A nurse is providing health promotion education to a client diagnosed with an
esophageal reflux disorder. What practice should the nurse encourage the client to
implement?
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Avoid carbonated drinks.
Rationale: For a client diagnosed with esophageal reflux disorder, the nurse
should instruct the client to keep the head of the bed elevated.
, Carbonated drinks, caffeine, and tobacco should be avoided. Protein
limitation is not necessary.
The nurse is evaluating a client's ulcer symptoms to differentiate ulcer as duodenal or
gastric. Which symptom should the nurse at attribute to a duodenal ulcer?
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Awakening in pain
Rationale: The client with a gastric ulcer often awakens between 1 to 2 AM
with pain, and ingestion of food brings relief. Vomiting is uncommon in
clients with duodenal ulcer. Hemorrhage is less likely in clients with
duodenal ulcer than those with gastric ulcer. The client with a duodenal
ulcer may experience weight gain.
The nurse is conducting a community education program on peptic ulcer disease
prevention. The nurse includes that the most common cause of peptic ulcers is: ***
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gram-negative bacteria.
Rationale: The nurse should include that the most common cause of peptic
ulcers is gram-negative bacteria (Helicobacter pylori).
Which statement correctly identifies a difference between duodenal and gastric
ulcers?
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, Vomiting is uncommon in clients with duodenal ulcers.
Rationale: Vomiting is uncommon in clients diagnosed with duodenal ulcer.
Malignancy is associated with a gastric ulcer. Weight gain may occur with a
duodenal ulcer. Duodenal ulcers cause hypersecretion of stomach acid.
Which of the following clients is at highest risk for peptic ulcer disease?
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Client with blood type O
Rationale: Clients with blood type O are more susceptible to peptic ulcers
than those with blood types A, B, and AB.
A client with gastric cancer has been scheduled for a total gastrectomy. During the
preoperative assessment, the client confides in the nurse that she feels like she will be
"mutilated by the surgery." The nurse should plan interventions that address what
nursing diagnosis? ***
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Deficient Knowledge related to risks and expectations of surgery
Rationale: The client's choice of words ("mutilated") suggests a change in
body image. This may or may not be rooted in anxiety or a lack of
knowledge. It may cause an eventual reduction in self-esteem but the
essence of the statement is the client's body image.
esophageal reflux disorder. What practice should the nurse encourage the client to
implement?
Give this one a try later!
Avoid carbonated drinks.
Rationale: For a client diagnosed with esophageal reflux disorder, the nurse
should instruct the client to keep the head of the bed elevated.
, Carbonated drinks, caffeine, and tobacco should be avoided. Protein
limitation is not necessary.
The nurse is evaluating a client's ulcer symptoms to differentiate ulcer as duodenal or
gastric. Which symptom should the nurse at attribute to a duodenal ulcer?
Give this one a try later!
Awakening in pain
Rationale: The client with a gastric ulcer often awakens between 1 to 2 AM
with pain, and ingestion of food brings relief. Vomiting is uncommon in
clients with duodenal ulcer. Hemorrhage is less likely in clients with
duodenal ulcer than those with gastric ulcer. The client with a duodenal
ulcer may experience weight gain.
The nurse is conducting a community education program on peptic ulcer disease
prevention. The nurse includes that the most common cause of peptic ulcers is: ***
Give this one a try later!
gram-negative bacteria.
Rationale: The nurse should include that the most common cause of peptic
ulcers is gram-negative bacteria (Helicobacter pylori).
Which statement correctly identifies a difference between duodenal and gastric
ulcers?
Give this one a try later!
, Vomiting is uncommon in clients with duodenal ulcers.
Rationale: Vomiting is uncommon in clients diagnosed with duodenal ulcer.
Malignancy is associated with a gastric ulcer. Weight gain may occur with a
duodenal ulcer. Duodenal ulcers cause hypersecretion of stomach acid.
Which of the following clients is at highest risk for peptic ulcer disease?
Give this one a try later!
Client with blood type O
Rationale: Clients with blood type O are more susceptible to peptic ulcers
than those with blood types A, B, and AB.
A client with gastric cancer has been scheduled for a total gastrectomy. During the
preoperative assessment, the client confides in the nurse that she feels like she will be
"mutilated by the surgery." The nurse should plan interventions that address what
nursing diagnosis? ***
Give this one a try later!
Deficient Knowledge related to risks and expectations of surgery
Rationale: The client's choice of words ("mutilated") suggests a change in
body image. This may or may not be rooted in anxiety or a lack of
knowledge. It may cause an eventual reduction in self-esteem but the
essence of the statement is the client's body image.
