chapter 33 upper GI disorders

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What is the main purpose of vomiting according to the text?

To indicate dehydration
To expel harmful substances from the body, common causes are infections, motion sickness, pregnancy, medications (correct)
To cause metabolic alkalosis
To provide relief from nausea

Which of the following is NOT listed as a common cause of nausea and vomiting in the text?

Infections
Radiation exposure (correct)
Pregnancy
Motion sickness

What should nurses assess for when monitoring a patient experiencing nausea and vomiting?

Signs of dehydration, such as headache, weakness and oliguria (correct)
Body temperature changes
Respiratory rate abnormalities
Blood pressure only

Which intervention for nausea and vomiting involves providing odor-free and clean surroundings?

Maintaining a clean environment as well as oral care, daily weights, iv fluids, ng tube /Zofran, reglan, Phenergan (D) Signup and view all the answers

What should nurses monitor related to electrolytes when caring for patients with nausea and vomiting?

electrolytes, Potassium levels, hemogloblin and hematocrit thicker more concentrated, also due to loss of hydrochloric acid patients may develop metabolic alkalosis(PH will be elevated) (A) Signup and view all the answers

Why might patients with prolonged vomiting develop metabolic alkalosis?

Due to loss of stomach hydrochloric acid (A) Signup and view all the answers

What does emesis that looks like 'coffee grounds' usually indicate according to the text?

Bleeding in the stomach(digestive blood), if given IV fluid monitor for fluid overload and also dependent patients should be turned to side to prevent aspiration (D) Signup and view all the answers

Which of the following is NOT a potential complication of anorexia nervosa?

Hyperthyroidism (D) Signup and view all the answers

Which age group is at the highest risk for developing anorexia nervosa?

Females aged 12 to 18, males make up less than 10 percent (C) Signup and view all the answers

Which of the following is a priority of care for patients with anorexia nervosa?

Restoration of nutritional health (C) Signup and view all the answers

Which electrolyte imbalance is commonly associated with anorexia nervosa?

Decreased potassium (D) Signup and view all the answers

Which of the following nursing interventions is NOT recommended for patients with anorexia?

Encouraging the patient to exercise regularly (A) Signup and view all the answers

What percentage of patients with anorexia nervosa are male?

Less than 10% (D) Signup and view all the answers

Which of the following is a potential cause of anorexia?

Medications, treatments, stress, emotional problems, infections, females with low self-esteem are at high risk, patients often have a phobia of gaining weight (C) Signup and view all the answers

What is the term used to describe the growth of fine, downy hair on the body in patients with anorexia nervosa?

Lanugo (D) Signup and view all the answers

Which of the following are nursing intervention for a patient with anorexia nervosa?

Monitoring the rate of tube feeding or IV fluid administration,Monitoring vital signs, EKG, and lab values,Assessing that the patient has access to preferred foods, Accurate documentation or intake and output are important. (A) Signup and view all the answers

Which of the following statements about anorexia nervosa is TRUE?

Early treatment results in a better prognosis. (C) Signup and view all the answers

Which of the following is NOT a complication associated with anorexia nervosa?

Hyperthyroidism (D) Signup and view all the answers

What is the term used to describe the growth of fine, downy hair on the body in patients with anorexia nervosa?

Lanugo (D) Signup and view all the answers

What is the priority of care for patients with anorexia nervosa?

Restoration of nutritional health, all of them above (C) Signup and view all the answers

Which of the following is NOT mentioned as a therapeutic measure for anorexia nervosa in the text?

Cognitive Behavioral Therapy (B) Signup and view all the answers

Which of the following are listed as a complication of anorexia nervosa in the text?

Results in poor nutritional health  Body tries to conserve energy  Pulse and blood pressure fall  Heart and kidney failure  Osteoporosis  Muscle loss  Vitamin and electrolyte imbalance  Diabetes  Constipation  Amenorrhea  Lanugo  Cardiac arrhythmias (D) Signup and view all the answers

What is the primary method used by patients with Bulimia Nervosa to avoid weight gain?

