which of the following expected outcomes would be most appropriate for a client with peptic ulcer disease the client will

ATI RN

Gastrointestinal System Nursing Exam Questions

1. Which of the following expected outcomes would be most appropriate for a client with peptic ulcer disease? The client will:

A. verbalize absence of epigastric pain.
B. accept the need to inject himself with vitamin B12 for the rest of his life.
C. understand the need to increase his exercise activity.
D. eliminate stress from his life.

Correct answer: A

Rationale: A realistic goal for this client would be to gain relief from epigastric pain. There is no need for vitamin B12 injections because this client has not had any gastric surgery that would lead to vitamin B12 deficiency. Exercise should be modified, not increased, because it can stimulate further production of gastric acid. It is not possible to eliminate stress from a client's life. Instead, the client should be assisted to develop effective coping and problem-solving strategies as necessary.

2. Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?

A. Restrict intake of high-carbohydrate foods.
B. Increase fluid intake with meals.
C. Increase fat intake.
D. Eat three regular meals a day.

Correct answer: D

Rationale: For a patient with a hiatal hernia, it is important to eat three regular meals a day to prevent symptoms.

3. A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client’s constipation?

A. The client has not been including enough fiber in his diet
B. The client needs to increase his daily exercise
C. The client is experiencing a side effect of the aluminum hydroxide.
D. The client has developed a gastrointestinal obstruction.

Correct answer: C

Rationale: The client is experiencing a common side effect of aluminum hydroxide, which is constipation.

4. The physician orders a Salem sump tube for gastrointestinal intubation. The nurse prepares for the insertion and obtains which of the following items from the supply room?

A. A tube with a single lumen that connects to suction
B. A tube with a large lumen and an air vent
C. A Sengstaken-Blakemore tube
D. A Dobbhoff weighted tube

Correct answer: B

Rationale: A tube with a large lumen and an air vent is a Salem sump tube. A tube with a single lumen is called a Levin’s tube. A Sengstaken-Blakemore tube is used to control bleeding in the esophagus. A Dobbhoff weighted tube is used for feedings.