Upper GI Pre-quiz

When doing client teaching with a new diagnosis of Peptic Ulcer Disease (PUD), which statement would necessitate further education

• "I will Take PPI's, antacids and H2 blockers as prescribed."

• "It is important to avoid spicy foods, alcohol, and stop smoking."

• "I will Reduce stress to help with my symptoms."

• "I will increase dairy intake."

A client presents to the clinic for a follow-up appointment after diagnostic tests show he has gastroesophageal reflux disease. Which instruction should the nurse provide?

• “Lie down and rest after each meal.”

• “Eat more fruits and vegetables.”

• “Avoid fatty food and chocolate.”

• “Eat three meals a day.”

Mr. Nguyen went to the clinic for ongoing symptoms yesterday.  He complained of sore throat with regurgitation of sour taste in his mouth and heartburn which usually occurs after meals. What is the suspected diagnosis for Mr. Nguyen?

• Acute gastritis

• Gastroesophageal reflux disease

• Duodenal ulcer

• Peptic ulcer disease

Which is the most common cause of peptic ulcer disease of the following?

• NSAID's

• Family History

• Social drinker

• Hyperglycemia

After administering a dose of promethazine (Phenergan) to a client with nausea and vomiting, what is the most significant side effect?

• Dry mouth

• Hypotension

• Tinnitus

• Drowsiness

A client has a sliding hiatal hernia. What

nursing interventions will prevent the symptoms of

heartburn and dyspepsia that they is experiencing?

• Keep the client NPO.

• Instruct the client to eat 4-6 small meals throughout the day.

• Place the client in Trendelenburg position.

• Ensure the client that it is ok to have a snack right before bed.

The nurse is providing education to a client who will undergo an upper endoscopy next week. It is important to instruct the client to (Select all that apply):

• Eat a light breakfast the morning of the procedure.

• Continue taking blood thinners.

• Nothing to eat or drink after midnight.

• Have a designated driver to drive them home.

A client has a prescription for loperamide hydrochloride (Imondium). For which consideration should the nurse administer this medication?

• Constipation

• Abdominal pain

• Ongoing nausea

• Uncontrolled diarrhea

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

• Numbness and tingling in the legs

• Rigid, board-like abdomen

• Bradycardia

• Constipation

The nurse is planning to teach a client diagnosed with GERD about foods to avoid. Which items should the nurse include:

• Coffee

• Scrambled eggs

• Peppermint

• Nonfat milk

• Fried Chicken