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Adult Health Mod 3 Exam Questions And Correct Answers
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Adult Health Mod 3 Exam Questions And Correct AnswersA client is suspected to have a peptic ulcer in the duodenum. What does the nurse
expect the client to report when describing the pain that comes with this disease?
A) A radiating ache to the left side
B) An intermittent colicky flank pain
C) A gnawing sensation often caused by H. pylori
D) A generalized abdominal pain intensified by moving
ANSWER A A gnawing sensation often caused by H. pylori
A nurse is discharging a client with a diagnosis of gastroesophageal reflux disease.
What should the nurse instruct the client to do to limit symptoms of GERD? Select all
that apply.
Avoid heavy lifting.
Lie down after eating.
Avoid drinking alcohol.
Eat small, frequent meals.
Increase fluid intake with meals.
Wear an abdominal binder or girdle. - ANSWER Avoid heavy lifting.
Avoid drinking alcohol.
Eat small, frequent meals.
The nurse is obtaining a history and performing a physical examination on a client who
has been newly diagnosed with cancer of the tongue. What clinical manifestations can
the nurse expect to find? Select all that apply.
,Bad breath
Leukoplakia
Bleeding gums
Substernal pain
Altered taste
Swollen cervical lymph nodes - ANSWER Leukoplakia
Altered taste
Swollen cervical lymph nodes
A patient reports pain related to a gastric ulcer. Which clinical manifestations will the
nurse be most likely to find when assessing the client's pain?
Vomiting relieves pain.
Ingestion of food eliminates pain.
Pain is gnawing.
Flatulence accompanies pain.
Pain occurs half hour after meals - ANSWER Vomiting relieves pain
Pain is gnawing
Pain occurs half hour after meals
What client factor does the nurse consider has the most significant influence on the
success of bariatric surgery?
Freedom from concurrent high-risk conditions
Motivation to cooperate with required life-style changes
Willingness to have a panniculectomy a year after weight is stabilized
, Ability to tolerate the large abdominal incision necessary for this surgery - ANSWER
Motivation to cooperate with required lifestyle changes
A client who has undergone a jejunoileal bypass for morbid obesity presents to the
outpatient clinic six weeks following discharge and relates incidents of palpitations,
abdominal cramps, diarrhea, and dizziness beginning 30 minutes after meals. Which of
the following complications should the nurse suspect that the client is most likely
experiencing?
Gastric reflux
Reflux gastritis
Dumping syndrome
Abdominal peritonitis - ANSWER Dumping syndrome
A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the existing
nasogastric tube that is currently being used for feedings. What does the nurse explain
is the reason a PEG tube is preferred for receiving a tube feeding?
Aspiration is less likely to occur.
A pump is not needed with this procedure.
Self-feed of feeding is possible .
More tube feeding mixture can be given each time.- ANSWER There is less chance of
aspiration
The client has melena and underwent an exploratory laparotomy where gastric cancer
was found. The client subsequently underwent a partial gastrectomy and surgical
placement of a jejunostomy tube. The client returns to the nursing floor with a
nasogastric tube to suction. Which of the following does the nurse expect concerning
the client's nasogastric tube drainage during the first 24 hours post-operative period?
Minimal to no drainage
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