A client is being treated for a gastric ulcer caused by Heliobacter pylori. The nurse should prepare the client for long term follow-up to which associated problem?
Gastric carcinoma.
Hypokalemia.
Kidney stones.
Celiac disease.
The Correct Answer is A
A. Gastric carcinoma:
Helicobacter pylori infection is a known risk factor for the development of gastric carcinoma, or stomach cancer. Long-term follow-up is essential for clients treated for gastric ulcers caused by H. pylori infection to monitor for any signs or symptoms of gastric malignancy, such as persistent abdominal pain, unexplained weight loss, dysphagia, or gastrointestinal bleeding. Regular surveillance with endoscopic examinations may be recommended to detect any precancerous or cancerous changes in the gastric mucosa.
B. Hypokalemia:
Hypokalemia, or low potassium levels, is not directly associated with gastric ulcers caused by H. pylori infection. While certain medications used in the treatment of gastric ulcers, such as proton pump inhibitors (PPIs) or H2-receptor antagonists, may increase the risk of hypokalemia, it is not a long-term complication specifically related to H. pylori infection.
C. Kidney stones:
Kidney stones, or nephrolithiasis, are not directly associated with gastric ulcers caused by H. pylori infection. Kidney stones typically form in the kidneys and urinary tract due to factors such as dehydration, dietary factors, or metabolic disorders. While certain conditions, such as chronic kidney disease, may be associated with gastric ulcers, kidney stones are not a typical long-term complication.
D. Celiac disease:
Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten, a protein found in wheat, barley, and rye. It is not directly associated with gastric ulcers caused by H. pylori infection. Celiac disease primarily affects the small intestine, leading to inflammation and damage to the intestinal lining in response to gluten ingestion. While individuals with celiac disease may experience gastrointestinal symptoms, they are not at increased risk for gastric ulcers specifically related to H. pylori infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Hypothyroidism is characterized by deficient production of thyroid hormones by the thyroid gland, leading to a decrease in circulating levels of triiodothyronine (T3) and thyroxine (T4). As a compensatory mechanism, the pituitary gland releases increased amounts of thyroid stimulating hormone (TSH) in an attempt to stimulate thyroid hormone production.
A) Increased triiodothyronine (T3) and thyroxine (T4) and decreased thyroid stimulating hormone (TSH):
This pattern of laboratory findings is not consistent with hypothyroidism. Hypothyroidism is characterized by decreased levels of T3 and T4 due to impaired thyroid function, leading to increased TSH levels as a compensatory response. Therefore, this option is incorrect.
B) Increased triiodothyronine (T3) and thyroid stimulating hormone (TSH):
While TSH levels are typically increased in hypothyroidism, T3 levels are usually decreased. Therefore, the combination of increased T3 and TSH is not indicative of hypothyroidism. This option is incorrect.
C) Decreased triiodothyronine (T3) and thyroxine (T4) and increased thyroid stimulating hormone (TSH):
Correct. In hypothyroidism, there is a decrease in both T3 and T4 levels due to impaired thyroid function. As a compensatory mechanism, the pituitary gland releases increased amounts of TSH to stimulate the thyroid gland. Therefore, this pattern of laboratory findings is consistent with hypothyroidism.
D) Decreased thyroid stimulating hormone (TSH), triiodothyronine (T3), and thyroxine (T4):
Decreased levels of TSH, T3, and T4 are not indicative of hypothyroidism. Hypothyroidism is characterized by elevated TSH levels and decreased T3 and T4 levels. Therefore, this option is incorrect.
Correct Answer is D
Explanation
The loop of Henle, a critical structure within the nephron of the kidney, plays a key role in the concentration of urine through the process of countercurrent multiplication. Here's why option D is the correct choice:
A) Calyx:
The calyx is a structure in the kidney that collects urine from the renal papillae and channels it into the renal pelvis. It does not directly participate in the concentration of urine.
B) Proximal convoluted tubule:
The proximal convoluted tubule primarily reabsorbs water, electrolytes, and nutrients from the glomerular filtrate, but it does not contribute significantly to the concentration of urine.
C) Renal pelvis:
The renal pelvis is a funnel-shaped structure that collects urine from the calyces and funnels it into the ureter. It is not directly involved in the concentration of urine.
D) The loop of Henle:
Correct. The loop of Henle is the nephron segment responsible for generating a hypertonic medullary interstitium, which creates the osmotic gradient necessary for urine concentration. The loop of Henle achieves this through countercurrent multiplication, where the descending limb allows passive reabsorption of water, while the ascending limb actively pumps out sodium and chloride ions. This creates an osmotic gradient that allows for further water reabsorption in the collecting ducts, leading to concentrated urine.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.