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2 3. C 4. K 2. The nurse is caring for several patients on a medical-surgical unit. Which patient is the nurse most concerned may develop a paralytic (adynamic) ileus? 1. The patient with impacted feces, tumor of the colon, or pancreatitis 2. The patient with an electrolyte imbalance, or acute inflammatory reactions 3. The patient with adhesions or a strangulated hernia 4. A patient has been admitted with a diagnosis of peptic ulcers. Which drugs would the nurse expect this patient to be prescribed to decrease gastric acid secretion? (Select all that apply.) 1. sodium polystyrene sulfonate 2. ranitidine 3. erythromycin 4. sucralfate 5. famotidine 5. A patient is scheduled for a hemicolectomy for removal of a cancerous tumor of the ascending colon. The patient asks the nurse why he is taking intestinal antibiotics preoperatively. Which response by the nurse is correct? 1. To decrease the bulk of colon contents 2. To reduce the bacteria content of the colon 3. To prevent pneumonia 4. To eliminate the risk of postoperative wound infection 6. A patient was admitted during the evening shift with a tentative diagnosis of cancer of the esophagus. What complaint does the nurse anticipate finding in the initial assessment of the patient? 1. Dysphagia 2. Malnutrition 3. Pain 4. Regurgitation of food 7. When caring for a patient admitted with a bleeding peptic ulcer, the nurse will include what intervention in the patient’s acute plan of care? 1. Measuring the blood pressure and pulse rates each shift 2. Frequently monitoring arterial blood levels 3. Observing vomitus for color, consistency, and volume 4. Checking the patient’s stools for occult blood 8. A patient has undergone numerous diagnostic tests to determine whether a gastric malignancy is present. The patient asks the nurse what test will be most definitive for diagnosis. Choose the most likely options for the information missing from the statements below by selecting from the list of options provided. Your health care provider has ordered a/an _______________ in order to perform a ______________ to determine if you have cancer in your stomach. OPTIONS Radiographic GI study Biopsy Breath test for Hel