\compulsive eating and self induced throwing up known as binging and purging (C) Signup and view all the answers

Which condition can result from electrolyte imbalances in patients with Bulimia Nervosa?

Heart failure, dysrhythmias, and death (B) Signup and view all the answers

What is a common physical sign seen in patients with Bulimia Nervosa related to dental health?

Staining of the teeth, enamel erosion (A) Signup and view all the answers

Which statement accurately describes Morbid Obesity?

BMI over 40 (D) Signup and view all the answers

What is the primary health risk associated with obesity?

Gallbladder disease, heart disease, hypertension, sleep apnea, type 2 diabetes, atherosclerosis (C) Signup and view all the answers

Which intervention is essential for managing patients with Morbid Obesity?

Education on healthy diet and exercise, caloric restriction (C) Signup and view all the answers

What is a potential complication associated with obesity?

Atherosclerosis (C) Signup and view all the answers

Which behavior can contribute to the development of Morbid Obesity?

Energy balance, Educate patient to:  Decrease stress  Change concepts about food  Encourage joining support group (C) Signup and view all the answers

What is a significant difference between Anorexia Nervosa and Bulimia Nervosa in terms of caloric intake?

'Binging and purging' in Bulimia Nervosa avoids weight gain. (B) Signup and view all the answers

What is a common method used by patients with Bulimia Nervosa to purge the body of food and avoid weight gain?

Laxatives (D) Signup and view all the answers

What is a potential life-threatening complication that may indicate a patient is a candidate for bariatric surgery?

BMI over 40 with life-threatening obesity-related diseases or BMI 35-40 with life threatning obesity (A) Signup and view all the answers

In laparoscopic adjustable gastric banding, what is the purpose of the inflatable band placed around the stomach?

To limit food intake an inflatable band is placed around the upper portion of the stomach. A small sack is made to limit the amount of food that the patient eats. This procedure can be reversed (B) Signup and view all the answers

What is the purpose of a sleeve gastrectomy in bariatric surgery? Only a slim gastric sleeve is left. reduces 75 percent of stomach

To decrease hormone that produces hunger (B) Signup and view all the answers

What is the effect of Roux-en-Y gastric bypass on the stomach and small intestine?

reduces size of stomach and the small intestine Creates a small thumb-sized gastric pouch (A) Signup and view all the answers

What is one of the complications associated with bariatric surgery that may require lifelong supplementation?

Protein, vitamin, and mineral deficiencies, Vomiting due to overeating  Bloating  Heartburn  Staple disruption  Obstruction  Dumping syndrome  Protein, vitamin, and mineral deficiencies  Lifelong supplements are often required  Compliance can be an issue  Band slippage  Intestinal Leakage (D) Signup and view all the answers

What dietary recommendation is important post-bariatric surgery to avoid gastrointestinal upset?

Patients will be started on a clear liquid diet. This is because of the small pouch that has been created.  Only a small amount of fluid at a time is allowed (30 ml).  The diet is increased to full liquids and pureed foods.  Patient should be able to tolerate the appropriate amount of regular foods at about 6 weeks post surgery.  Diet is very important! If not will likely have GI upset  Patients usually can not eat and drink at the same time due to the small gastric pouch that has been created. (C) Signup and view all the answers

Why is long-term support and follow-up essential for patients who have had bariatric surgery?

To monitor for complications and skin changes wait 1 year to have skin removed (B) Signup and view all the answers

What is one potential risk associated with pathogens in the mouth according to the text?

Complications in respiratory and cardiac diseases (B) Signup and view all the answers

What medication is commonly used to treat candidiasis (thrush), an oral infection mentioned in the text?

Nystatin oral swish and swallow medication (A) Signup and view all the answers

What is a potential complication of esophageal cancer that may require esophageal dilation or stent placement?

Stricture formation (B) Signup and view all the answers

Which diagnostic study is commonly used to assess esophageal cancer?

EGD, barium swallow tests and biopsy (C) Signup and view all the answers

What is a common symptom of hiatal hernia that may lead to its diagnosis?

