a. Increase tone of the esophageal sphincter.
b. Neutralize gastric secretions.
c. Delay gastric emptying.
d. Reduce secretion of digestive juices.
02. The client has been taking magnesium hydroxide (milk of magnesia) at home in an attempt to control hiatal hernia symptoms. The nurse should
assess the client for which of the following conditions most commonly associated with the ongoing use of magnesium-based antacids?
a. Anorexia.
b. Weight gain.
c. Diarrhea.
d. Constipation.
03. The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with refl ux. The nurse should ask the client about the presence of which of the following symptoms?
a. Heartburn.
b. Jaundice.
c. Anorexia.
d. Stomatitis.
04. After surgery for gastric cancer, a client is scheduled to undergo radiation therapy. It will be most important for the nurse to include information about which of the following in the client’s teaching
plan?
a. Nutritional intake.
b. Management of alopecia.
c. Exercise and activity levels.
d. Access to community resources.
05. A client who has been diagnosed with gastroesophageal refl ux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the
following items from the diet?
a. Lean beef.
b. Air-popped popcorn.
c. Hot chocolate.
d. Raw vegetables.
06. Following a gastrectomy, the nurse should postion the client in which of the following positions?
a. Prone.
b. Supine.
c. Low Fowler’s.
d. Right or left Sims.
07. After a subtotal gastrectomy, the nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
a. Dark brown.
b. Bile green.
c. Bright red.
d. Cloudy white.
08. A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure
would indicate the development of a potential complication?
a. The client complains of a sore throat.
b. The client displays signs of sedation.
c. The client experiences a sudden increase in temperature.
d. The client demonstrates a lack of appetite.
09. The nurse is preparing to teach a client with a peptic ulcer about the diet that should be followed after discharge. The nurse should explain that the diet will most likely consist of which of the following?
a. Bland foods.
b. High-protein foods.
c. Any foods that are tolerated.
d. Large amounts of milk.
10. A client is admitted to the hospital after vomiting
bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden,sharp pain in the midepigastric region along with a rigid, boardlike abdomen. These clinical manifestations
most likely indicate which of the following?
a. An intestinal obstruction has developed.
b. Additional ulcers have developed.
c. The esophagus has become infl amed.
d. The ulcer has perforated.
11. A client who has had her jaws wired begins to vomit. What should be the nurse’s fi rst action?
a. Insert a nasogastric (NG) tube and connect it to suction.
b. Use wire cutters to cut the wire.
c. Suction the client’s airway as needed.
d. Administer an antiemetic intravenously.
12. A client who was in a motor vehicle accident has a fractured mandible. Surgery has been performed to immobilize the injury by wiring the jaw. In the immediate postoperative phase, the nurse should:
a. Prevent nausea and vomiting.
b. Maintain a patent airway.
c. Provide frequent oral hygiene.
d. Establish a way for the client to communicate.
13. A nurse is caring for a client who has just returned from surgery to treat a fractured mandible.Which of the following items should always
be available at this client’s bedside? Select all that apply.
a. Nasogastric tube.
b. Wire cutters.
c. Oxygen cannula.
d. Suction equipment.
e Code cart.
14.A nurse is caring for a client with cholelithiasis. Which sign indicates obstructive jaundice?
a)Straw-colored urine
b)Reduced hematocrit
c)Clay-colored stools
d)Elevated urobilinogen in the urine
15.A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates:
a)Absence of nausea and vomiting.
b)Passage of mucus from the rectum.
c)Passage of flatus and feces from the colostomy.
d)Absence of stomach drainage for 24 hours
16.The comatose victim of the car accident is to have a gastric lavage. Which of the following positions would be most appropriate for the client during this procedure?
a)Lateral.
b)Supine.
c)Trendelenburg's.
d)Lithotomy.
17.A client with gastroenteritis is admitted to an acute care facility and presents with severe dehydration and electrolyte imbalances. Diagnostic tests reveal the Norwalk virus as the cause of gastroenteritis. Based on this information, the nurse knows that:
a)the client requires an antiviral agent.
b)enteric precautions must be continued.
c)enteric precautions can be discontinued.
d)the client's infection may be caused by droplet transmission.
18.A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN). The basic component of the client's TPN solution is most likely to be:
a)An isotonic dextrose solution.
b)A hypertonic dextrose solution.
c)A hypotonic dextrose solution.
d)A colloidal dextrose solution.
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