pectic ulcer
Which of the following statements best indicates that the client understands how to correctly take the antacid?
1. "I should take my antacid before I take my other medications."
2. "I need to decrease my intake of fluids so that I don't dilute the effects of my antacid."
3. "My antacid will be most effective if I take it whenever I experience stomach pains."
4. "It is best for me to take my antacid 1 to 3 hours after meals."
4. "It is best for me to take my antacid 1 to 3 hours after meals."
What kind of output will you find in the ileum and ascending colon?
Liquid stools
You're collecting a patient's medication history that has GERD. Which medication below is NOT typically used to treat GERD?
inflammation of the urinary bladder
Cystitis
What assessment findings characterize a thyroid storm?
increased body temperature, increased pulse, and increased blood pressure
2 Types of Peptic Ulcers
Gastric Ulcer
Duodenal Ulcer
When checking stoma color what is healthy? bad?
pink/bright red moist. Purple/black/dry this indicates ischemia.
Which of the following does NOT play a role in the development of GERD?
What is the normal average adult excretion of urine every 24 hrs
800 ml-2000 ml
When caring for a male client with diabetes insipidus, the nurse expects to administer:
a. vasopressin (Pitressin Synthetic)
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose.
a. vasopressin (Pitressin Synthetic)
Symptoms of Gastric Ulcer:
Left epigastric pain
1/2 hr to 1 hr after meals
Ingestion of food may relieve pain but vomiting can occur
When should the colostomy appliance be changed?
PRN, early AM, or 2-4 hours after a meal when the bowel is least active.
After dinner time, during hourly rounding, a patient awakes to report they feel like "food is coming up" in the back of their throat and that there is a bitter taste in their mouth. What nursing intervention will you perform next?
Assist the patient into the Semi-Fowler's position
What is considered low urine output?
less than 400 milliliters/24 hrs
You are assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
Symptoms of Duodenal Ulcer
Right epigastric pain
1-2 hours after meals
Ingestion of food relieves pain
Vomiting is UNCOMMON
Weight gain
Occurs at Night waking patient
On an assessment of a patient with a colostomy, you note the stoma is located on the right area of the abdomen. Due to its location, this is known as what type of colostomy?*
Ascending colostomy
a test that assesses the function of the esophagus' ability to squeeze food down into the stomach and the closer of the lower esophageal sphincter is called a:
Esophageal manometry
The normal bladder capacity before you feel any sensation of urge to void is about:
300 cc
For the first 72 hours after thyroidectomy surgery, the nurse would assess the client for Chvostek's sign and Trousseau's sign because they indicate which of the following?
a. Hypocalcemia
b. Hypercalcemia
c. Hypokalemia
d. Hyperkalemia
a. Hypocalcemia
Why is prolonged NSAID use pathogenic for developing GI ulcers?
NSAIDs can cause damage to the gastroduodenal mucosa via several mechanisms, including the topical irritant effect of these drugs on the epithelium, impairment of the barrier properties of the mucosa, suppression of gastric prostaglandin synthesis, reduction of gastric mucosal blood flow and interference with the repair of superficial injury.
A patient is 8 hours post-op from a colostomy placement. Which finding requires immediate nursing action?
The stoma is black.
Which statement is INCORRECT?
The accidental loss of urine is called:
urge incontinence.
A client is admitted for treatment of the (SIADH). Which nursing intervention is appropriate?
a. Infusing I.V. fluids rapidly as ordered
b. Encouraging increased oral intake
c. Restricting fluids
d. Administering glucose-containing I.V. fluids as ordered
c. Restricting fluids