Heartburn, pain, feeling of fullness, or reflux (B) Signup and view all the answers

Which lifestyle modification is commonly recommended for managing hiatal hernia?

Small meals and avoiding reclining after eating, rasie HOB, avoid alcohol, smoking cessation (B) Signup and view all the answers

What is the primary focus of nursing care for patients with esophageal cancer?

Nutritional needs, fluid intake, swallowing as appropriate, monitor PN nutrition, airway and breathing and pain management (A) Signup and view all the answers

What is a potential serious complication of hiatal hernia that may warrant fundoplication surgery?

Strangulation or obstruction (A) Signup and view all the answers

What is a key risk factor associated with esophageal cancer?

Alcohol use and tobacco (D) Signup and view all the answers

Which of the following symptoms are typically associated with esophageal cancer?

Progressive dysphasia, a feeling of fullness, pain in the chest after eating, foul breath (A) Signup and view all the answers

What is a precancerous condition associated with esophageal cancer?

Barrett's esophagus (B) Signup and view all the answers

What is a common nursing intervention for patients with esophageal cancer undergoing treatment?

Monitoring IV nutrition and fluids (C) Signup and view all the answers

What is a common oral infection in immunosuppressed or chemotherapy patients?

Candidiasis (thrush) (D) Signup and view all the answers

What is a sign or symptom that may indicate oral cancer, according to the information provided?

Difficulty swallowing or speaking, Leukoplakia  Painless or tender ulcers  Oral sore that won’t heal  Swollen cervical lymph nodes  Oral cancer is usually diagnosed with a biopsy. (A) Signup and view all the answers

Which of the following are mentioned as a treatment option for oral cancer?

Treated with radiation, chemotherapy, surgery or a combination of these treatmentsEsophageal resection  Esophagogastrostomy  Esophageal dilation or stent placement for inoperable tumors (A) Signup and view all the answers

What is a potential risk associated with pathogens in the mouth, according to the text?

Respiratory and cardiac diseases, Some dependent patients may be unable to complete the task of oral care for themselves.  Changes that are associated with aging and disease can result in inflammation and infection (B) Signup and view all the answers

Which of the following is a priority nursing care focus for patients undergoing treatment for oral cancer?

Nutritional needs, airway management, pain management, and education stop alcohol and tobacco use (A) Signup and view all the answers

According to the information provided, which of the following is a risk factor for developing oral cancer?

Both alcohol and tobacco use (D) Signup and view all the answers

What is the purpose of a radical or modified neck dissection, as mentioned in the text?

To remove cancerous lymph nodes (B) Signup and view all the answers

Based on the information provided, which of the following statements is TRUE regarding oral cancer?

It is usually found in the pharynx (B) Signup and view all the answers

What is a recommended preventive measure for reducing the risk of oral cancer?

Stopping alcohol and tobacco use (A) Signup and view all the answers

What is the primary mechanism of action for proton pump inhibitors like Protonix, Nexium, and Prilosec in treating GERD?

They irreversibly block the H+/K+ ATPase enzyme or gastric proton pump found in parietal cells (B) Signup and view all the answers

What is the primary cause of a Mallory-Weiss tear (MWT)?

Sudden, powerful, or prolonged vomiting or coughing, a longitudinal tear in the mucous membrane of the esophagus and stomach junction (C) Signup and view all the answers

Which of the following statements about esophageal varices is true?

They are dilated blood vessels in the esophagus that develop from portal hypertension (C) Signup and view all the answers

What type of medication is commonly used for the prevention of esophageal variceal bleeding?

Beta blockers such as propranolol and nadolol (B) Signup and view all the answers

Which of the following are recommended lifestyle modification for managing GERD?

Weight loss, smoking cessation, avoiding alcohol, chocolate, fatty foods, and caffeinated sodas (D) Signup and view all the answers

What is the primary purpose of antacids like Tums, Mylanta, and Maalox in the management of GERD?

They neutralize stomach acid (B) Signup and view all the answers

In patients with Mallory-Weiss tears (MWT), what percentage is reported to misuse alcohol?

