A critical care nurse is closely monitoring a patient who has recently undergone surgical repair of a bleeding peptic ulcer. The nurse should prioritize assessments of which of the following signs and symptoms of a recurrence of hemorrhage?
A. Hypotension and tachycardia B. Bradypnea and pursed-li...
NURS 370 Exam 4 Questions and
Complete Solutions
A critical care nurse is closely monitoring a patient who has recently undergone surgical
repair of a bleeding peptic ulcer. The nurse should prioritize assessments of which of
the following signs and symptoms of a recurrence of hemorrhage?
A. Hypotension and tachycardia
B. Bradypnea and pursed-lip breathing
C. Restlessness and cyanosis
D. Peripheral and pulmonary ✅A
The nurse determines that teaching for the client with peptic ulcer disease has been
effective when the client makes which statement?
A. "I have learned some relaxation strategies that decrease my stress."
B. "I should stop all my medications if I develop any side effects."
C. "I can buy whatever antacids are on sale because they all have the same effect."
D. "I should continue my treatment regimen as long as I have pain." ✅A
An obese male patient has sought advice from the nurse about the possible efficacy of
medications in his efforts to lose weight. What should the nurse teach the patient about
pharmacologic interventions for the treatment of obesity?
A. "Medications may be of some use, but they don't tend to resolve obesity on their
own."
B. "Medications are usually reserved for people who have had unsuccessful bariatric
surgery."
C. "Medications have the potential to reduce hunger but they rarely result in weight
loss."
D. "Medications are an excellent option for individuals who prefer not to exercise or
reduce their food intake." ✅A
The nurse is conducting a community education class on gastritis. The nurse includes
that chronic gastritis caused by Helicobacter pylori is implicated in which
disease/condition?
A. Peptic ulcers
B. Colostomy
C. Systemic infection
D. Pernicious anemia ✅A
, A nurse is caring for a client who has a diagnosis of GI bleeding. During shift
assessment, the nurse finds the client to be tachycardic and hypotensive, and the client
has an episode of hematemesis while the nurse is in the room. In addition to monitoring
the client's vital signs and level of consciousness, what would be a priority nursing
action for this client?
A. Place the client in a prone position.
B. Provide the client with ice water to slow any GI bleeding.
C. Notify the health care provider.
D. Prepare for the insertion of an NG tube. ✅C
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?
A. Gastric penetration
B. A reaction to the medication given for the ulcer
C. Ineffective treatment for the peptic ulcer
D. Perforation of the peptic ulcer ✅D
A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole
(Prilosec). How should the nurse best describe this medication's therapeutic action?
A. "This medication will make the lining of your stomach more resistant to damage."
B. "This medication will specifically address the pain that accompanies peptic ulcer
disease."
C. "This medication will reduce the amount of acid secreted in your stomach."
D. "This medication will help your stomach lining to repair itself." ✅C
A nurse is providing care for a client recovering from gastric bypass surgery. During
assessment, the client exhibits pallor, perspiration, palpitations, headache, and feelings
of warmth, dizziness, and drowsiness. The client reports eating 90 minutes ago. What
will the nurse suspect?
A. Dehiscence of the surgical wound
B. Vasomotor symptoms associated with dumping syndrome
C. Peritonitis
D. A normal reaction to surgery ✅B
A nurse is caring for a client hospitalized with an exacerbation of chronic gastritis. What
health promotion topic should the nurse emphasize?
A.Strategies for maintaining an alkaline gastric environment
B. Strategies for avoiding irritating foods and beverages
C. Safe technique for self-suctioning
D. Techniques for positioning correctly to promote gastric healing ✅B
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