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,A nurse is caring for a patient with peritonitis. Which of the following is appropriate management? Multi
answer.
Watchful Waiting
Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Proton pump inhibitors - correct ans:Peritoneal Lavage
IV fluids and electrolytes
Antibiotics
Explanation:
Peritoneal lavage can be uses to reduce bacterial load. IV fluids and electrolytes will help counteract any
losses. Peritonitis involves a bacterial infection, so antibiotics are needed.
A client is considering bariatric surgery. Which of the following statements by the client should the nurse
correct?
Bariatric surgery is primarily for those with morbid obesity.
Only one type of bariatric surgery option exists.
Patients who undergo bariatric surgery experience significant weight loss.
Bariatric surgery may help with other issues, such as improving glucose control. - correct ans:Only one
type of bariatric surgery option exists.
A patient is taking a proton pump inhibitor medication. Which of the following is the most likely purpose
of this medication?
Reduce inflammation in the gastrointestinal (GI) tract.
Decrease acidity of stomach secretions.
Increase GI motility.
Decrease bouts of diarrhea. - correct ans:Decrease acidity of stomach secretions.
Explanation: Proton pump inhibitors reduce hydrogen ion levels (acidity) in the stomach.
, A woman is stating that she feels she has celiac disease. Which diagnosis test may be indicated?
Endoscopic examination, Colonoscopy, Serology panel, Barium swallow test. - correct ans:Serology panel
Explanation: Celiac disease is considered an autoimmune condition, so antibody testing would be
recommended.
On a patient's chart is listed "achalasia." Which of the following can the nurse expect?
The patient has difficulty chewing food and moving it into the throat area.
The patient has motility issues of the esophagus.
The patient has reflux of stomach acid into the esophagus.
The patient has an inability to move substances from the stomach to the duodenum. - correct ans:The
patient has motility issues of the esophagus.
Explanation: Achalasia has motility issues of the esophagus.
Place the following in the proper sequence of how a patient's (who is severely obese) weight may play a
role in heartburn and also lead to changes in the esophageal cells.
Poor closure of lower esophageal sphincter (LES)
Burning sensation in sternal area.
Metaplasia of esophageal cells in response to stomach acid.
Stomach acid enters esophagus.
Increased body weight. - correct ans:1) Increased body weight
2) Poor closure of lower esophageal sphincter (LES)
3) Stomach acid enters esophagus
4) Burning sensation in sternal area
5) Metaplasia of esophageal cells in response to stomach acid
Explanation: Increased body weight can increase the likelihood of poor LES closure, which enables
stomach acid to enter the esophagus. This can cause a burning sensation in the sternal area (heartburn).
The acid from the stomach can cause metaplastic changes of esophageal cells.