GI Quiz

Imagine you are a nurse in a busy city hospital. A patient comes in and after an EGD, it is confirmed that they have PUD. After three hours, the patient is admitted to the medical unit for further testing. Upon admission, the patient reports experiencing midline epigastric tenderness and indigestion (dyspepsia). The doctor prescribes triple therapy for the patient. As the nurse, which medications would you expect to administer to the patient?

• Lansoprazole, metronidazole, & clarithromycin

• Pantoprazole, lansoprazole, amoxicillian

• Famotidine, ondasetron, pantoprazole

• Bismuth, ranitidine, omeprazole

John, a patient who has been diagnosed with peptic ulcers, is getting ready to be discharged from the hospital. The nurse, Susan, is providing him with some advice on behaviors that can help reduce his symptoms and prevent aggravation of his condition.

What advice does Susan give to John? (Select all that apply.)

• She advises him to sit upright for 30 to 60 minutes after eating a meal.

• She suggests adding spices to his food to enhance the taste.

• She tells him to report any instances of extreme vomiting to his physician immediately.

• H. pylori can be a concern in patients with peptic ulcers, she informs him.

Which diagnostic results support the diagnosis of peptic ulcer disease (PUD)? (Select all that apply.)

• Low Hemoglobin (Hgb)

• Low WBC

• Low HCT

• Positve H-Pylori

• Low pottassium of 3.4 mEq/L

A client is hospitalized for gastric ulcer related to Helicobacter pylori. Which of the following data would the nurse expect to obtain during health history taking for the client?

• Nausea after meal

• Nausea relieved after meal

• Pain after meal

• Pain relieved after meal

A nurse is monitoring a client for the signs of dumping syndrome. Which of the following should the nurse look for?

• Absence of bowel sound and constipation

• Increased blood pressure and chest pain

• Sweating and dizziness

• Tachypnoea and cyanosis