A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Acquired hemolytic anemia

Pernicious anemia

Iron-deficiency anemia

Sickle cell anemia

Answer and Explanation

The Correct Answer is B

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

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Correct Answer is B

Explanation

Choice A rationale
While it’s important to prepare for a barium swallow test, maintaining a clear liquid diet 24 hours before the test is not typically required.
Choice B rationale
Drinking plenty of fluids after the test is indeed a correct instruction. The barium used in the test can cause constipation or impacted stool if it does not pass out of the body. Drinking ample fluids helps flush the contrast from the gastrointestinal system.
Choice C rationale
While it’s true that the stool may be discolored after a barium swallow test, it’s more likely to be lighter or white, not black.
Choice D rationale

The barium swallow test does not involve the injection of any dye that would cause a warm feeling. This sensation is more commonly associated with the injection of contrast dye in other types of imaging tests, not a barium swallow.

A. Development of gastric ulcers B. Perforation of the esophagus, stomach, or duodenum C. Allergic reaction to the sedation medication D. Infection at the site of the procedure

Correct Answer is B

Explanation

Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.

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A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions to a patient who is scheduled for a barium swallow to assess dysphagia. Which of the following patient statements would indicate to the nurse that the instructions have been understood?

Correct Answer is B

Explanation

A patient is post esophagogastroduodenoscopy (EGD) and recovering in the GI Suite. What potential complication of an esophagogastroduodenoscopy (EGD) procedure should the nurse be aware of?

Correct Answer is B

Explanation

The Health Care Provider orders a blood test for your patient. The nurse knows that which of the following enzymes does not indicate liver function?

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer?

A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?