Nokea
A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be most helpful?
- A. Arrange a dietary consult.
- B. Increase the client's fluid intake.
- C. Limit the client's foods.
- D. Make the client NPO.
Correct Answer: A
Rationale: The client with dumping syndrome after a gastrectomy has multiple dietary needs. A referral to a registered dietitian would be extremely helpful. Food and fluid intake is complicated and needs planning. The client should not be NPO.
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The student nurse studying stomach disorders learns that the risk factors for acute gastritis include which of the following? (Select all that apply.)
- A. Alcohol
- B. Caffeine
- C. Corticosteroids
- D. Fruit juices
- E. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answer: A,B,C,E
Rationale: Risk factors for acute gastritis include alcohol, caffeine, corticosteroids, and chronic NSAID use. Fruit juice is not a risk factor, although in some people it does cause distress.
A client with a bleeding gastric ulcer is having a nuclear medicine scan. What action by the nurse is most appropriate?
- A. Assess the client for iodine or shellfish allergies.
- B. Educate the client on the side effects of sedation.
- C. Inform the client a second scan may be needed.
- D. Teach the client about bowel preparation for the scan.
Correct Answer: C
Rationale: A second scan may be performed in 1 to 2 days to see if interventions have worked. The nuclear medicine scan does not use iodine-containing contrast dye or sedation. There is no required bowel preparation.
The nurse caring for clients with gastrointestinal disorders should understand that which category best describes the mechanism of action of sucralfate (Carafate)?
- A. Gastric acid inhibitor
- B. Histamine receptor blocker
- C. Mucosal barrier fortifier
- D. Proton pump inhibitor
Correct Answer: C
Rationale: Sucralfate is a mucosal barrier fortifier (protector). It is not a gastric acid inhibitor, a histamine receptor blocker, or a proton pump inhibitor.
A nurse answers a clients call light and finds the client in the bathroom, vomiting large amounts of bright red blood. Which action should the nurse take first?
- A. Assist the client back to bed.
- B. Notify the provider immediately.
- C. Put on a pair of gloves.
- D. Take a set of vital signs.
Correct Answer: C
Rationale: All of the actions are appropriate; however, the nurse should put on a pair of gloves first to avoid communication with blood or body fluids.
A client who had a partial gastrectomy has several expected nutritional problems. What actions by the nurse are best to provide better nutrition? (Select all that apply.)
- A. Administer vitamin B12 injections.
- B. Ask the provider about folic acid replacement.
- C. Request a digestive enzyme supplement.
- D. Obtain consent for total parenteral nutrition.
- E. Provide iron supplements for the client.
Correct Answer: A,B,E
Rationale: After gastrectomy, clients are at high risk for anemia due to vitamin B12 deficiency, folic acid deficiency, and iron deficiency. The nurse should administer vitamin B12 injections, ask about folic acid replacement, and provide iron supplements. The client does not need enteral feeding or total parenteral nutrition.