of Patients With Stomach Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a client who has been treated for acute gastritis. What statement by the
client indicates a need for further teaching?
a.
“I need to cut down on drinking martinis every might.”
b.
“I should decrease my intake of caffeinated drinks, especially coffee.”
c.
“I will only take ibuprofen once in a while when I really need it.”
d.
“I can continue smoking cigarettes which is better than chewing tobacco.”
ANS: D
To prevent another episode of acute gastritis, alcohol, caffeinated drinks, and NSAIDs should
be avoided or kept at a minimum. Smoking and all forms of tobacco should also be avoided.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Acute gastritis, Health promotion
MSC: Client Needs Category: Health Promotion and Maintenance
2. The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure
would the nurse expect for the client to make an accurate diagnosis?
a.
Esophagogastroduodenoscopy (EGD)
b.
Abdominal arteriogram
c.
Nuclear medicine scan
d.
Magnetic resonance imaging (MRI)
GRADESLAB.COM
ANS: A
The gold standard for diagnosing disorders of the stomach is an EGD which allows direct
visualization by the endoscopist into the esophagus, stomach, and duodenum.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Gastric disorders, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which
complication would the nurse monitor?
a.
Large bowel obstruction
b.
Dyspepsia
c.
Upper gastrointestinal (GI) bleeding
d.
Gastric cancer
ANS: C
Peptic ulcer disease (PUD) can cause gastric mucosal damage or perforation, which causes
upper GI bleeding. Dyspepsia is a symptom of PUD, gastritis, and gastric cancer. PUD affects
the stomach and/or duodenum, not the colon.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Peptic ulcer disease, Complications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
Chapter 50 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 50: Concepts of Care for of Patients With Stomach Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse is teaching a client who has been treated for acute gastritis. What statement by the
client indicates a need for further teaching?
a.
“I need to cut down on drinking martinis every might.”
b.
“I should decrease my intake of caffeinated drinks, especially coffee.”
c.
“I will only take ibuprofen once in a while when I really need it.”
d.
“I can continue smoking cigarettes which is better than chewing tobacco.”
ANS: D
To prevent another episode of acute gastritis, alcohol, caffeinated drinks, and NSAIDs should
be avoided or kept at a minimum. Smoking and all forms of tobacco should also be avoided.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Acute gastritis, Health promotion
MSC: Client Needs Category: Health Promotion and Maintenance
2. The nurse is caring for a client who has frequent gastric pain and dyspepsia. Which procedure
would the nurse expect for the client to make an accurate diagnosis?
a.
Esophagogastroduodenoscopy (EGD)
b.
Abdominal arteriogram
c.
Nuclear medicine scan
d.
Magnetic resonance imaging (MRI)
GRADESLAB.COM
ANS: A
The gold standard for diagnosing disorders of the stomach is an EGD which allows direct
visualization by the endoscopist into the esophagus, stomach, and duodenum.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Gastric disorders, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse is caring for a client who has been diagnosed with peptic ulcer disease. For which
complication would the nurse monitor?
a.
Large bowel obstruction
b.
Dyspepsia
c.
Upper gastrointestinal (GI) bleeding
d.
Gastric cancer
ANS: C
Peptic ulcer disease (PUD) can cause gastric mucosal damage or perforation, which causes
upper GI bleeding. Dyspepsia is a symptom of PUD, gastritis, and gastric cancer. PUD affects
the stomach and/or duodenum, not the colon.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Peptic ulcer disease, Complications
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
