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Brunner and Suddarth's Textbook of Medical-surgical Nursing- Chapter 40
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Brunner and Suddarth's Textbook of Medical-surgical Nursing- Chapter 40
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Brunner and Suddarth's Textbook ofMedical-surgical Nursing- Chapter 40
Multiple Choice
Chapter 40: Management of Patients with Gastric and
Duodenal Disorders
1. A nurse is caring for a client who just has been diagnosed
with a peptic ulcer. When teaching the client about his new
diagnosis, how should the nurse best describe it?
A. Inflammation of the lining of the stomach
B. Erosion of the lining of the stomach or intestine
C. Bleeding from the mucosa in the stomach
D. Viral invasion of the stomach wall - Correct Answer ✅B
Rationale: A peptic ulcer is erosion of the lining of the
stomach or intestine. Peptic ulcers are often accompanied by
bleeding and inflammation, but these are not the definitive
characteristics.
PTS: 1 REF: p. 1270
,Brunner and Suddarth's Textbook of
Medical-surgical Nursing- Chapter 40
NAT: Client Needs: Physiological Integrity: Physiological
Adaptation
TOP: Chapter 40: Management of Clients With Gastric and
Duodenal Disorders
KEY: Integrated Process: Teaching/Learning BLM: Cognitive
Level: Apply
Multiple Choice
2. A nurse is admitting a client diagnosed with late-stage
gastric cancer. The client's family is distraught and angry that
the client was not diagnosed earlier in the course of her
disease. What factor most likely contributed to the client's
late diagnosis?
A. Gastric cancer does not cause signs or symptoms until
metastasis has occurred.
B. Adherence to screening recommendations for gastric
cancer is exceptionally low.
C. Early symptoms of gastric cancer are usually attributed to
constipation.
,Brunner and Suddarth's Textbook of
Medical-surgical Nursing- Chapter 40
D. The early symptoms of gastric cancer are usually not
alarming or highly unusual. - Correct Answer ✅D
Rationale: Symptoms of early gastric cancer, such as pain
relieved by antacids, resemble those of benign ulcers and are
seldom definitive. Symptoms are rarely a cause for alarm or
for detailed diagnostic testing. Symptoms precede
metastasis, however, and do not include constipation.
PTS: 1 REF: p. 1278
NAT: Client Needs: Physiological Integrity: Physiological
Adaptation
TOP: Chapter 40: Management of Clients With Gastric and
Duodenal Disorders
KEY: Integrated Process: Nursing Process BLM: Cognitive
Level: Analyze
Multiple Choice
3. A nurse is preparing to discharge a client after recovery
from gastric surgery. What is an appropriate discharge
outcome for this client?
, Brunner and Suddarth's Textbook of
Medical-surgical Nursing- Chapter 40
A. Bowel movements maintain a loose consistency.
B. Three large meals per day are tolerated.
C. Weight is maintained or gained.
D. High calcium diet is consumed. - Correct Answer ✅C
Rationale: Weight loss is common in the postoperative period,
with early satiety, dysphagia, reflux and regurgitation, and
elimination issues contributing to this problem. The client
should weigh oneself daily, with a goal of maintaining or
gaining weight. The client should not have bowel movements
that maintain a loose consistency, because this would
indicate diarrhea and would warrant intervention as it is a
symptom of dumping syndrome. The client should be able to
tolerate six small meals per day, rather than three large
meals. The client does not require a diet excessively rich in
calcium but should consume a diet high in calories, iron,
vitamin A and vitamin C.
PTS: 1 REF: p. 1277
NAT: Client Needs: Physiological Integrity: Reduction of Risk
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