Chapter 46 Management of Patients With Gastric and Duodenal Disorders

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Chapter 46 Management of
Patients With Gastric and Duodenal
Disorders
Med surg (Jersey College Nursing School)




Question

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic
ulcers, the nurse should mention:

 alcohol abuse and smoking.

Question

Which of the following is the most successful treatment for gastric cancer?

 Removal of the tumor

Question

A nurse is teaching a client who has experienced an episode of acute gastritis and knows further education is
necessary when the client makes the following statement:

 “My appetite should come back tomorrow.”

Question

A patient who had a Roux-en-Y bypass procedure for morbid obesity ate a chocolate chip cookie after a meal.
After ingestion of the cookie, the patient complained of cramping pains, dizziness, and palpitation. After
having a bowel movement, the symptoms resolved. What should the patient be educated about regarding this
event?  Dumping syndrome


Question

A client experienced extensive burns and 72 hours later has developed an ulcer. Which of the following types
of ulcer is most likely in this client?


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 Curling's ulcer

Question

A nurse is providing follow-up teaching at a clinic visit for a client recovering from gastric resection. The clien
reports sweating, diarrhea, nausea, palpitations, and the desire to lie down 15 to 30 minutes after meals. Th
nurse suspects the client has:

 dumping syndrome.

Question

The nurse is assessing a client with an ulcer for signs and symptoms of hemorrhage. The nurse interprets
which condition as a sign/symptom of possible hemorrhage?

Hematemesis

Question

A nurse is teaching a client with gastritis about the need to avoid the intake of caffeinated beverages. The
client asks why this is so important. Which of the following explanations from the nurse would be most
accurate?

 “Caffeine stimulates the central nervous system and thus gastric activity and secretions, which need
be minimized to promote recovery.”

Question

A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During
assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the
client also appears to be confused. Which of the following complications has the client most likely develope

 Hemorrhage

Question

Peptic ulcer disease occurs more frequently in people with which blood type?

 O


Question

A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects
this client's stools to be:

 black and tarry.




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