Question

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

Answer 1

Correct Answers:

"Take sucralfate 1 hr before meals."

Rationale :

Sucralfate forms a protective barrier over ulcers and is most effective when taken on an empty stomach before meals. Taking it with food may reduce its effectiveness. It should not be taken with antacids, as they may interfere with its action.

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Answer 2

Correct Answers:

Hypertension

Rationale :

Dumping syndrome is characterized by symptoms like nausea, dizziness, and borborygmi due to rapid gastric emptying, but not hypertension. Instead, hypotension can occur due to fluid shifts into the intestines.

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Answer 3

Correct Answers:

A hard, rigid abdomen

Rationale :

Peritonitis causes inflammation of the peritoneum, leading to a hard, board-like abdomen, severe pain, and guarding. Other findings like hyperactive bowel sounds and diarrhea are not typical of peritonitis.

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Answer 4

Correct Answers:

Hematemesis

Rationale :

Hematemesis (vomiting blood) is a priority finding because it indicates active bleeding, a life-threatening complication of peptic ulcer disease. This requires immediate intervention (e.g., fluid resuscitation, endoscopy) to prevent hypovolemic shock

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Answer 5

Correct Answers:

"l enjoy eating large rich meals and snacks before bedtime.

Rationale :

Large meals and eating before bedtime worsen GERD symptoms by increasing gastric acid production and allowing reflux to occur while lying down. Patients should eat small meals and avoid late-night eating.

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Answer 6

Correct Answers:

2.5

Rationale :

Total volume ÷ Total time = mL/min 10 mL ÷ 4 minutes = 2.5 mL/min

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Answer 7

Correct Answers:

Albumin

Rationale :

Malnutrition leads to low albumin levels, as protein intake is inadequate. Albumin is a marker of nutritional status, while creatine kinase and troponin are related to muscle and cardiac damage.

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Answer 8

Correct Answers:

History of NSAID use

Rationale :

NSAIDs inhibit prostaglandins that protect the gastric mucosa, increasing ulcer risk. Chronic NSAID use is a well-documented cause of peptic ulcers. This is more significant than occasional alcohol consumption.

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Answer 9

Correct Answers:

Fontanelles depressed: capillary refill greater than 4 seconds

Rationale :

Severe dehydration in infants leads to sunken fontanelles, delayed capillary refill, and dry mucous membranes. High urine specific gravity suggests dehydration, but moist mucous membranes indicate adequate hydration.

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Answer 10

Correct Answers:

Projectile vomiting

Rationale :

Pyloric stenosis causes forceful, non-bilious vomiting due to gastric outlet obstruction. The vomiting is typically projectile in nature. This is the hallmark symptom of this condition.

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RN Medsurg Nur 211 Unit 4 Assessment

No.

1 : A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

2 : What manifestation is not present in dumping syndrome following a gastrectomy?

3 : What assessment findings support the diagnosis of peritonitis?

4 : A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

5 : Which statement by the patient with chronic gastroesophageal reflux disease (GERD) indicates a need for further teaching?

6 : The nurse is administering 40mg/1 Oml of pantoprazole IV over 4 minutes. How many ml per minute with the nurse administer?

7 : A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?

8 : A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

9 : A 1-month-old infant is admitted to the emergency room with severe diarrhea. Which of the following assessments suggests the infant is severely dehydrated?

10 : A nurse is caring for a 6-week-old infant who has pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

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