Gastritis Peptic Ulcer Disease Quizs

Upper GI Nclex - GERD& Hernias, Gastritis & Peptic Ulcer Disease Quizs With Verified Answers

The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask?

-"how much weight have you gained recently?" -"what have you done to alleviate the heartburn" -"Do you consume many milk and dairy products" -"Have you been around anyone with a stomach virus" - ANSWER What have you done to alleviate the heartburn?

Most clients with GERD have been self medicating with over-the counter medications prior to seeking advice from a healthcare provider. It is important to know what the client has been using to treat the problem

Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, predisposing older persons to risk for impaired swallowing. In managing the symptoms associated with GERD, the nurse should assign the highest priority to which of the following interventions?

• Decrease daily intake of vegetables and water, and ambulate frequently.

• Drink coffee diluted with milk at each meal, and remain in an upright position for 30

minutes.

• Eat small, frequent meals, and remain in an upright position for at least 30 minutes

after eating.

• Avoid over-the-counter drugs that have antacids in them. - ANSWER Eat small,

frequent meals, and remain in an upright position for at least 30 minutes after eating.

Small, frequent feedings requires less release of hydrochloric acid. Remaining in an upright position for 30 minutes after meals prevents reflux into the esophagus

The nurse is performing an admission assessment on a client diagnosed with GERD.Which sign and symptoms would indicate GERD?

-Pyrosis, water brash, and flatulence -Weight loss, dysarthria, and diarrhea -Decreased abdominal fat, proteinuria, and constipation -Midepigastric pain, positive H pylori test, and melena - ANSWER -Pyrosis (heartburn), water brash, and flatulence

Pyrosis is heartburn, water brash is the feeling of saliva secretion as a result of reflux, and flatulence is gas-all symptoms of GERD.

A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? - ANSWER Lying recumbent after meals

Hiatal hernia is caused by a protrusion of a portion of the stomach above the diaphragm, where the esophagus usually is positioned.

"Which statement made by the client indicates to the nurse the client may be experiencing GERD?

• "My chest hurts when I walk up the stairs in my home." 2. "I take antacid tablets with

me wherever I go."

• My spouse tells me I snore very loudly at night."
• I drink six (6) to seven (7) soft drinks every day - ANSWER 2. "I take antacid tablets

with me wherever I go."

Frequent use of antacids indicates an acid reflux problem.

Which diagnostic results support the diagnosis of peptic ulcer disease (PUD)? (Select all that apply.)

• Low hemoglobin (Hgb)
• Low white blood cell (WBC) level
• Low hematocrit (Hct)
• Positive for H. pylori bacteria
• Low potassium of 3.4 mEq/L - ANSWER a. Low hemoglobin (Hgb)
• Low hematocrit (Hct)
• Positive for H. pylori bacteria

As the patient prepares for discharge, the nurse provides education about behaviors that reduce symptoms and aggravate peptic ulcers. Which teaching does the nurse provide?(Select all that apply.)

• Sit upright 30 to 60 minutes after meals.
• Spices should be added to food to enhance flavor.
• A vagotomy will be needed in the future
• Extreme vomiting should be reported to your physician.
• H. pylori can be a concern in patients with peptic ulcers.
• The goal of initial intervention is to control symptoms and prevent further

complications. - ANSWER a. Sit upright 30 to 60 minutes after meals.

• Extreme vomiting should be reported to your physician.
• H. pylori can be a concern in patients with peptic ulcers.
• The goal of initial intervention is to control symptoms and prevent further

complications.

What is the nursing priority in the management of a patient with an active upper G.I.bleed?

• Obtain vital signs.
• Apply oxygen by nasal cannula.
• Type and crossmatch the patient for blood products.
• Notify the physician. - ANSWER A. Obtain vital signs.

All other interventions can be applied after vital signs have been checked because this will help determine the other intervention...

The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO. The nurse should evaluate its effectiveness by questioning the patient as to whether which symptom has been resolved?