A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump inhibitor. About what medication should the nurse anticipate teaching the client?
a. Famotidine (Pepcid)
b. Magnesium hydroxide (Maalox)
c. Omeprazole (Prilosec)
d. Ranitidine (Zantac)
Question 2A client has a nasogastric (NG) tube after a Nissen fundoplication. The nurse answers the call light and finds the client vomiting bright red blood with the NG tube lying on the floor. What action should the nurse take first?
a. Notify the surgeon.
b. Put on a pair of gloves.
c. Reinsert the NG tube.
d. Take a set of vital signs.
Question 3After hiatal hernia repair surgery, a client is on IV pantoprazole (Protonix). The client asks the nurse why this medication is given since there is no history of ulcers. What response by the nurse is best?
a. Bacteria can often cause ulcers.
b. This operation often causes ulcers.
c. The medication keeps your blood pH low.
d. It prevents stress-related ulcers.
Question 4A client has a nasogastric (NG) tube. What action by the nursing student requires the registered nurse to intervene?
a. Checking tube placement every 4 to 8 hours
b. Monitoring and documenting drainage from the NG tube
c. Pinning the tube to the gown so the client cannot turn the head
d. Providing oral care every 4 to 8 hours
Question 5A client is in the emergency department with an esophageal trauma. The nurse palpates subcutaneous emphysema in the mediastinal area and up into the lower part of the client's neck. What action by the nurse takes priority?
a. Assess the client's oxygenation.
b. Facilitate a STAT chest x-ray.
c. Prepare for immediate surgery.
d. Start two large-bore IVs.
Question 6A client is scheduled for a traditional esophagogastrostomy. All preoperative teaching has been completed and the client and family show good understanding. What action by the nurse is best?
a. Arrange an intensive care unit tour.
b. Assess the client's psychosocial status.
c. Document the teaching and response.
d. Have the client begin nutritional supplements.
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