Question

Please answer the following questions:

1. Ellen is a 65-year-old female who presented to the emergency Department with epigastric discomfort, loss of appetite, and weight loss. she has a history of diabetes and alcoholism. Based on Ellen symptoms and history which of the following does she likely have.

1. peptic ulcer disease
2. gastrointestinal bleed
3. gastric cancer
4. candidiasis

2. A nurse is caring for a 56-year-old female who presented to the emergency Department with feeling of fullness in the chest dysphagia and chest pain. She states that she has been having these symptoms for the past couple of months. Which of the following conditions could she be exhibiting based on her symptoms?

1. peptic ulcer disease
2. gastritis
3. hiatal hernia
4. gastroesophageal reflux disease

3. A nurse is caring for a patient who recently underwent a colon resection. The patient has an Ng tube to low intermittent suction, upon assessment the patient is complaining of increasing abdominal pain. Which nursing intervention will the nurse perform first?

1. Vital Signs
2. Perform a pain assessment
3. Auscultate bowel sounds
4. Assess patency of the Ng tube

4. A nurse is caring for a patient diagnosed with a bleeding gastric ulcer. Based on his diagnosis, you would anticipate the patient stool to have which of the following assessments?

1. Coffee-ground
2. Bright red
3. Black and tarry
4. Formed green

5. A nurse is caring for a 37-year-old male who presented to the emergency Department with weight loss, bloating, and bruising. The patients stool test and hydrogen breath tests were positive. Which of the following conditions is the patient exhibiting?

1. Cholecystitis
2. Malabsorption
3. Pancreatitis
4. Crohn’s disease

6. A nurse is caring for a patient that has recently been diagnosed with ulcerative colitis. Which of the following statements by the patient would indicate an understanding of the disease process?

1. “it is caused by an inflammatory process of the GI tract”
2. “diet modification can cure the disease”
3. “there is no cure for this disease”
4. “I am at a lower risk of developing cancer”

7. During a physical assessment of a client endocrine system, which gland can be palpitated?

1. Pancreas
2. Thyroid
3. Adrenal glands
4. Parathyroid

8. Which of the following interventions would meet the multidimensional needs of a patient experiencing an upper gastrointestinal disorder? (select all that apply)

1. consult the dietitian for cultural dietary needs
2. conduct a cultural assessment
3. provide an interpreter
4. provide emotional and spiritual support

9. A nurse is caring for a Hispanic patient who was recently been diagnosed with type 2 diabetes. Which of the following interventions are important to implement to improve compliance following discharge? (select all that apply)

1. Consult the dietitian to instruct on dietary restrictions
2. Conduct a cultural assessment
3. Consult diabetes educator
4. Provide written instructions in Spanish

10. You are providing education for a patient recently diagnosed with gastroesophageal reflux disease. Which of the following foods should the patient avoid?

1. Low-fat foods
2. Salad
3. Coffee
4. White bread

11. A nurse is caring for a patient with a nasogastric (NG) tube. Which of the following is not an appropriate action by the nurse?

1. Check the tube placement every 4 to 8 hours
2. Measure and document the NG drainage
3. Pin the tube to the client’s gown so the client can’t turn the head
4. Provide oral care every 4 to 8 hours

Answer 1

1. Gastric cancer

Age and history of weight loss

2. Option D , GERD

3.Option C,

Auscultate for Bowel sounds, there may be obstruction following surgery

4.option c, black and tarry

5.option d, Crohn's disease.

This test for fermentation of lactose

6.option a, and c is correct

7.option b, thyroid gland

8.b, a, d, c

Arranged in the importance of requirement

9.a, b, c, d

10.option c, coffee

Food to be avoided:-

High fat foods.

Caffeine.

Chocolate.

Onions.

Peppermint.

Carbonated beverages.

Alcohol.

Citrus and tomato products.

11. Option c

Never pin NG to the gown it can get easily pulled out.