75% (D) Signup and view all the answers

What is the most common intervention for managing bleeding from a Mallory-Weiss tear (MWT)?

Conservative management with proton pump inhibitors and antiemetic medications, blood transfusions, or endoscopy (D) Signup and view all the answers

What is the primary mechanism of action for H2 receptor antagonists like Pepcid and Tagamet in treating GERD?

They compete with histamine for H2 receptors on parietal cells, depressing production of hydrochloric acid (C) Signup and view all the answers

What is the primary intervention for managing acute bleeding from esophageal varices?

Endoscopic variceal ligation using rubber bands (A) Signup and view all the answers

Which of the following is the primary mechanism by which hiatal hernias can contribute to the development of Gastroesophageal Reflux Disease (GERD)?

Hiatal hernias disrupt the anti-reflux barrier formed by the lower esophageal sphincter, allowing gastric contents to reflux into the esophagus. (B) Signup and view all the answers

Which of the following diagnostic tests is primarily used to detect and monitor acid reflux in patients suspected of having Gastroesophageal Reflux Disease (GERD)?

barium swallow, esophagoscopy, and pH monitoring of the esophagus (B) Signup and view all the answers

Which of the following lifestyle modifications is NOT recommended for managing hiatal hernias or Gastroesophageal Reflux Disease (GERD)?

Consuming large, infrequent meals (A) Signup and view all the answers

In cases of severe or refractory Gastroesophageal Reflux Disease (GERD), what surgical procedure may be performed to reinforce the anti-reflux barrier?

Fundoplication where the fundus folds down and sown into esophegeal sphincter (C) Signup and view all the answers

Which of the following complications of Gastroesophageal Reflux Disease (GERD) is a precancerous condition that increases the risk of developing esophageal adenocarcinoma?

esophagitis leading to Barrett's esophagus (A) Signup and view all the answers

Which of the following respiratory complications is associated with Gastroesophageal Reflux Disease (GERD)?

Respiratory complications: Asthma, aspiration pneumonia, bronchospasm, laryngospasm, chronic bronchitis (C) Signup and view all the answers

Which type of hernia is described in the text, where part of the stomach protrudes through the diaphragm?

Hiatal hernia (B) Signup and view all the answers

According to the information provided, which of the following risk factors is associated with the development of hiatal hernias?

All of the above (D) Signup and view all the answers

Which of the following symptoms is NOT mentioned as a potential sign or symptom of a hiatal hernia in the text?

Dysphagia (difficulty swallowing) (B) Signup and view all the answers

What is the primary complication when severe acute gastritis leads to mucosal gangrenous perforation?

Peritonitis (C) Signup and view all the answers

Which type of gastritis occurs in the fundus of the stomach and is associated with autoimmune issues?

Type A gastritis Patients are usually asymptomatic  These patients do not produce adequate amounts of intrinsic factor from the stomach cells. This results in difficulty absorbing vitamin B12. The result of this is pernicious anemia (C) Signup and view all the answers

What symptom typically indicates chronic gastritis occurring over time?

Asymptomatic (D) Signup and view all the answers

Which medications are typically ordered for regular gastritis management?

include antacids, antiemetics, and histamine receptor antagonists. (A) Signup and view all the answers

What occurs when patients with chronic gastritis do not produce adequate intrinsic factor?

Pernicious anemia (A) Signup and view all the answers

Which symptom is a common sign of gastritis caused by contaminated food?

Diarrhea starting in 5 to 6 hours, all of them basically (B) Signup and view all the answers

What is the initial therapeutic measure recommended for treating acute gastritis?

Bland diet and removing irritating substances Occurs when the productive mucous membrane is broken down. This allows for auto digestion to occur.  Stomach is no longer protected from pepsin and hydrochloric acid.  Complications:  Inflammation results in edema and possible hemorrhage.  With severe gastritis, mucosa can become gangrenous and perforate leading to peritonitis  Scarring may also occur (B) Signup and view all the answers

What is the primary focus of therapeutic treatment for Stress-Induced Gastritis?

