Chapter 33, Nursing Care of Patients With Upper Gastrointestinal Disorders Video Solutions, Understanding Medical Surgical Nursing

Problem 1

The nurse is planning care for a patient with an eating disorder. The patient is $40 \mathrm{~kg}$ and 68 inches tall. Serum laboratory data: potassium $2.6 \mathrm{mEq} / \mathrm{dL}$, sodium $126 \mathrm{mEq} / \mathrm{dL}$, chloride $95 \mathrm{mEq} / \mathrm{dL},$ calcium $10.8 \mathrm{mg} / \mathrm{dL}$. Which of these is the priority intervention for this patient?
1. Weigh the patient daily at the same time.
2. Maintain IV of dextrose and electrolytes.
3. Praise intake of any type of food.
4. Document intake and output.

Ava Perkins

Numerade Educator

View

Problem 2

The nurse is planning care for a team of patients. To provide care safely, for which patient should the nurse use specialized mobility equipment designed for the patient who is obese?
1. A 25 -year-old woman with body weight $5 \%$ above ideal body weight
2. A 45 -year-old man with waist-to-hip ratio measurement of 0.5
3. A 50 -year-old man with body mass index of 31
4. A 21 -year-old woman with anorexia nervosa weighing 98 pounds

Kaila Derry

Numerade Educator

00:37

Problem 3

A patient is diagnosed with aphthous stomatitis (canker sore). Which of the following actions would be appropriate?
1. Tell patient to avoid brushing teeth until the sore has healed.
2. Encourage patient to use a mouthwash four times a day.
3. Apply acyclovir ointment to ease the pain of the lesion.
4. Teach patient to apply topical tetracycline several times a day to sore.

Jorge Villanueva

Numerade Educator

View

Problem 4

The nurse is caring for a patient with gastritis. Which of the following interventions would be appropriate for a patient with acute gastritis?
1. Monitor patient for bloody diarrhea.
2. Explain that aspirin rarely causes gastritis.
3. Administer phenothiazine to control vomiting.
4. Encourage a regular diet during the acute phase of gastritis.

Kaela Piechowicz

Numerade Educator

View

Problem 5

The nurse is planning a teaching session for a patient with a peptic ulcer. Which of the following would the nurse include in the teaching plan as the primary cause of peptic ulcers?
1. Eating spicy foods
2. A stressful life
3. A bacterial infection
4. Excessive caffeine intake

Kaela Piechowicz

Numerade Educator

View

Problem 6

The nurse provides teaching for a patient with a peptic ulcer. Which patient statement indicates patient understanding of the purpose of $\mathrm{H}_{2}$ antagonists?
1. Neutralize gastric acid
2. Form a protective paste
3. Determine gastric $\mathrm{pH}$ levels
4. Inhibit secretion of gastric acid

Kaela Piechowicz

Numerade Educator

01:01

Problem 7

A patient who has just returned from surgery after a total gastrectomy begins to vomit bright red blood. Which of the following is the priority action for the nurse to take?
1. Increase the IV rate.
2. Take blood pressure.
3. Place patient onto side.
4. Administer oxygen.

Narayan Hari

Numerade Educator

View

Problem 8

The nurse is teaching a patient with dumping syndrome about food choices. Which of these foods would the nurse instruct the patient to avoid?
1. Spinach and avocado salad
2. Coffee and glazed doughnut
3. Sausage and liver
4. Creamed chipped beef

Kaela Piechowicz

Numerade Educator

01:37

Problem 9

9. To deliver $1000 \mathrm{~mL}$ of $5 \%$ dextrose in 0.45 normal saline (at $150 \mathrm{~mL}$ per hour using 10 drop tubings), the nurse would monitor the IV infusion at how many drops per minute? Fill in the blank. Answer:________________ $\quad$ drops per minute

John Barone

Numerade Educator