NUR 2392 / NUR2392: Multidimensional Care II MDC 2 Exam 2 2023 Rasmussen College

NUR 2392 / NUR2392: Multidimensional Care II MDC 2 Exam 2 2023 Rasmussen College. A nurse is inserting an NG tube for a client who is beginning enteral feedings. What action should the nurse take to verify tube placement before administering initial feeding? Verify tube placement with radiography 9. Which patient statement alerts the nurse to perform a thorough GI history and focused assessment? "I take ibuprofen three times daily for arthritis.” large amounts of aspirin or NSAIDs can cause peptic ulcer disease and GI bleeding. 10. After abdominal surgery, which question should the nurse ask the patient to determine whether peristaltic movement is returning? "Have you passed flatus?" 11. When administering a new GI medication to an older patient, the nurse anticipates what? Close monitoring is needed because toxic levels may develop. 12. A patient in the ED has been experiencing upper abdominal pain after meals for the past several months. She reports pain after napping or sleeping at night. She has been taking OTC antacids with some relief. The nurse understands that which assessment finding places the patient at risk for peptic ulcer disease? use of NSAIDS to control arthritis pain - NSAID use and H. Pylori bacteria are the most common causes of ulcers. 13. Which diagnostic results does the nurse recognize that support the diagnosis of peptic ulcer disease (PUD)? (SATA) Low hemoglobin (Hgb), Low hematocrit (Hct), Positive for H. pylori bacteria - Low hemoglobin and low hematocrit are signs of bleeding. H. Pylori is a common cause of ulcers 14. An EGD confirms that the patient has PUD. Three hours later, the patient is admitted to the medical unit for workup and further testing. On admission the patient reports midline epigastric tenderness and indigestion (dyspepsia). The patient is prescribed triple therapy. Which drugs does the nurse prepare to administer? Proton pump inhibitor (PPI) and two antibiotics 15. Which patient statement would cause the nurse to suspect that she may have Zollinger- Ellison syndrome (ZES)? "The stomach pain hurts, but the foul-smelling diarrhea is worse." 16. Zollinger-Ellison syndrome - hypersecretion of gastric acid that produces peptic ulcers as a result of pancreatic tumors 17. Zollinger-Ellison syndrome symptoms Peptic ulcers (not responding to tx), Dyspepsia, GERD, Diarrhea, foul smelling, stomach pain 18. 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? (SATA) 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. 19. The nurse is caring for a patient with peptic ulcer disease (PUD). Which patient statement requires nursing teaching? "My doctor said to take ibuprofen for my aches and pain." 20. A 68-year-old patient with a history of arthritis and hypertension is admitted reporting progressive epigastric cramping, dyspepsia, nausea, and dark, sticky stools for 3 days. Which order will the nurse question? Naproxen (Naprosyn) 500 mg twice daily