SUCCESS
The incidence of stomach cancer has significantly decreased in the United States, yet it remains
the leading cause of death worldwide. The nurse understands the reason for the high mortality
rate in stomach cancer is because of which of the following reasons? Patients have few early
symptoms of the disease.
Which of the following signs/symptoms would lead the nurse to suspect the post-op client has
developed a mechanical bowel obstruction? Select all that apply. • Sluggish to absent bowel
sounds
• Increase in abdominal distention
• Nausea and vomiting
• Continuous abdominal pain
Celiac disease commonly presents in infancy as failure to thrive. It is an inappropriate T-cell-
mediated immune response, and there is no cure for it. What is the treatment of choice for
celiac disease? Removal of gluten from the diet
A teenager who has a history of achalasia will likely complain of which of the following clinical
manifestations? Feeling like there is food stuck in the back of the throat
,A nurse administering a patient's medication tells the patient that a proton pump inhibitor has
been added. When the patient asks the purpose of the medication, the nurse responds that it is
to prevent which of the following? Stress ulcer
An elderly patient presents with loose mucousy stools. The nurse suspects the patient has
Clostridium difficile. What is a priority assessment for the nurse? Ask the patient about his
or her antibiotic use.
The nurse has been providing dietary teaching to a client diagnosed with irritable bowel
syndrome. The nurse determines that the teaching was effective when the client selects: A
bran muffin, fruit, and orange juice.
A 66-year-old woman has been diagnosed with diverticular disease based on her recent
complaints and the results of a computed tomography (CT) scan. Which of the client's following
statements demonstrates an accurate understanding of this diagnosis? "I suppose I should
try to eat a bit more fiber in my diet."
A nurse reading a sigmoidoscopy report notes that a patient was found to have skip lesions. The
nurse interprets this as an indication of which of the following? Crohn's disease
The nurse is teaching an adult client about home treatment for uncomplicated diarrhea. The
most appropriate information for the nurse to provide would be: Oral replacement therapy
(ORT)
,Select the client at greatest risk for developing colorectal cancer. A 64-year-old female
whose mother had colorectal cancer
Crohn's disease not only affects adults but also can occur in children. The nurse assesses for
which of the following major manifestations in children with Crohn's disease? Malnutrition
In the balance of secretions in the gastric mucosa by the parietal cells, which of the following
ions is produced to buffer the production of hydrochloric acid? HCO3
The nurse is teaching her patient with hepatobiliary disease about her diet. She tells her that
she may have steatorrhea, which is the malabsorption of which dietary component? Fat
A nurse is teaching a client diagnosed with Crohn disease about potential complications. The
most appropriate information for the nurse to include would be: Fistula formation
Malabsorption syndrome results in loss of fat in the stool and failure to absorb fat-soluble
vitamins. True
Pharmacologic treatment for peptic ulcers has changed over the past several decades. The
nurse knows that the goal for pharmacologic treatment is focused on which of the following?
Eradicating Helicobacter pylori (H. pylori)
, The cause of gastric carcinomas has been influenced by which of the following factors? Select
all that apply. • Family history
• Strain of Helicobacter pylori (H. pylori)
• Environmental factors
A teenager has been diagnosed with failure to thrive. The health care providers suspect a
malabsorption syndrome. In addition to having diarrhea and bloating, the client more than
likely has what hallmark manifestation of malabsorption? Fatty, yellow-gray, foul-smelling
stools
A patient is admitted to the medical surgical unit with a history of inflammatory bowel disease.
The nurse knows that the clinical manifestations of both Crohn's disease and ulcerative colitis
are the result of activation of which of the following cells? Inflammatory
A 60-year-old male client has presented to his primary care provider to follow up with his
ongoing treatment for peptic ulcer disease. What is the most likely goal of this client's
pharmacologic treatment? Inhibiting gastric acid production
Following the analysis of a recent barium enema and colonoscopy with biopsy, a client has been
diagnosed with colorectal cancer. Which of the following treatment modalities will be the
mainstay of this client's treatment? Surgery
A patient is admitted with an abrupt onset of referred pain to the epigastric area, with an
episode of nausea. On the nurse's initial assessment, the patient is lying still and taking shallow