HESI Case Studies – Peptic Ulcer Disease – Flashcards
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Which information is most significant when assessing a client suspected of having a peptic ulcer?
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Frequent use of aspirin or products containing aspirin.
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Which response by Gail supports a peptic ulcer? (select all that apply)
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The pain sometimes wakes me up at night. My pain is temporarily relieved when I drink milk. The pain is so bad that I get nauseated and sometimes I vomit.
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Which intervention should the nurse include?
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Instruct Gail not to take any antibiotics for 4 weeks prior to the test.
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Which information should the nurse provide?
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A pleasant-tasting solution is ingested and you breathe into a balloon.
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Gail asks the nurse. "What happens if my pain is due to the H. pylori bacteria?"
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Antibiotics and acid-suppressing medications are prescribed.
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Which priority intervention should the nurse implement when providing immediate post procedure care?
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Confirm the return of the gag reflex.
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Which action should the nurse include in the discharge preparation?
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Discuss the need to notify the HCP if fever or shoulder pain develop.
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How should the nurse respond to Gail's question?
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"The medication adheres to the lining of the stomach."
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Which instruction should the nurse discuss with Gail?
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Take the medication daily even if pain is not present.
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Which action should the nurse include in the teaching plan?
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Instruct Gail to eat three small meals and three snacks daily.
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Which information should the nurse provide?
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Foods that cause gastric pain should be avoided.
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What information should the nurse obtain from Gail during the teaching session?
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Ingestion of alcoholic beverages.
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Which nursing action takes priority when discussing stress and PUD with Gail?
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Discuss ways with Gail to reduce stress in her current work environment.
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Which intervention would the ED nurse implement first?
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Start an 18 gauge angiocath and infuse a normal saline solution.
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Which intervention should the nurse implement next?
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Place Gail in a recumbent position with her legs elevated.
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At how many mL/hr should the infusion pump be set?
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200
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In order to infuse the pantoprazole (Protonix), which intervention should the nurse implement?
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Start a saline lock in the other arm and infuse the medication over 30 minutes.
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Which intervention should the implement during the procedure?
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Observe the client's telemetry for dysrhythmias.
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Which action should the nurse implement?
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Notify the surgeon immediately.
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Which intervention should the nurse implement?
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Document the normal finding in the client's record.
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Which action should the nurse implement?
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Explain to Gail the symptoms of dumping syndrome.
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Which information should the nurse include in the discussion with Gail?
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Eat between four and six small meals a day.
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Which task(s) should the primary nurse delegate to the UAP)?
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Assist Gail with ambulation down the hall while using a gait belt. Empty the urinary catheter bags and record the output on the post-op clients.
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Which action should the primary nurse implement?
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Continue charting and take no action towards the unit clerk?
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Which intervention should the nurse include in discharge preparation?
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Explain that vitamin B12 levels should be routinely monitors after this surgery.
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Which instruction should the nurse include?
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Inspect the abdominal incisional site in the mirror.
