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Lewis Medical Surgical Nursing: Chap 46 Upper GI Problems QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+ $13.99   Add to cart
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Lewis Medical Surgical Nursing: Chap 46 Upper GI Problems QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+
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Lewis Medical Surgical Nursing: Chap 46 Upper GI Problems QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • November 15, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing 12th
  • a affected person admitted with a peptic ulcer has
  • a affected person has been admitted with hypotensi

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  • Lewis Medical Surgical Nursing 12TH

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Lewis Medical Surgical Nursing: Chap
46 Upper GI Problems

A affected person admitted with a peptic ulcer has a nasogastric (NG) tube in area. When the
affected person develops unexpected, severe top stomach ache, diaphoresis, and a firm
stomach, which action might the nurse take?
A. Irrigate the NG tube.
B. Check the important signs and symptoms.
C. Give the ordered antacid.
D. Elevate the foot of the bed. - ANS-ANS: B The affected person's signs suggest acute
perforation, and the nurse need to investigate for symptoms of hypovolemic shock. Irrigation of
the NG tube, management of antacids, or each would be contraindicated due to the fact any
cloth in the belly will boom the spillage into the peritoneal hollow space. Elevating the foot of the
bed may boom abdominal strain and soreness, as well as making it more tough for the patient
to respire.
A affected person has been admitted with hypotension and dehydration after 3 days of nausea
and vomiting. Which prescribed movement will the nurse put in force first?
A. Insert a nasogastric (NG) tube.
B. Infuse normal saline at 250 mL/hr.
C. Administer IV ondansetron (Zofran).
D. Provide oral care with moistened swabs. - ANS-ANS: B Because the affected person has
intense dehydration, rehydration with IV fluids is the concern. The different orders could be
executed after the IV fluids are initiated.
A affected person has simply been admitted to the emergency department with nausea and
vomiting. Which records calls for the most fast intervention by way of the nurse?
A. The patient has been vomiting for 4 days.
B. The affected person takes antacids 8 to ten instances an afternoon.
C. The affected person is torpid and difficult to arouse.
D. The patient had a small intestinal resection 2 years ago. - ANS-ANS: C A lethargic affected
person is at hazard for aspiration, and the nurse will want to put the affected person to decrease
aspiration hazard. The different statistics is also vital to gather, but it does not require as short
action as the danger for aspiration.
A patient has peptic ulcer disorder related to Helicobacter pylori. Which medicinal drugs will the
nurse plan to educate the affected person?
A. Sucralfate (Carafate), nystatin, and bismuth (Pepto-Bismol)
b. Metoclopramide (Reglan), bethanechol, and promethazine
c. Amoxicillin (Amoxil), clarithromycin, and omeprazole (Prilosec)
d. Famotidine (Pepcid), magnesium hydroxide (Mylanta), and pantoprazole - ANS-ANS: C The
tablets utilized in triple drug therapy consist of a proton pump inhibitor including omeprazole and

, the antibiotics amoxicillin and clarithromycin. The different combos indexed aren't protected
within the protocol for H. Pylori infection
A affected person is admitted with viable botulism poisoning after ingesting home-canned green
beans. Which intervention ordered by way of the health care provider might the nurse question?
A. Encourage oral fluids to 3 L/day.
B. Document neurologic signs.
C. Position affected person mendacity at the facet.
D. Observe respiratory status intently. - ANS-ANS: A The patient need to no longer have oral
fluids due to the fact neuromuscular weakness will increase risk for aspiration. Side-mendacity
position and assessment of neurologic and respiratory popularity are predicted interventions.
A patient is identified with stomach cancer after an unintentional 20-lb weight reduction. Which
motion would the nurse include in the plan of care?
A. Refer the affected person for hospice offerings.
B. Infuse IV fluids thru a principal line.
C. Teach the patient approximately antiemetic therapy.
D. Offer supplemental feedings among meals. - ANS-ANS: D The affected person data imply a
negative nutritional country and improvement in vitamins might be useful in improving the
reaction to remedies which include surgical operation, chemotherapy, or radiation. Nausea and
vomiting aren't not unusual clinical manifestations of belly cancer. There isn't any indication that
the affected person calls for hospice or IV fluid infusions
A affected person lower back from a laparoscopic Nissen fundoplication for hiatal hernia four
hours in the past. Which assessment finding is maximum vital for the nurse to address without
delay?
A. The affected person reviews 7/10 (0 to 10 scale) stomach pain.
B. The affected person is experiencing intermittent waves of nausea.
C. The affected person has no breath sounds inside the left anterior chest.
D. The patient has hypoactive bowel sounds in all 4 quadrants. - ANS-ANS: C Decreased
breath sounds on one side may imply a pneumothorax, which requires fast prognosis and
remedy. The nausea and abdominal ache could be addressed, however they're no longer as
high priority as the affected person's respiratory popularity. Decreased bowel sounds are
anticipated after surgery and require ongoing tracking but no other action.
A patient vomiting blood-streaked fluid is admitted to the medical institution with acute gastritis.
What might the nurse ask the patient about to determine viable danger elements for gastritis?
A. The amount of saturated fats within the diet
b. A family history of gastric or colon most cancers
c. Use of nonsteroidal antiinflammatory tablets
d. A records of a big latest weight gain or loss - ANS-ANS: C Use of an NSAID is associated
with damage to the gastric mucosa, that may result in acute gastritis. Family records, recent
weight advantage or loss, and fatty foods are not danger elements for acute gastritis.
A affected person who has gastroesophageal reflux ailment (GERD) is experiencing increasing
pain. Which affected person assertion to the nurse indicates a need for additional coaching
about GERD?
A. ―I quit smoking years ago, however I chunk gum.‖
b. ―I eat small food and feature a bedtime snack.‖

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