ch 57 Peptic Ulcer Disease Flashcards

A patient is diagnosed with medication-induced NSAID peptic ulcer disease. Which clinical finding is the nurse most likely to find in the patient?

1.Decrease in pepsin secretion

2.Increase in bicarbonate levels

3.Decrease in mucus production

4.Increase in gastric mucosal blood flow

A patient has a family history of gastric cancer and says their parent died from advanced disease. Which are common symptoms of this condition that the patient should be monitoring? Select all that apply.

1.Nausea and vomiting

2.Heartburn

3.Enlarged lymph nodes

4.Weight gain

5.Anemia

A patient with peptic ulcer disease is being discharged on several new medications. When performing medication education, which medication should the nurse say helps block gastric secretions?

1.Antacids

2.H2-receptor antagonists

3.Metoclopramide

4.Sucralfate

The nurse is caring for a patient with a peptic ulcer. Which symptom would suggest that it is in the duodenum?

1.The patient is dizzy, sweating, and has palpations.

2.The patient has ulcer-like pain that cannot be relieved by antacids.

3.The patient has burning epigastric pain, which can be relieved after taking antacids.

4.The patient feels stomach fullness.

The primary healthcare provider has prescribed sucralfate for a patient with gastritis. Which is the nurse’s best response if the patient wants to know why this medication has been prescribed?

1."It helps in preventing pernicious anemia.”

2.“It helps in preventing mucosal damage by gastric acid.”

3.“It helps in decreasing gastric acidity by neutralizing the acid.”

4.“It helps in obstructing the H⁺/K⁺-ATPase enzyme in the gastric parietal cells.”

The nurse caring for a patient diagnosed with Heliobacter pylori is advised the patient will be started on triple therapy. Which medication would the nurse anticipate administering? Select all that apply.

1.Pantoprazole

2.Metronidazole

3.Amoxicillin

4.Bismuth subsalicylate

5.Tetracycline

Which nursing actions should a nurse perform when caring for a patient with peptic ulcer disease? Select all that apply.

1.Include bedtime snacks for the patient.

2.Document and notify the primary healthcare provider about symptoms of dumping syndrome.

3.Administer proton pump inhibitors (PPIs) after meals.

4.Administer antacids 1 to 3 hours after meals.

5.Prepare the patient for an upper endoscopy or surgery per order.

Which is most appropriate to include when teaching a patient with a Helicobacter pylori–induced gastric ulcer about the prevention of a recurrence?

The nurse is caring for a patient diagnosed with a gastrointestinal bleed. The patient presents with orthostatic hypotension and a hemoglobin of 8.0 g/dL. Which intervention would the nurse anticipate performing for this patient? Select all that apply.

1.Intravenous fluid administration

2.Administration of pantoprazole

3.Prepare the patient for red blood cell transfusion

4.Monitor the patient’s coagulation studies.

5.Assess the patient’s pain level routinely.

The nurse is caring for a patient diagnosed with gastritis 6 months ago. The nurse evaluates the patient’s compliance with suggested lifestyle modifications and medications. Which comment from the patient indicates successful education?

1.“I often eat citrus fruits for breakfast.”

2.“I’ve stopped eating snacks at bedtime.”

3.“I take the antacids 20 minutes after meals.”

4.“I take the pantoprazole after breakfast each morning.”

When caring for a patient with peptic ulcer disease (PUD), they mention that “something feels different, it’s like I have a fullness or heaviness above my stomach after I eat.” Which complication would the nurse assess for further?

1.Penetration

2.Perforation

3.Obstruction

4.Gastrointestinal (GI) bleeding

The nurse is caring for a patient diagnosed with gastroenteritis who requests an antidiarrheal agent. The nurse would review which result in the patient’s chart prior to contacting the provider for the medication? Select all that apply.

1.Vital signs

2.Hemoglobin and hematocrit

3.Fecal occult blood

4.Stool tested for C. difficile

5.Stool tested for E. coli

Which is a possible complication that can occur in the patient with peptic ulcer disease? Select all that apply.

1.Ulcer crater penetrating through adjacent organs

2.Gastrointestinal (GI) contents entering the peritoneum

3.Edema, spasm, or contraction of scar tissue

4.Abdominal distention and third spacing

5.Abdomen tender when palpating

A patient reports tarry stools and emesis with a “coffee grounds” appearance. They have a history of peptic ulcer disease. Which complication is the patient likely experiencing?

1.Perforation

2.Penetration

3.Obstruction

4.Gastrointestinal (GI) bleeding

A patient reports nausea, vomiting, and epigastric pain and is diagnosed with acute gastritis. Which medications are appropriate for relief of the symptoms? Select all that apply.

1.Sucralfate

2.Diclofenac

3.Pantoprazole

4.Vitamin B₁₂

5.Magnesium sulfate

An older adult patient receiving treatment with bisphosphonates and calcium supplements for osteoporosis experienced epigastric pain and hematemesis. Which risk factor could be causing the problem?

1.Increasing age

2.Long-term use of bisphosphonates

3.Complication of osteoporosis

4.Reduced bone density

A patient is admitted for the third time with bleeding gastritis, despite medication compliance. The healthcare provider recommends a surgical procedure to sever the vagal nerve supply to the stomach. Which procedure is the healthcare provider suggesting?

1.Vagotomy

2.Nissen fundoplication

3.Total gastrectomy

4.Pyloroplasty

As the nurse is assisting a patient with peptic ulcer disease out of bed, the patient vomits, has severe epigastric pain, and feels dizzy. Which priority nursing actions should the nurse take? Select all that apply.

1.Return the patient to bed.

2.Assess the bowel sounds.

