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N368 Med/Surg
Chapter 23 Upper GI NCLEX Review Quiz
10
Nursing
Undergraduate 3
11/22/2009

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Cards

Term
An elderly client with cancer being treated with chemotherapy has developed stomatitis. The client is also receiving TPN. The most appropriate nursing intervention for this client is:
Definition
assess and document condition of oral mucosa.
Term
The nurse is teaching a client with peptic ulcer disease about dietary guidelines following hospital discharge. What guidance will the nurse give the client about dietary intake?
Definition
Eat anything that is tolerated
Term
An elderly client with arthritis expresses surprise that bacteria cause ulcers. The nurse responds that: (select all that apply)
Definition
“Bacteria are a frequent factor in ulcer formation.”

“These infections can be treated with antibiotics.”

“Medications used to treat arthritis may also be a factor in developing ulcers.”

“The bacteria can be spread from person to person by oral contact”
Term
The nurse realizes the client understands the teaching about dumping syndrome when the client says:
Definition
“I should eat a low carbohydrate diet.”
Term
The nurse has identified Nutrition: Less Than Body Requirements as a major diagnosis for a client who has undergone a subtotal gastrectomy. As part of a discharge plan, the nurse should include which of the following instructions:
Definition
eat small frequent meals.
Term
A client who had a gastrectomy and has a nasogastric tube asks the nurse about the bloating sensation that is being experienced. The nurse should:
Definition
assess the position and patency of the tube.
Term
An elderly home care client known to the nurse calls the nurse to report 24 hours of nausea and two episodes of vomiting during that time. The nurse will want to tell the client to:
Definition
describe what foods, fluids, and medications were consumed in the 24 hours prior to the onset of symptoms.
Term
The nurse established a diagnosis of Impaired Verbal Communication for a client who had surgery for oral cancer and is now having difficulty speaking. Appropriate interventions include:
Definition
remaining alert to nonverbal cues.
Term
A client who is taking ranitidine (Zantac) as ordered reports to the nurse that the pain is worse than ever. The nurse should:
Definition
inform the primary health care provider of the client’s symptoms.
Term
When teaching a class to teenagers on risk factors for oral cancer, the nurse would be certain to include the following information: (check all that apply)
Definition
avoid use of smokeless tobacco products.

use lip balm or lip gloss with sunscreen.
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