module 8 prep u

what quadrant do you feel pancreatitis

left upper

A client is scheduled for a urea breath test to detect for Helicobacter pylori as a reason for gastric distress. Which instruction will the nurse provide to the client to prepare for this test? Select all that apply.

Do not use antibiotics for 1 month.

Avoid bismuth subsalicylate for 1 month

Do not take proton pump inhibitors for 2 weeks.

Which term describes a gastric secretion that combines with vitamin B₁₂ so that it can be absorbed?

intrinsic factor

Results of a client's preliminary assessment prompted an examination of the client's carcinoembryonic antigen (CEA) levels, which have come back positive. What is the nurse's most appropriate response to this finding?

• Prepare to meet the client's psychosocial needs.

Which of the following is the primary function of the small intestine?

Absorption

What digestive enzymes does the pancreas secrete? Select all that apply.

Amylase, lipase, and protease, trypsin

A clinic client has described recent dark-colored stools, and the nurse recognizes the need for fecal occult blood testing (FOBT). What aspect of the client's current health status would contraindicate FOBT?

Hemorrhoids

A client with a gastrointestinal disorder is scheduled for abdominal magnetic resonance imaging (MRI). Which teaching will the nurse provide to prepare the client for this test? Select all that apply.

Remove all jewelry and metal from the body.

Take nothing by mouth for 6 to 8 hours before the test.

Expect the test to take 60 to 90 minutes to complete.

A client is scheduled for a fiberoptic colonoscopy. What does the nurse know that fiberoptic colonoscopy is most frequently used to diagnose?

cancer

The nurse is providing instructions to a client scheduled for a gastroscopy. What should the nurse be sure to include in the instructions? Select all that apply

After gastroscopy, the client cannot eat or drink until the gag reflex returns (1 to 2 hours).

The throat will be sprayed with a local anesthetic.

The client must fast for 8 hours before the examination.

The nurse is assisting the health care provider with a gastric acid stimulation test for a client. What medication should the nurse prepare to administer subcutaneously to stimulate gastric secretions?

Pentagastrin

How would the nurse explain the formation and role of acid in the stomach?

“Hydrochloric acid is secreted by glands in the stomach in response to the actual or anticipated presence of food.”

A nurse is assessing the abdomen of a client just admitted to the unit with a suspected gastrointestinal (GI) disease. Inspection reveals several diverse lesions on the client's abdomen. How should the nurse best interpret this assessment finding

GI diseases often produce skin changes.

A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When teaching the client about this new diagnosis, how should the nurse best describe a peptic ulcer?

Erosion of the lining of the stomach or intestine

A client with peptic ulcer disease has been prescribed sucralfate. What health education should the nurse provide to this client?

Take the medication 2 hours before or after other medications

A client receiving tube feedings to the duodenum develops nausea, cramping, and diarrhea. For which condition should the nurse plan care for this client?

Dumping syndrome

A client is in the hospital for the treatment of peptic ulcer disease. The client reports vomiting and a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate?

Perforation of the peptic ulcer

A community health nurse is preparing for an initial home visit to a client discharged following a total gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is most likely to include?

Monthly administration of injections of vitamin B₁₂

Which medication is classified as a histamine-2 receptor antagonist?

Famotidine

A client is scheduled for a Billroth I procedure for ulcer management. What does the nurse understand will occur when this procedure is performed?

A partial gastrectomy is performed with anastomosis of the stomach segment to the duodenum.

Which drug is considered a stimulant laxative?

Bisacodyl

A nurse is reviewing lab results for a client with an intestinal obstruction, and infection is suspected. What would be an expected finding?

leukocytosis; elevated hematocrit; low sodium, potassium, and chloride

A client has surgical removal of a portion of the ileum. Which outcome is most likely?

Impaired Nutrient Absorption

A patient is diagnosed with dysfunction of the pyloric sphincter. Which effect would the nurse most likely observe?

Impaired movement of chyme from the stomach to the duodenum