Adult Health Module 3 Exam - Questions and Answers

Document Content and Description Below

Adult Health Module 3 Exam - Questions and Answers A client has a suspected peptic ulcer in the duodenum. What should the nurse expect the client to report when describing the pain associated with t... his disease? An ache radiating to the left side An intermittent colicky flank pain A gnawing sensation often caused by H. pylori A generalized abdominal pain intensified by moving A nurse is providing discharge instructions for a client with a diagnosis of gastroesophageal reflux disease (GERD). What should the nurse advise the client to do to limit symptoms of GERD? Select all that apply. Avoid heavy lifting. Lie down after eating. Avoid drinking alcohol. Eat small, frequent meals. Increase fluid intake with meals. Wear an abdominal binder or girdle. The nurse is obtaining a history and performing a physical assessment on a client who has received a new diagnosis of cancer of the tongue. Which clinical findings should the nurse expect to identify? Select all that apply. Halitosis Leukoplakia Bleeding gums Substernal pain Alterations in taste Enlarged cervical lymph nodes A client reports pain as a result of a gastric ulcer. What clinical findings is the nurse most likely to identify during an assessment of the client's pain? Select all that apply. Vomiting relieves pain. Eating food prevents pain. Pain is described as gnawing. Flatulence accompanies pain. Pain occurs half an hour after meals. What client factor does the nurse consider to have the greatest impact on the effectiveness of bariatric surgery? Freedom from concurrent high-risk conditions Motivation to cooperate with required lifestyle changes Willingness to have a panniculectomy a year after weight is stabilized Ability to tolerate the large abdominal incision necessary for this surgery Six weeks after discharge, a client with a jejunoileal bypass for morbid obesity returns to the outpatient clinic reporting palpitations, abdominal cramps, diarrhea, and dizziness 30 minutes after meals. What complication should the nurse consider that the client is most likely experiencing? Gastric reflux Reflux gastritis Dumping syndrome Abdominal peritonitis A client is being prepared for surgery to have placement of a percutaneous endoscopic gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the existing nasogastric tube that is being used for feedings. What explanation does the nurse give for why a PEG tube is preferred for administering a tube feeding? There is less chance of aspiration. This procedure does not require a pump. Self-administration of the feeding is possible. More tube feeding mixture can be given each time. An exploratory laparotomy is performed on a client with melena, and gastric cancer is discovered. A partial gastrectomy is performed, and a jejunostomy tube is surgically implanted. A nasogastric tube to suction is in place. What should the nurse expect regarding the client's nasogastric tube drainage during the first 24 hours after surgery? Minimal to no drainage Contains some blood and clots Contains large amounts of frank blood Similar to coffee grounds in color and consistency Which statement by a client scheduled for bariatric surgery indicates to the nurse that further preoperative teaching is necessary? "I need to eat more high-protein foods." "I'm going to have a figure like a model in about a year." "I'm going to be out of bed and sitting in a chair the first day after surgery." "I will be limiting my intake to 600 to 800 calories a day once I start eating again." To help prevent complications associated with gastric bypass surgery, the nurse needs to educate the client. Identify the factors that should be included in the nurse's teaching plan for this client. Select all that apply. [Show More]

Last updated: 5 months ago

Preview 1 out of 14 pages