A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

"An endoscopy involves inserting a small camera into your throat to examine your esophagus."

"During the endoscopy, a scope will be inserted through your rectum to visualize your lower gastrointestinal tract."

"An endoscopy is a non-invasive procedure that uses sound waves to create images of your abdominal organs."

"A flexible tube with a camera on the end will be inserted through your mouth to examine your stomach and duodenum."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement describes an esophagoscopy, not an endoscopy. An endoscopy examines the upper gastrointestinal tract, including the stomach and duodenum.

Choice B reason:

This statement describes a colonoscopy, not an endoscopy. An endoscopy does not involve the lower gastrointestinal tract.

Choice C reason:

This statement describes an ultrasound, not an endoscopy. An endoscopy is a direct visualization procedure.

Choice D reason:

This statement is correct. An endoscopy involves inserting a flexible tube (endoscope) with a camera on the end through the mouth to examine the stomach and duodenum. It is a commonly used procedure to assess and diagnose peptic ulcer disease.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Chronic cholecystitis can lead to impaired gallbladder emptying, resulting in difficulties in digesting fats. Indigestion and bloating after meals are common manifestations of this problem.

Choice B reason:

Excessive stomach acid production is more associated with conditions like GERD or peptic ulcer disease, and it is not directly related to chronic cholecystitis.

Choice C reason:

Inflammation of the small intestine may cause abdominal pain, diarrhea, or malabsorption issues, but it is not specifically related to the symptoms described in the question.

Choice D reason:

Decreased production of pancreatic enzymes may lead to malabsorption issues and cause symptoms like diarrhea and steatorrhea. However, it is not the primary cause of indigestion and bloating after meals in chronic cholecystitis.

A. "Do you frequently consume spicy foods or citrus fruits?" B. "Do you have a family history of lung diseases?" C. "Have you been experiencing frequent headaches?" D. "Do you engage in regular physical exercise?"

Correct Answer is A

Explanation

Choice A reason:

Frequent consumption of spicy foods or citrus fruits can irritate the stomach lining and increase the risk of peptic ulcer development.

Choice B reason:

Family history of lung diseases is not directly related to the risk of peptic ulcer disease. However, family history of peptic ulcers or gastrointestinal conditions is relevant for risk assessment.

Choice C reason:

Experiencing frequent headaches is not a direct risk factor for peptic ulcer disease. However, the nurse should assess for other risk factors and medical history during the health screening.

Choice D reason:

Regular physical exercise is important for overall health, but it is not a direct risk factor for peptic ulcer disease. The nurse should focus on risk factors related to diet, medication use, and other medical conditions.

QUESTIONS

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A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

Correct Answer is A

Explanation

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

Correct Answer is A

Explanation

A client with peptic ulcer disease is prescribed a combination therapy that includes antibiotics and acid-reducing medications. The client asks the nurse about the purpose of the antibiotics in the treatment. Which of the following responses should the nurse provide?

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?

A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?