Restoring blood flow to the GI tract and using prophylactic medications (D) Signup and view all the answers

What is a possible risk for stress induced gastritis

schemia and damage to the mucosa occur which can lead to acid created ulcerations. Life threatening bleeding can be the result of this (A) Signup and view all the answers

Which of the following substances are mentioned as a potential cause of Gastritis?

alcohol, spicy foods, microorganisms, medications, stress, and, smoking, (D) Signup and view all the answers

What is a common symptom associated with Type B gastritis affecting the lower end of the stomach?

Nausea and vomiting, poor appetite, heartburn after eating, belching, a sour taste (A) Signup and view all the answers

Which lifestyle factor is NOT identified as a possible cause of gastritis in the text?

Exercising regularly (A) Signup and view all the answers

What is a key difference in the development between Type B Gastritis, type a gastritis and Stress-Induced Gastritis?

Location in the stomach, type b is lower end of stomach, type A is fundus of stomach, and stress gastritis (D) Signup and view all the answers

Which symptom can indicate a perforated ulcer, according to the text?

Intermittent sharp pain (C) Signup and view all the answers

What is the most appropriate nursing intervention for a patient with a perforated ulcer?

Initiating IV fluids and monitoring vital signs, Discomfort&pain poor nutrition and bad sleep can lead to peptic ulcers, Antiobiotic, amoldine, fumodine (C) Signup and view all the answers

Which diagnostic test is LEAST likely to be ordered for a suspected peptic ulcer?

Colonoscopy (B) Signup and view all the answers

What is a potential consequence of untreated H. pylori infection in peptic ulcer disease?

Higher likelihood of recurrent ulcers, A perforated ulcer is a medical emergency and usually requires emergent surgical intervention.  Gastroduodenal contents are spilled into the abdominal cavity and result in an inflammation known as peritonitis.  Can lead to septicemia and hypovolemic shock (D) Signup and view all the answers

How long is the most effective treatment regime for H. pylori infection, as per the text? Three medications. Usually two antibiotics and a PPI (sometimes a H2 antagonist)

14 days (D) Signup and view all the answers

Which intervention is essential in the management of a patient with peritonitis caused by a perforated ulcer?

Monitoring for signs of septicemia and hypovolemic shock (B) Signup and view all the answers

What is a key difference in the presentation of duodenal ulcers compared to gastric ulcers?

Duodenal ulcers often have relief after meals (A) Signup and view all the answers

What is a common complication associated with perforated duodenal ulcers?

Development of peritonitis (D) Signup and view all the answers

What is the primary cause of Peptic Ulcer Disease (PUD) as mentioned in the text?

H.pylori infection (C) Signup and view all the answers

Which part of the gastrointestinal (GI) tract is most at risk for peptic ulcers according to the text?

Duodenum (B) Signup and view all the answers

What happens when the damaged mucosa can no longer produce enough mucus to protect the tissue from acid in Peptic Ulcer Disease (PUD)?

Erosion occurs due to increase of the activity of hydrochloric acid and pepsin (C) Signup and view all the answers

Which of the following statements about Peptic Ulcer Disease (PUD) is FALSE based on the provided text?

Duodenal ulcers are less common than gastric ulcers. (D) Signup and view all the answers

What is the most concerning symptom for a patient taking Ibuprofen regularly, as per the provided text? NSAIDS are bad for PUD

Stomach pain and indigestion (C) Signup and view all the answers

In Peptic Ulcer Disease (PUD), what is the primary problem that arises due to erosion of the mucosa?

Inadequate mucus production for tissue protection (D) Signup and view all the answers

What is the most common cause of gastrointestinal bleeding according to the text?

Peptic ulcers (D) Signup and view all the answers

What term is used to describe blood in vomit?

Hematemesis (B) Signup and view all the answers

Which symptom may be indicative of a severe gastrointestinal bleeding episode?

HYPOVOLEMIC SHOCK-Weak, thready pulse, hypovolemic shock:  Hypotension  Tachycardia  Tachypnea  Chills  Palpitations  Weak, thready pulse (A) Signup and view all the answers

In the context of gastric bleeding, what does 'NPO' stand for?

