QUIZ - GASTRO

The nurse is performing an abdominal assessement and inspects the skin on the abdomen. The nurse performs which assessment technique next?

• Palpate the abdomen for size

• Palpates the liver at the right rib margin

• Listen to bowel sounds in all four quadrants

• Percuss the right lower abdominal quadrant

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency?

• Vitamin A

• Vitamin B12

• Vitamin C

• Vitamin E

The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client's record, would the nurse question?

• Digoxin (Lanoxin)

• Furosemide (Lasix)

• Indomethacin (Indocin)

• Propanolol hydrochloride (Inderal)

The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom (s) of duodenal ulcer?

• Weight loss

• Nausea and vomiting

• Pain relieved by food intake

• Pain radiating down the right arm

The medication history of a client with peptic ulcer disease reveals intermittent use of several medications. The nurse would teach the client to avoid which of these medications becasue of the irritating effects on the lining of the gastrointestinal tract?

• Nizatidine (Axid)

• Ibufrofen (Motrin)

• Sucralfate (Carafate)

• Omeprazole (Prilosec)

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment fiinding would most likely indicate perforation of the ulcer?

• Bradycardia

• Numbness in the legs

• Nausea and vomiting

• A rigid, board-like abdomen

The nurse is providing discharge instructions to a client following gastrectomy and instructs the client to take which measure to assist in preventing dumping syndrome?

• Ambulate following a meal

• Eat high carbohydrate foods

• Limit the fluids taken with meals

• Sit in a high Fowler's position during meals

The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which of the following indicate this occurence?

• Sweating and pallor

• Bradycardia and indigestion

• Double vision and chest pain

• Abdominal cramping and pain

Is an ulceration in the mucosal wall of the stomach, pylorus, duodenum or esophagus in portions accessible to gastric secretions.

• Diverticulitis

• Peptic Ulcer

• Crohns disease

• Hirchsprung disease

Describe as burning pain that occurs in midepigastric area 1/2 to 3 hours after a meal and during the night (often awakens the client)

• Duodenal ulcer

• Gastritis

• Gastric ulcer

• Hiatal Hernia