3.Lower the head of the bed.

4.Obtain a blood pressure reading.

5.Call for help.

The nurse is reviewing a patient’s medical record and observes the provider suspects peritonitis. The nurse would review which laboratory result to determine if the patient’s data is consistent with peritonitis?

1.Complete blood count

2.Fecal occult blood

3.Urease breathing test

4.Basic metabolic panel

The nurse is creating a plan of care for a patient with peptic ulcer disease. Which education is important to include? Select all that apply.

1.Advise the patient to refrain from caffeine intake.

2.Advise the patient to limit the use of aspirin.

3.Advise the patient to limit bedtime snacks.

4.Administer antacids 1 hour before meals.

5.Administer proton pump inhibitors (PPIs) before breakfast.

The nurse is providing discharge education for a patient prescribed Maalox tablets for gastric symptoms. Which information would the nurse include?

1.Do not take at the same time as other antacids.

2.Follow up with your provider to have your electrolytes checked.

3.Do not crush or chew.

4.Take only on an empty stomach.

The patient diagnosed with C. difficile is being discharged home with family. Which education would be essential for the nurse to include to help prevent the transmission of the infection to others?

1.Must use soap and water to clean hands after using the restroom.

2.Cook foods thoroughly to the correct temperature.

4.Wear a surgical mask when around others.

5.Take loperamide to prevent diarrhea.

A patient with peptic ulcer disease is being discharged on several new medications. When performing medication education, which medication should the nurse say helps block gastric secretions?

1.Upper endoscopy test

2.Liver function test

3.Esophagogastroduodenoscopy (EGD)

4.Stool antigen test

A patient reports epigastric pain, blood in stools, and a loss of appetite. The nurse anticipates the provider will order which diagnostic test to evaluate the client for Helicobacter pylori infection?

1.Endoscopy

2.Urea breath test

3.Complete blood count

4.Upper gastrointestinal (GI) x-ray

The nurse is discussing dietary considerations with a patient diagnosed with peptic ulcer disease. Which response made by the patient indicates correct patient understanding?

A patient underwent a partial gastrectomy as a surgical intervention for gastric cancer. The primary healthcare provider asks the nurse to monitor the patient for the occurrence of postsurgical problems. Which manifestations in the patient would the nurse consider indicative of onset of dumping syndrome? Select all that apply.

1.Pallor

2.Tachycardia

3.Sweating

4.Hyperglycemia

5.Indigestion

The nurse is caring for a patient diagnosed with gastritis 6 months ago. The nurse evaluates the patient’s compliance with suggested lifestyle modifications and medications. Which comment from the patient indicates successful education?

1.“I often eat citrus fruits for breakfast.”

2.“I’ve stopped eating snacks at bedtime.”

3.“I take the antacids 20 minutes after meals.”

4.“I take the pantoprazole after breakfast each morning.”

A patient presents to the emergency department with epigastric pain and a history of peptic ulcer disease. Which diagnostic test would be a priority to rule out other serious causes of epigastric pain?

1.Complete blood count

2.Electrocardiogram (ECG)

3.Orthostatic vital signs

4.Endoscopy

The nurse is caring for a patient who has gastric cancer and says, “I’m so afraid to be in pain and to die and leave my family.” How should the nurse respond?

1.“This must be very frightening for you.”

2.“Tell me about your family.”

3.“Are you having pain now?”

4.“We will give you medications for your pain.”

The nurse cares for a patient who fell secondary to gastrointestinal bleeding. What should the nurse anticipate as a part of the care?

1.Fluid resuscitation with D5W

2.Placement of a 20-gauge IV catheter

3.Preparation for emergency surgery

4.Transfusion of packed red blood cells

The nurse is reviewing a patient’s medical record and observes the provider suspects peritonitis. The nurse would review which laboratory result to determine if the patient’s data is consistent with peritonitis?

1.Complete blood count

2.Fecal occult blood

3.Urease breathing test

4.Basic metabolic panel

The nurse is assessing a patient diagnosed with peptic ulcer disease who is experiencing intense epigastric pain. The abdomen is tender and rigid with absent bowel sounds. About which complication of peptic ulcer disease would the nurse be concerned?

1.Penetration

2.Obstruction

3.Gastrointestinal (GI) bleed

4.'Perforation

The nurse is caring for a patient experiencing a peptic ulcer in the image presented. Which intervention should the nurse include in the plan of care? Select all that apply.

1.Monitor stools for bleeding.

2.Deliver NSAIDs for pain control.

3.Monitor gastric pH.

4.Increase fiber intake.

5.Encourage caffeine ingestion.

The nurse is making a plan of care for a patient with acute gastritis. Which step listed by the nurse is correct?

1.“Provide rest to the gastrointestinal tract with 3 to 6 hours of NPO status.”

2.“Introduce clear liquids such as caffeinated beverages.”

3.“Begin by introducing heavier liquids, such as cream soups, puddings, and milk to maintain caloric intake.”

4.“Finally, introduce bland foods that are not highly spiced.”

The nurse is discussing dietary considerations with a patient diagnosed with peptic ulcer disease. Which response made by the patient indicates correct patient understanding?

1.“I can only drink coffee twice a week.”

2.“I should consume six small meals a day.”

3.“I can consume one alcoholic beverage every other day.”

4.“I must restrict my intake of fluids.”

The nurse is providing education to a patient with a family history of peptic ulcer disease (PUD). Which lifestyle modification would the nurse recommend to reduce the chance of PUD? Select all that apply.

1.Stop smoking

2.Limit alcohol usage

3.Exercise moderately

4.Implement a diet of bland food

5.Take acetaminophen instead of ibuprofen