Nothing by mouth (D) Signup and view all the answers

What is the medical term for black tarry stools indicating blood loss?

Melena (D) Signup and view all the answers

What intervention is commonly anticipated for patients experiencing gastrointestinal bleeding?

Insertion of urinary catheter,placement of an NG tube, oxygen therapy, and medications as appropriate. (A) Signup and view all the answers

'Coffee ground emesis' is associated with which condition in the gastrointestinal system?

Peptic ulcers (B) Signup and view all the answers

What effect may be seen in vomit that indicates gastric bleeding?

Coffee grounds like appearance (C) Signup and view all the answers

What is the primary health risk associated with gastric cancer? Gastric cancer is when a malignant lesion is found in the stomach.  More common is males than in females.  H. pylori plays a part in the development of some gastric cancers

Metastasis to other organs (C) Signup and view all the answers

Which factor contributes to the development of some gastric cancers according to the text?

H.pylori infection (B) Signup and view all the answers

What is the main purpose of a Billroth I procedure?

Distal portion of the stomach is removed. The remainder of the stomach is attached surgically to the duodenum (C) Signup and view all the answers

Which diagnostic study is commonly used to detect gastric cancer?

Endoscopy (B) Signup and view all the answers

What is a common nursing intervention for post-surgical care following a total gastrectomy?

include pain management and assessment of the incision. monitor vital signs and maintain NG tube as ordered by the provider (D) Signup and view all the answers

Why is gastric cancer often not diagnosed early according to the text?

Non-specific signs and symptoms (C) Signup and view all the answers

What is the primary treatment for gastric cancer according to the text?

Surgical removal of the cancer (C) Signup and view all the answers

What is a common risk factor associated with the development of gastric cancer?

Consuming smoked fish or meats (B) Signup and view all the answers

Which procedure involves the attachment of the distal stomach surgically to the duodenum?

Billroth I procedure (A) Signup and view all the answers

What is a common complication associated with Billroth II procedure in treating duodenal ulcers?

Dumping syndrome due to rapid emptying of food into the jejunum (B) Signup and view all the answers

What should nurses monitor closely for in patients post Billroth II procedure?

Dumping syndrome symptoms (A) Signup and view all the answers

Which dietary recommendation should be a priority for patients undergoing Billroth II procedure?

Low-residue diet (B) Signup and view all the answers

What is an important aspect of nursing care after a total gastrectomy? total gastrectomy involves the complete removal of the stomach. The esophagus and the jejunum are then attached

Monitoring electrolyte levels (D) Signup and view all the answers

Which of the following statements about gastric cancer is true?

Total gastrectomy involves the complete removal of the stomach and attachment of the esophagus to the jejunum. (D) Signup and view all the answers

Which of the following are recommended nursing intervention for a patient with gastric bleeding?

All of the above (D) Signup and view all the answers

In the context of gastric cancer treatment, what is the primary purpose of surgery if the cancer has already metastasized?

To relieve symptoms caused by the metastatic cancer. (C) Signup and view all the answers

Which of the following statements about gastric bleeding is NOT true?

Monitoring the color of the mucous membranes is unnecessary. (D) Signup and view all the answers

Which of the following procedures is described in the text?

Roux-en-Y gastric bypass, which alters the stomach and small intestine. (D) Signup and view all the answers

What is the primary cause of dumping syndrome after gastric surgery?

Rapid entry of food into the jejunum and improper mixing with digestive juices (C) Signup and view all the answers

Which symptom are associated with dumping syndrome after gastric surgery?

dizziness, tachycardia, fainting, sweating, nausea, diarrhea, and abdominal cramping (D) Signup and view all the answers

What is the recommended dietary management for patients with dumping syndrome?

