Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?- Skildor

Question 1 of 5

Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?

A. Peristalsis. B. Gastric acidity. C. Gastric motility. D. Gastric pH.

Correct Answer: D

Rationale: After a gastric vagotomy, the gastric pH increases as a result of reduced acid secretion.

Question 2 of 5

Your patient Maria takes NSAIDS for her degenerative joint disease, has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?

A. Calcium carbonate (Tums) B. Famotidine (Pepcid) C. Misoprostol (Cytotec) D. Sucralfate (Carafate)

Correct Answer: C

Rationale: Misoprostol (Cytotec) is useful in preventing NSAID-induced peptic ulcer disease.

Question 3 of 5

The student nurse is participating in colorectal cancer-screening program. Which patient has the fewest risk factors for colon cancer?

A. Janice, a 45 y.o. with a 25-year history of ulcerative colitis B. George, a 50 y.o. whose father died of colon cancer C. Herman, a 60 y.o. who follows a low-fat, high-fiber diet D. Sissy, a 72 y.o. with a history of breast cancer

Correct Answer: C

Rationale: Herman, a 60 y.o. who follows a low-fat, high-fiber diet, has the fewest risk factors for colon cancer.

Question 4 of 5

George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?

A. If there is any drainage, notify the surgeon immediately. B. The drainage will decrease daily until the bile duct heals. C. First, the drainage is dark green; then it becomes dark yellow. D. If the drainage stops, milk the tube toward the puncture wound.

Correct Answer: B

Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.

Question 5 of 5

You're patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What's your priority?

A. Ask the patient what happened, call the doctor, and cover the area with a water-soaked bedsheet. B. Obtain vital signs, call the doctor, and obtain emergency orders. C. Have a CAN hold the wound together while you obtain vital signs, call the doctor and flex the patient's knees. D. Have the doctor called while you remain with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.

Correct Answer: D

Rationale: For a patient with a ruptured wound and protruding bowel, call the doctor while remaining with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.

Gastrointestinal System ATI

Skildor

ATI RN

ATI RN

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