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concept of nursing 1
Gastritis and peptic ulcer Disease
| Question | Answer |
|---|---|
| A patient with gastritis asks the nurse about the bodily process behind the diagnosis. The nurse explains that which physiologic event is responsible for the patient’s symptoms? | Disruption of the stomach mucosa |
| The nurse would identify which parts of the medical and social history as placing a patient at increased risk for development of gastritis? | -Habitual use of nonsteroidal anti-inflammatory drugs -Previous Helicobacter pylori infection -Consumption of spicy foods |
| A patient is taking a corticosteroid. Which action of the corticosteroid places the patient at risk for development of gastritis? | Inhibition of prostaglandin synthesis |
| A patient complains of burning pain across the midepigastric area 3 hours after eating dinner. The pain is relieved by antacids. Which diagnosis would the nurse suspect based on these symptoms? | Duodenal ulcer |
| A patient with a suspected Helicobacter pylori infection and complications is being prepared for an endoscopy. The patient asks why the procedure is being done. How can the nurse respond? | -“This study will confirm the infection is present.” -“We need to take a sample of the stomach lining.” -“The procedure allows us to determine whether there is any internal damage.” |
| A patient is suspected of having a gastric ulcer. The patient cannot have an endoscopy because a non-life-threatening cardiac arrhythmia is present. Which diagnostic test should the patient undergo? | Barium contrast study |
| Which action by the nurse demonstrates the first step in providing care to a patient with nausea and a new diagnosis of gastritis? | Confirming medical history accuracy |
| The care team is treating a post-operative patient who has recently undergone a gastrectomy. The patient is showing signs of anxiety and lab results reveal excessive amounts of insulin. | -- |
| The nurse understands that these symptoms may be indicative of which postoperative complication? | Postprandial hypoglycemia |
| A nurse is treating a patient with acute gastritis. Which information should the nurse provide to help the patient prevent future exacerbations? | -Eat only bland food. -Join a smoking cessation support group. -Graze on food throughout the day |
| If a patient presents with acute exacerbation of peptic ulcer disease, which collaborative interventions need to be taken? | -Give patient NPO orders -Nasogastric (NG) suction -Administration of intravenous Ringer’s lactate solution -Intravenous administration of a proton pump inhibitor |
| A patient presents 2 weeks after removal of a large portion of the stomach and pyloric sphincter. The patient is complaining of abdominal cramping, dizziness, and a sensation of fullness. On assessment, the patient’s heart rate is 125 bpm. | -- |
| The nursing team will prepare to treat which condition? | Dumping syndrome |
| A patient with peptic ulcer disease (PUD) presents with severe upper abdominal pain that spreads to the back. The patient reports that they cannot find any way to relieve the pain. On assessment, the abdomen is rigid and the patient has tachycardia. | -- |
| Which treatment is indicated for this patient? | Omentum graft |
| A patient presents with vomiting and nausea. On assessment, the nurse notes epigastric tenderness. Endoscopic studies confirm infection with H. pylori. The patient is prescribed triple-drug therapy. | -- |
| What patient education topic is a priority to ensure symptoms do not recur? | Importance of completing antibiotics |
| A patient is diagnosed with acute gastritis associated with a diet heavy in spicy foods and is currently experiencing severe nausea. Which treatment is appropriate for this patient? | Nasogastric tube |
| A patient with gastritis asks the nurse how to prevent future exacerbations. The patient is a heavy smoker and drinker, takes an aspirin daily for heart problems, and eats a relatively simple and bland diet. | -- |
| The patient walks 1 mile every night for exercise. What is the best response by the nurse? | -Stop drinking -Cease smoking |
| Why would the nurse discuss vitamin B12 deficiency with a patient who has undergone a gastrectomy? | The parietal cells of the stomach produce intrinsic factor, which is needed for vitamin B12 absorption. |
| A patient presents with a history of hypertension and has just started treatment for peptic ulcer disease (PUD). What important medication topic needs to be discussed in the management of this patient? | Antacids need to be used with caution. |
| Early detection of peptic ulcer disease (PUD) needs to be the priority in a nursing management plan for patients with symptoms of chronic gastritis. Which action is the nurse’s next priority? | Assess for anemia and guaiac-positive stools. |
Created by:
Lightnning54
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