Chapter 50: Concepts of Care for of Patients
with Stomach Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. During an interview, the client tells the nurse that the client has a duodenal ulcer.
Which assessment finding would the nurse expect?
a. Hematemesis
b. Pain when eating
c. Melena
d. Weight loss
ANS: C
All of the other assessment findings are more commonly seen in clients who have
gastric ulcers rather than duodenal ulcers.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Peptic ulcer disease, Assessment MSC: Client
Needs Category: Physiological Integrity: Basic Care and Comfort
2. A client who has peptic ulcer disease is prescribed quadruple drug therapy for
Helicobacter pylori infection. What health teaching related to bismuth would the nurse
include?
a. “Report stool changes to your primary health care provider immediately.”
b. “Do not take aspirin or aspirin products of any kind while on bismuth.”
c. “Take bismuth about 30 minutes before each meal and at bedtime.”
d. “Be aware that bismuth can cause frequent vomiting and diarrhea.”
, ANS: B
Bismuth is a salicylate drug and causes stool discoloration but not vomiting and
diarrhea. It does not have to be taken at a specific time relative to meals. Clients
taking bismuth should not take other salicylates, such as aspirin or aspirin-containing
products.
3. The nurse caring for clients with gastrointestinal disorders would recall that
omeprazole is a drug in which classification?
a. Gastric acid inhibitor
b. Histamine receptor blocker
c. Mucosal barrier fortifier
d. Proton pump inhibitor
ANS: D
Omeprazole is a proton pump inhibitor.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Gastrointestinal disorders, Drug therapy MSC: Client
Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies
4. The nurse is caring for a client experiencing upper gastrointestinal (GI) bleeding.
What is the priority action for the client’s care?
a. Maintain airway, breathing, and circulation.
b. Monitor vital signs, including orthostatic blood pressures.
c. Draw blood for hemoglobin and hematocrit immediately.
d. Insert a nasogastric (NG) tube and connect to intermittent suction.
ANS: A
with Stomach Disorders
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. During an interview, the client tells the nurse that the client has a duodenal ulcer.
Which assessment finding would the nurse expect?
a. Hematemesis
b. Pain when eating
c. Melena
d. Weight loss
ANS: C
All of the other assessment findings are more commonly seen in clients who have
gastric ulcers rather than duodenal ulcers.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Peptic ulcer disease, Assessment MSC: Client
Needs Category: Physiological Integrity: Basic Care and Comfort
2. A client who has peptic ulcer disease is prescribed quadruple drug therapy for
Helicobacter pylori infection. What health teaching related to bismuth would the nurse
include?
a. “Report stool changes to your primary health care provider immediately.”
b. “Do not take aspirin or aspirin products of any kind while on bismuth.”
c. “Take bismuth about 30 minutes before each meal and at bedtime.”
d. “Be aware that bismuth can cause frequent vomiting and diarrhea.”
, ANS: B
Bismuth is a salicylate drug and causes stool discoloration but not vomiting and
diarrhea. It does not have to be taken at a specific time relative to meals. Clients
taking bismuth should not take other salicylates, such as aspirin or aspirin-containing
products.
3. The nurse caring for clients with gastrointestinal disorders would recall that
omeprazole is a drug in which classification?
a. Gastric acid inhibitor
b. Histamine receptor blocker
c. Mucosal barrier fortifier
d. Proton pump inhibitor
ANS: D
Omeprazole is a proton pump inhibitor.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Gastrointestinal disorders, Drug therapy MSC: Client
Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies
4. The nurse is caring for a client experiencing upper gastrointestinal (GI) bleeding.
What is the priority action for the client’s care?
a. Maintain airway, breathing, and circulation.
b. Monitor vital signs, including orthostatic blood pressures.
c. Draw blood for hemoglobin and hematocrit immediately.
d. Insert a nasogastric (NG) tube and connect to intermittent suction.
ANS: A