Small, frequent meals high in protein and low in fat, sugar, and carbohydrates (D) Signup and view all the answers

What is the primary symptom indicating hemorrhage after gastric surgery?

cold skin, increased pulse, decreased temperature and blood pressure. The patient may also have a change in LOC. The patient may also exhibit hematemesis.  The patient may return from the OR with an NG tube in place. Monitor the amount and character of the drainage.  Monitor the wound dressings for bleeding (A) Signup and view all the answers

Which of the following is NOT a recommended nursing intervention for monitoring hemorrhage after gastric surgery?

Encouraging increased fluid intake (C) Signup and view all the answers

What is the primary mechanism by which dumping syndrome causes symptoms?

Rapid entry of food into the jejunum leads to fluid imbalances (A) Signup and view all the answers

Which of the following are recommended management strategy for dumping syndrome?

taught to eat small frequent meals. meals should be high in protein, low in fat, low sugar, and low carbohydrate (A) Signup and view all the answers

What is the primary concern with hemorrhage after gastric surgery?

Hypovolemic shock (D) Signup and view all the answers

Which of the following is a symptom associated with dumping syndrome after gastric surgery?

Tachycardia (D) Signup and view all the answers

What is a recommended dietary modification for patients with dumping syndrome after gastric surgery?

High-protein, low-fat, low-sugar, low-carbohydrate meals (D) Signup and view all the answers

Which vitamin deficiency is commonly seen after gastric surgery and may require lifelong supplementation?

Vitamin B12 (C) Signup and view all the answers

What is a potential complication of gastric surgery that can cause vomiting, feeling full, gastric distention, and nausea?

Pyloric obstruction due to scar tissue or edema (B) Signup and view all the answers

Which condition is characterized by a deficiency in vitamin B12 and may occur after the removal of all or part of the stomach?

Pernicious anemia (B) Signup and view all the answers

What is the term used to describe the presence of excessive fat in stools, which can occur after gastric surgery?

Steatorrhea (C) Signup and view all the answers

Which of the following is a recommended dietary modification for patients after a Billroth II procedure?

Small, frequent meals with limited fluid intake during meals (C) Signup and view all the answers

Which of the following is a potential complication of gastric surgery that may require lifelong supplementation?

Vitamin B12 deficiency, The release of the extra insulin can result in the symptoms of hypoglycemia about 2 hours after the episode (C) Signup and view all the answers

chapter 33 upper GI disorders

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Questions and Answers

What is the main purpose of vomiting according to the text?

Which of the following is NOT listed as a common cause of nausea and vomiting in the text?

What should nurses assess for when monitoring a patient experiencing nausea and vomiting?

Which intervention for nausea and vomiting involves providing odor-free and clean surroundings?

What should nurses monitor related to electrolytes when caring for patients with nausea and vomiting?

Why might patients with prolonged vomiting develop metabolic alkalosis?

What does emesis that looks like 'coffee grounds' usually indicate according to the text?

Which of the following is NOT a potential complication of anorexia nervosa?

Which age group is at the highest risk for developing anorexia nervosa?

Which of the following is a priority of care for patients with anorexia nervosa?

Which electrolyte imbalance is commonly associated with anorexia nervosa?

Which of the following nursing interventions is NOT recommended for patients with anorexia?

What percentage of patients with anorexia nervosa are male?

Which of the following is a potential cause of anorexia?

What is the term used to describe the growth of fine, downy hair on the body in patients with anorexia nervosa?

Which of the following are nursing intervention for a patient with anorexia nervosa?

Which of the following statements about anorexia nervosa is TRUE?

Which of the following is NOT a complication associated with anorexia nervosa?

What is the term used to describe the growth of fine, downy hair on the body in patients with anorexia nervosa?

What is the priority of care for patients with anorexia nervosa?

Which of the following is NOT mentioned as a therapeutic measure for anorexia nervosa in the text?

Which of the following are listed as a complication of anorexia nervosa in the text?

What is the primary method used by patients with Bulimia Nervosa to avoid weight gain?

Which condition can result from electrolyte imbalances in patients with Bulimia Nervosa?

What is a common physical sign seen in patients with Bulimia Nervosa related to dental health?

Which statement accurately describes Morbid Obesity?

What is the primary health risk associated with obesity?

