the nurse is reviewing the medication record of a client with acute gastritis which medication if noted on the clients record would the nurse question

ATI RN

ATI Gastrointestinal System

1. The nurse is reviewing the medication record of a client with acute gastritis. Which medication if noted on the client’s record, would the nurse question?

A. Digoxin (Lanoxin)
B. Indomethacin (Indocin)
C. Furosemide (Lasix)
D. Propranolol hydrochloride (Inderal)

Correct answer: B

Rationale: Indomethacin (Indocin) is a Nonsteroidal anti-inflammatory drug and can cause ulceration of the esophagus, stomach, duodenum, or small intestine. Indomethacin is contraindicated in a client with gastrointestinal disorders. Furosemide (Lasix) is a loop diuretic. Digoxin is an antidysrhythmic. Propranolol (Inderal) is a B- adrenergic blocker. Furosemide, digoxin, and propranolol are not contraindicated in clients with gastric disorders.

2. Dark, tarry stools indicate bleeding in which location of the GI tract?

A. Upper colon.
B. Lower colon.
C. Upper GI tract.
D. Small intestine.

Correct answer: C

Rationale: Dark, tarry stools indicate bleeding in the upper GI tract.

3. Which of the following symptoms is associated with ulcerative colitis?

A. Dumping syndrome
B. Rectal bleeding
C. Soft stools
D. Fistulas

Correct answer: B

Rationale: Rectal bleeding is a common symptom of ulcerative colitis due to the inflammation and ulceration of the colon lining.

4. The nurse assesses the client's understanding of the relationship between body position and gastroesophageal reflux. Which response would indicate that the client understands measures to avoid problems with reflux while sleeping?

A. I can elevate the foot of the bed 4 to 6 inches.
B. I can sleep on my stomach with my head turned to the left.
C. I can sleep on my back without a pillow under my head.
D. I can elevate the head of the bed 4 to 6 inches.

Correct answer: D

Rationale: Sleeping with the head of the bed elevated encourages movement of food through the esophagus by gravity. By fostering esophageal acid clearance, gravity helps keep the acidic pepsin and alkaline biliary secretions from contacting the esophagus. Elevating the foot of the bed does not affect clearance of esophageal acid. Sleeping on the stomach with the head turned to the left will not decrease reflux incidence. Sleeping flat without a pillow under the head does not enhance clearance.

5. Which of the following measures should the nurse focus on for the client with esophageal varices?

A. Recognizing hemorrhage
B. Controlling blood pressure
C. Encouraging nutritional intake
D. Teaching the client about varices

Correct answer: A

Rationale: The primary focus for a client with esophageal varices is recognizing hemorrhage because these varices can rupture and cause significant bleeding.