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Saunders GI & perioperative practice EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Saunders GI & perioperative practice EXAM 2025 QUESTIONS AND CORRECT ANSWER
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Saunders GI & perioperative practice EXAM 2025QUESTIONS AND CORRECT ANSWER
The nursing instructor teaches the student nurses about intrinsic factor. The instructor
evaluates that learning has occurred when the students make which response?
1. "Intrinsic factor is secreted by the chief cells of the stomach."
2. "Intrinsic factor is necessary for absorption of vitamin B6."
3. "Intrinsic factor aids in the secretion of mucus to protect the stomach."
4. "Intrinsic factor is necessary for absorption of vitamin B12." - answer>>>4. "Intrinsic factor is
necessary for absorption of vitamin B12."
The physician has ordered bismuth (Pepto-Bismol) for the client with a peptic ulcer who is
colonized with H. Pylori. The client asks the nurse why he is receiving this drug. What is the best
response by the nurse? Select all that apply.
1. "Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria."
2. "Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics."
3. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth."
4. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach."
5. "Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation." - answer>>>3. "Bismuth
(Pepto-Bismol) is effective for inhibiting bacterial growth."
4. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach."
The physician orders misoprostol (Cytotec) for the female client with peptic ulcer disease
(PUD). What is a priority question for the nurse to ask the client prior to administration of this
medication?
,1. "Do you plan on becoming pregnant?"
2. "Are you sexually active?"
3. "Are you pregnant?"
4. "Are your menstrual cycles irregular?" - answer>>>3. "Are you pregnant?"
The client receives esomeprazole (Nexium). He asks the nurse why that little purple pill is better
than his cimetidine (Tagamet). What is the best response by the nurse?
1. "It is about the same, but a lot cheaper than your cimetidine (Tagamet)."
2. "It decreases acid in your stomach, better than cimetidine (Tagamet)."
3. "It is about the same, but has fewer side effects than your cimetidine (Tagamet)."
4. "It is not as effective as cimetidine (Tagamet), but kills bacteria better." - answer>>>2. "It
decreases acid in your stomach, better than cimetidine (Tagamet)."
A client is admitted for treatment of a duodenal ulcer. What will the nurse's admission
assessment likely reveal?
1. Nausea and lower right quadrant abdominal pain
2. Burning pain several hours after eating a meal
3. Anorexia and weight loss
4. Low back pain radiating down the left leg - answer>>>2. Burning pain several hours after
eating a meal
The nurse has completed education about peptic ulcer disease (PUD) with the client. The nurse
evaluates that learning has occurred when the client makes which statement?
,1. "I will limit my intake of caffeine products."
2. "I will take ibuprofen (Motrin) for my headaches."
3. "I will drink more milk and limit spicy foods."
4. "I will join a gym and increase my exercise." - answer>>>1. "I will limit my intake of caffeine
products."
An elderly client comes to the emergency department with his wife. He has a history of peptic
ulcer disease (PUD), and is currently experiencing confusion and severe headaches. What does
the best plan by the nurse include?
1. Ask the client if he has experienced any head injuries recently.
2. Obtain a complete blood count (CBC), chemistry profile, and urine drug screen.
3. Ask the client's wife for a list of medications that the client has taken.
4. Obtain a magnetic resonance imaging (MRI) exam to assess if the client has experienced a
stroke. - answer>>>3. Ask the client's wife for a list of medications that the client has taken
The client has gastroesophageal reflux disease (GERD) and has been receiving medication
treatment for many years. What priority assessment findings associated with the medication
must the nurse report to the physician?
1. Vomiting and mild upper mid-epigastric pain
2. Anemia, fatigue, and weakness
3. Hypotension and tachycardia
4. Diarrhea and soft stools - answer>>>2. Anemia, fatigue, and weakness
, The physician has ordered combination therapy for the client with peptic ulcer disease (PUD).
The nurse plans to do medication education. What will the best plan by the nurse include?
1. Combination therapy has the best outcomes when antibiotics are used with antacids.
2. Combination therapy has the best outcomes when antibiotics are used with proton-pump
inhibitors.
3. The use of sucralfate (Carafate) along with antibiotics is the best combination therapy for
peptic ulcer disease (PUD).
4. Various antibiotics are used to eradicate the bacteria that are responsible for the
development of peptic ulcer disease (PUD). - answer>>>2. Combination therapy has the best
outcomes when antibiotics are used with proton-pump inhibitors.
The nurse designs a plan of care for the client with peptic ulcer disease (PUD) who is taking
omeprazole (Prilosec) for the management of his illness. What will the best plan by the nurse
include? Select all that apply.
1. Omeprazole (Prilosec) should not be crushed or chewed.
2. Omeprazole (Prilosec) is best taken with yogurt.
3. Omeprazole (Prilosec) is recommended for long-term treatment of peptic ulcer disease
(PUD).
4. Omeprazole (Prilosec) should be administered before meals.
5. Omeprazole (Prilosec) should be administered after meals. - answer>>>1. Omeprazole
(Prilosec) should not be crushed or chewed
4. Omeprazole (Prilosec) should be administered before meals.
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