the nurse provides medication instructions to a client with peptic ulcer disease which statement if made by the client indicates the best understandin

ATI RN

ATI Gastrointestinal System

1. The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates the best understanding of the medication therapy?

A. The cimetidine (Tagamet) will cause me to produce less stomach acid.
B. Sucralfate (Carafate) will change the fluid in my stomach.
C. Antacids will coat my stomach.
D. Omeprazole (Prilosec) will coat the ulcer and help it heal.

Correct answer: A

Rationale: Cimetidine (Tagamet) works by reducing stomach acid production, which helps to manage peptic ulcer disease.

2. 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.

3. A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?

A. Administer dilaudid
B. Notify the physician
C. Call and ask the operating room team to perform the surgery as soon as possible
D. Reposition the client and apply a heating pad on a warm setting to the client’s abdomen.

Correct answer: B

Rationale: The symptoms suggest possible perforation or peritonitis, which are serious complications requiring immediate medical attention. The nurse should promptly notify the physician.