NUR 4543 Chapter 46 Practice Material

Chapter 46: Management of Patients with Gastric and Duodenal Disorders



Question 1 See full question


33s

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

 O

Correct response:

 O

Explanation:

People with blood type O are more susceptible to peptic ulcers than those with blood
type A, B, or AB.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 46: Management
of Patients With Gastric and Duodenal Disorders, p. 1297.
Chapter 46: Management of Patients With Gastric and Duodenal Disorders -
Page 1297
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Question 2 See full question


1m 26s

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Review the following four examples of ideal body weight (IBW), actual weight, and body
mass index (BMI). Using three criteria for each example, select the body weight that
indicates morbid obesity.
You Selected:

 IBW = 145 lbs; weight = 290 lbs; BMI = 31 kg/m2

,Correct response:

 IBW = 145 lbs; weight = 290 lbs; BMI = 31 kg/m2

Explanation:

The criteria for morbid obesity are a body weight that is twice IBW and a BMI that
exceeds 30 kg/m2.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018.
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Question 3 See full question


1m 45s

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During a home visit the nurse notes that a client recovering from peptic ulcer disease is
experiencing cool clammy skin and has a heart rate of 96 beats a minute. Which action
will the nurse take?
You Selected:
 Notify the primary health care provider.
Correct response:
 Notify the primary health care provider.
Explanation:

The client with peptic ulcer disease is demonstrating signs of hemorrhage which include
cool skin and tachycardia. The health care provider should be immediately notified. The
client should not be given any additional medication. A warm beverage could enhance
bleeding. It is inappropriate to provide any teaching while the client is experiencing an
acute condition.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 46: Management
of Patients With Gastric and Duodenal Disorders.
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Question 4 See full question

,2m 13s

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A patient has been diagnosed with acute gastritis and asks the nurse what could have
caused it. What is the best response by the nurse? (Select all that apply.)
You Selected:

 “It can be caused by ingestion of strong acids.”
 “You may have ingested some irritating foods.”
 “Is it possible that you are overusing aspirin.”

Correct response:

 “It can be caused by ingestion of strong acids.”
 “You may have ingested some irritating foods.”
 “Is it possible that you are overusing aspirin.”

Explanation:

Acute gastritis is often caused by dietary indiscretion—the person eats food that is
irritating, too highly seasoned, or contaminated with disease-causing microorganisms.
Other causes of acute gastritis include overuse of aspirin and other nonsteroidal anti-
inflammatory drugs (NSAIDs), excessive alcohol intake, bile reflux, and radiation
therapy. A more severe form of acute gastritis is caused by the ingestion of strong acid
or alkali, which may cause the mucosa to become gangrenous or to perforate.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 46: Management
of Patients With Gastric and Duodenal Disorders, Gastritis, pp. 1292-1293.
Chapter 46: Management of Patients With Gastric and Duodenal Disorders -
Page 1292-1293
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Question 5 See full question


9s

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Clients with Type O blood are at higher risk for which of the following GI disorders?
You Selected:

 Duodenal ulcers

, Correct response:

 Duodenal ulcers

Explanation:

Familial tendency also may be a significant predisposing factor. People with blood type
O are more susceptible to peptic ulcers than are those with blood type A, B, or AB.
Blood type is not a predisposing factor for gastric cancer, esophageal varices, and
diverticulitis.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 46: Management
of Patients With Gastric and Duodenal Disorders, Peptic Ulcer Disease, p. 1297.
Chapter 46: Management of Patients With Gastric and Duodenal Disorders -
Page 1297
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Question 6 See full question


1m 45s

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A client is prescribed tetracycline to treat peptic ulcer disease. Which instruction would
the nurse give the client?
You Selected:

 "Be sure to wear sunscreen while taking this medicine."

Correct response:

 "Be sure to wear sunscreen while taking this medicine."

Explanation:

Tetracycline may cause a photosensitivity reaction in clients. The nurse should caution
the client to use sunscreen when taking this drug. Dairy products can reduce the
effectiveness of tetracycline, so the nurse should not advise him or her to take the
medication with milk. GI upset is possible with tetracycline administration.
Administration of tetracycline does not necessitate driving restrictions.
Reference:

 Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 46: Management
of Patients With Gastric and Duodenal Disorders, Table 46-2, p. 1295.