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Gastrointestinal (GI) System Unit Within The Medical Surgical Nursing Course

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Gastrointestinal (GI) System Unit Within The Medical Surgical Nursing Course

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Gastrointestinal (GI) System Unit Within The Medical-
Surgical Nursing Course



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Highly Detailed Multi-System

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these questions are sourced from the highly respected Brunner & Suddarth's
Textbook of Medical-Surgical Nursing (14th Edition) test bank


Management of Patients with Gastric and Duodenal Disorders Chapter




1.
A nurse is caring for a patient who just has been diagnosed with a peptic
ulcer. When teaching the
patient about his new diagnosis, how should the nurse best describe a peptic
ulcer?
A)
Inflammation of the lining of the stomach
B)
Erosion of the lining of the stomach or intestine
C)
Bleeding from the mucosa in the stomach
D)
Viral invasion of the stomach wall
B
Feedback:
A peptic ulcer is erosion of the lining of the stomach or intestine. Peptic ulcers are
often accompanied by
bleeding and inflammation, but these are not the definitive characteristics
2.
A patient comes to the clinic complaining of pain in the epigastric region. What
assessment question
during the health interview would most help the nurse determine if the patient
has a peptic ulcer?
A)
Does your pain resolve when you have something to eat?
B)
Do over-the-counter pain medications help your pain?

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C)
Does your pain get worse if you get up and do some exercise?
D)
Do you find that your pain is worse when you need to have a bowel
movement?
A
Feedback:
Pain relief after eating is associated with duodenal ulcers. The pain of peptic ulcers
is generally
unrelated to activity or bowel function and may or may not respond to analgesics.
3.
A patient with a diagnosis of peptic ulcer disease has just been prescribed
omeprazole (Prilosec). How
should the nurse best describe this medications therapeutic action?
A)
This medication will reduce the amount of acid secreted in your stomach.
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017)
875
B)
This medication will make the lining of your stomach more resistant to
damage.
C)
This medication will specifically address the pain that accompanies peptic
ulcer disease.
D)
This medication will help your stomach lining to repair itself.
A
Feedback:
Proton pump inhibitors like Prilosec inhibit the synthesis of stomach acid. PPIs do
not increase the
durability of the stomach lining, relieve pain, or stimulate tissue repair.
4.
A nurse is admitting a patient diagnosed with late-stage gastric cancer. The

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patients family is distraught
and angry that she was not diagnosed earlier in the course of her disease.
What factor contributes to the
fact that gastric cancer is often detected at a later stage?
A)
Gastric cancer does not cause signs or symptoms until metastasis has
occurred.
B)
Adherence to screening recommendations for gastric cancer is exceptionally
low.
C)
Early symptoms of gastric cancer are usually attributed to constipation.
D)
The early symptoms of gastric cancer are usually not alarming or highly
unusual
D
Feedback:
Symptoms of early gastric cancer, such as pain relieved by antacids, resemble those
of benign ulcers and
are seldom definitive. Symptoms are rarely a cause for alarm or for detailed
diagnostic testing.
Symptoms precede metastasis, however, and do not include constipation
5.
A nurse is preparing to discharge a patient after recovery from gastric surgery.
What is an appropriate
discharge outcome for this patient?
A)
The patients bowel movements maintain a loose consistency.
B)
The patient is able to tolerate three large meals a day.
C)
The patient maintains or gains weight.
D)
The patient consumes a diet high in calcium.

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