PEPTIC ULCER DIS- - with epigastric discomfort, loss of appetite, a...

1 .65-year-old female who presents to the ED with epigastric discomfort, loss of appetite, and weight loss. History of diabetes and alco-holism. what disease does she likely have?

1.

PEPTIC ULCER DIS-

EASE2. GI bleeds3. gastric cancer4. candidiasis 2 .a nurse is caring for a patient who is status post upper endoscopic procedure. which of the following should be included as a priority in the post-procedure assessment?

1.neuro assessment

• GAG REFLEX3. temperature4. bowel sounds

3 .a nurse is caring for a patient with a diag- nosis of oral cancer who recently underwent surgery. which of the following is a post oper-ative nursing priority?

1.

AIRWAY MANAGMENT

• prevent aspiration3. monitor vital signs4. provide alternate means of communication

4 .A 44-year-old pt. was recently diagnosed with gastric cancer. sam has a wife and three small children. they are having a difficult time deal-ing with the diagnosis. which of the following is a priority for this patient?

1.educate on treatment options2. consult the dietician re-garding nutritional needs 3. monitor lab values for abnormalitites4. CONSULT SOCIAL SERVICES TO PROVIDE SUPPORT TO SAM AND HIS FAMILY 5 .A nurse is caring for a patient who was diag- nosed with lymphoma and undergoing chemo. which of the following conditions is she at risk for developing? SATA 1.gastric cancer

• oral cancer3. CANDIDIASIS4. STOMATITIS

6 .Gwen is an 89-year-old female who was diag- nosed with gastric cancer three months ago. she has undergone chemo and radiation and recently has surgery to remove the cancer. during the surgery, they discovered that the cancer had spread to other organs. They are 1.

PREPARE PA-

TIENT FOR ADDITIONAL CHEMO2. PREPARE PATIENT FOR ADDITIONAL RADI-ATION

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Multidimensional Care 2-Final Exam 1 / 2

having difficulty deciding treatment options.which of the following is appropriate for her care? SATA

3. CONSULT THE PALLIA-

TIVE CARE NURSE4. discharge the patient to hospice 7 .56-year-old female who presented to the ED with fullness in the chest, dysphagia, and chest pain. she states that she has been having these symptoms for the past couple months. which of the following conditions could it be based on her symptoms?

1.peptic ulcer disease

• gastritis3. HIATAL HERNIA4. Gastroesophageal re-flux disease

8 .A nurse is providing discharge instructions to patient recently diagnosed with peptic ulcer disease. which of the following should not be a part of the discharge instructions?

1.avoid spicy foods

• RESUME ALCOHOL IN MODERATION3. follow medications as prescribed4. signs and symptoms to report

9 .A nurse is caring for a patient recently diag- nosed with a hiatal hernia. which of the follow-ing is the least invasive surgical treatment for a patient with a hiatal hernia?

1.Nissen fundoplication

• ENDOLUMINAL FUN-DOPLICATION3. plyoroplasty4. vagotomy

10 .a nurse is caring for a patient who has recently been diagnosed with GERD. which of the fol-lowoing is the surgical management approach for patients with this condition?

1.

NISSEN FUNDOPLICA-

TION2.Endoluminal3. Vagotomy4. Gastroneterostomy 11 .A nurse is caring for a 29-year-old with a histo- ry of alcoholism. he has been having frequent episodes of vomiting bright red blood. the fol-lowing interventions would be appropriate for this patient except: 1.make the patient NPO

• transfusion of blood products3. perform gastric lavage4. ENCOURAGE LIQUID INTAKE

12 .

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