Which intervention is essential for managing patients with Morbid Obesity?

What is a potential complication associated with obesity?

Which behavior can contribute to the development of Morbid Obesity?

What is a significant difference between Anorexia Nervosa and Bulimia Nervosa in terms of caloric intake?

What is a common method used by patients with Bulimia Nervosa to purge the body of food and avoid weight gain?

What is a potential life-threatening complication that may indicate a patient is a candidate for bariatric surgery?

In laparoscopic adjustable gastric banding, what is the purpose of the inflatable band placed around the stomach?

What is the purpose of a sleeve gastrectomy in bariatric surgery? Only a slim gastric sleeve is left. reduces 75 percent of stomach

What is the effect of Roux-en-Y gastric bypass on the stomach and small intestine?

What is one of the complications associated with bariatric surgery that may require lifelong supplementation?

What dietary recommendation is important post-bariatric surgery to avoid gastrointestinal upset?

Why is long-term support and follow-up essential for patients who have had bariatric surgery?

What is one potential risk associated with pathogens in the mouth according to the text?

What medication is commonly used to treat candidiasis (thrush), an oral infection mentioned in the text?

What is a potential complication of esophageal cancer that may require esophageal dilation or stent placement?

Which diagnostic study is commonly used to assess esophageal cancer?

What is a common symptom of hiatal hernia that may lead to its diagnosis?

Which lifestyle modification is commonly recommended for managing hiatal hernia?

What is the primary focus of nursing care for patients with esophageal cancer?

What is a potential serious complication of hiatal hernia that may warrant fundoplication surgery?

What is a key risk factor associated with esophageal cancer?

Which of the following symptoms are typically associated with esophageal cancer?

What is a precancerous condition associated with esophageal cancer?

What is a common nursing intervention for patients with esophageal cancer undergoing treatment?

What is a common oral infection in immunosuppressed or chemotherapy patients?

What is a sign or symptom that may indicate oral cancer, according to the information provided?

Which of the following are mentioned as a treatment option for oral cancer?

What is a potential risk associated with pathogens in the mouth, according to the text?

Which of the following is a priority nursing care focus for patients undergoing treatment for oral cancer?

According to the information provided, which of the following is a risk factor for developing oral cancer?

What is the purpose of a radical or modified neck dissection, as mentioned in the text?

Based on the information provided, which of the following statements is TRUE regarding oral cancer?

What is a recommended preventive measure for reducing the risk of oral cancer?

What is the primary mechanism of action for proton pump inhibitors like Protonix, Nexium, and Prilosec in treating GERD?

What is the primary cause of a Mallory-Weiss tear (MWT)?

Which of the following statements about esophageal varices is true?

What type of medication is commonly used for the prevention of esophageal variceal bleeding?

Which of the following are recommended lifestyle modification for managing GERD?

What is the primary purpose of antacids like Tums, Mylanta, and Maalox in the management of GERD?

In patients with Mallory-Weiss tears (MWT), what percentage is reported to misuse alcohol?

What is the most common intervention for managing bleeding from a Mallory-Weiss tear (MWT)?

What is the primary mechanism of action for H2 receptor antagonists like Pepcid and Tagamet in treating GERD?

What is the primary intervention for managing acute bleeding from esophageal varices?

Which of the following is the primary mechanism by which hiatal hernias can contribute to the development of Gastroesophageal Reflux Disease (GERD)?

Which of the following diagnostic tests is primarily used to detect and monitor acid reflux in patients suspected of having Gastroesophageal Reflux Disease (GERD)?

Which of the following lifestyle modifications is NOT recommended for managing hiatal hernias or Gastroesophageal Reflux Disease (GERD)?

In cases of severe or refractory Gastroesophageal Reflux Disease (GERD), what surgical procedure may be performed to reinforce the anti-reflux barrier?

Which of the following complications of Gastroesophageal Reflux Disease (GERD) is a precancerous condition that increases the risk of developing esophageal adenocarcinoma?

Which of the following respiratory complications is associated with Gastroesophageal Reflux Disease (GERD)?