A patient with a history of peptic ulcer disease (PUD) is prescribed omeprazole (Prilosec). The nurse educates the patient about the medication's action, which is to: a) Increase gastric acid secretion b) Decrease gastric acid secretion c) Enhance gastric motility d) Promote gastric mucosal healing
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A patient with a history of peptic ulcer disease (PUD) is prescribed omeprazole (Prilosec). The nurse educates the patient about the medication's action, which is to: a) Increase gastric acid secretion b) Decrease gastric acid secretion c) Enhance gastric motility d) Promote gastric mucosal healing
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- A client with stomach cancer will receive nutrition via a tube that bypasses the stomach and goes directly into the jejunum. The nurse recognizes that the diet will need to be changed in which of the following ways? Question 28 options: a) Dietary protein will need to come from plant sources due to limited absorption b) The feed will contain di- and tri-peptides rather than whole proteins c) Proteins will require emulsification d) Conditionally essential amino acids will need to be added to the feedA patient in the ICU is receiving enteral nutrition via a nasogastric tube. The nurse monitors the patient for potential complications of enteral feeding, including: a) Constipation and urinary retention b) Hyperglycemia and hypernatremia c) Diarrhea and aspiration pneumonia d) Hypotension and hypothermiaA 45-year-old woman has been diagnosed with irritable bowel syndrome (IBS) and will be taking lubiprostone (Amitiza). The nurse assesses for conditions that may be contraindications to this drug, such as a )constipation.b )bowel obstruction.c) renal calculi.d) anemia.
- For an elderly client with oral health problems, which group of foods would the nurse advise to optimize fibre and protein intake? Question 55 options: a) Pasta with tomato sauce and applesauce b) Fried chicken and mashed potatoes c) Soft scrambled eggs and ripe cantaloupe chunks d) Well-cooked whole-grain oatmeal and orange juiceA 30-year-old man is taking simethicone for excessive flatus associated with diverticulitis. During a patient teaching session, the nurse explains the mechanism of action of simethicone by saying: a )“It neutralizes gastric pH, thereby preventing gas.”b )“It buffers the effects of pepsin on the gastric wall.”c )“It decreases gastric acid secretion and thereby minimizes flatus.”d )“It causes mucus-coated gas bubbles to break into smaller ones.”A priority nursing intervention for a patient with acute pancreatitis is to ensure this patient receives: Question 12 options: a) Opioid analgesics b) Total parenteral nutrition (TPN) with lipids c) Digestive enzyme replacements d) Small frequent meals
- 1) Why does the procedure (Gastric-bypass) result in weight loss? a) The patient "feels full" much more quickly - it is actually uncomfortable to eat too much. b) Some of the absorptive area of the small intestine is bypassed, so fewer calories are absorbed c) The reconnection of ducts from the pancreas and the bile duct allows for secretion of some digestive enzymes that are necessary for complete breakdown of food d) The procedure decreases the peristaltic capability of the lower intestine e) All of the above are true f) Choices a and b are correct4) Male,52 years old,chronic epigastric pain for half a year, feeling of epigastric fullness after meal, gastric juice analysis: fasting gastric acid is low, and there is still no significant increase after histamine stimulation.The most likely diagnosis is() A )Gastric mucosal prolapse B) Duodenal ulcer C) Atrophic gastritis D)Gastric ulcer E) Gastric leiomyomaA client with hypertension is instructed about adopting the DASH diet. The nurse explains that this eating pattern is high in potassium and realizes that the client understands these dietary modifications if they select which items from the menu? Question 95 options: a) Sausages, cereal and cucumber b) Banana, crackers, and chicken c) Banana, potato, and milk d) Tomatoes, cheddar cheese, and spaghetti
- A client with hypertension has been told to maintain a diet low in sodium. The nurse who is teaching this client about foods that are allowed should include which food item in a list provided to the client? Question 58 options: a) Summer squash b) Tomato soup c) Boiled shrimp d) Packaged instant oatmealA 42-year-old man comes to the emergency department vomiting blood. He has a history of alcohol dependence and hepatic cirrhosis and has had two previous episodes of esophageal variceal bleeding in the past 2 years. Endoscopy shows bleeding esophageal varices. Which of the following portosystemic communications best explains his recurrent bleeding? A) Left gastric vein with the azygos veins B) Paraumbilical vein with epigastric veins C) Splenic vein with portal vein D) Superior (rectal) hemorrhoidal veins with inferior (rectal) hemorrhoidal veinsThe nurse is administering an intravenous aminoglycoside to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)a )Report a trough drug level of 0.8 mcg/mL, and hold the drug.b) Enforce a strict fluid restriction.c )Monitor serum creatinine levels.d )Instruct the patient to report dizziness or a feeling of fullness in the ears.e) Warn the patient that the urine may turn darker in color