Upper Gastrointestinal Problems Paper
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The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. M.J. calls to tell the nurse that her 85-year-old mother has been
nauseated all day and has vomited twice. Before the nurse hangs
up and calls the health care provider, she should instruct M.J. to
a. administer antispasmodic drugs and observe skin turgor.
b. give her mother sips of water and elevate the head of her bed
to prevent aspiration.
c. offer her mother a high-protein liquid supplement to drink to
maintain her nutritional needs.
d. offer her mother large quantities of Gatorade to drink because
older adults are at risk for sodium depletion.
2. The nurse explains to the patient with Vincent’s infection that
treatment will include
a. smallpox vaccinations.
b. viscous lidocaine rinses.
c. amphotericin B suspension.
d. topical application of antibiotics.
3. The nurse teaching young adults about behaviors that put them at
risk for oral cancer includes
a. discouraging use of chewing gum.
b. avoiding use of perfumed lip gloss.
c. avoiding use of smokeless tobacco.
d. discouraging drinking of carbonated beverages.
4. The nurse explains to the patient with gastroesophageal reflux
disease (GERD) that this disorder
a. results in acid erosion of the esophagus from frequent
vomiting.
b. will require surgical wrapping or repair of the pyloric sphincter
to control the symptoms.
c. is the protrusion of a portion of the stomach into the esophagus
through an opening in the diaphragm.
d. often involves relaxation of the lower esophageal sphincter,
allowing stomach contents to back up into the esophagus.
5. A patient who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full
liquid diet is started postoperatively. The nurse recognizes that
these symptoms are most indicative of
a. an intolerance to the feedings.
b. extension of the tumor into the aorta.
c. leakage of fluid or foods into the mediastinum.
d. esophageal perforation with fistula formation into the lung
Upper Gastrointestinal Problems Paper Essay
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