A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

"This medication adheres to the ulcer and protects it from gastric acid”

"This medication neutralizes gastric acid after it is secreted"

This medication kills the bacteria which cause ulcers

“This medication prevents gastric acid secretion in the stomach"

Answer and Explanation

The Correct Answer is A

Sucralfate works by forming a protective barrier or coating over the surface of the ulcer. It adheres to the ulcer site and provides a physical barrier that protects the ulcer from gastric acid, pepsin, and bile salts. This protective barrier allows the ulcer to heal by preventing further damage and irritation from the stomach acid.

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Correct Answer is B

Explanation

A. "I feel so much better after eating."This is most consistent with a duodenal ulcer, where pain is relieved by food (but often returns 2–3 hours later). Gastric ulcers, on the other hand, may worsen with eating.

B. "The pain is worse after I eat a meal high in fat."Fatty food intolerance and postprandial pain are more characteristic of gallbladder disease (cholelithiasis/cholecystitis), not PUD.

C. "The pain radiates down to my lower back."Pain radiating to the back is more typical of pancreatitis, not PUD.

D. "My pain is relieved by having a bowel movement."Relief of abdominal pain with a bowel movement suggests irritable bowel syndrome (IBS), not PUD.

Correct Answer is ["14"]

Explanation

To calculate the infusion rate in drops per minute (gtt/min), we can use the following formula: Infusion rate (gtt/min) = (Volume to be infused (ml) * Drop factor) / Time (min) Given:

Volume to be infused: 1000 ml

Drop factor: 10 gtt/ml

Time: 12 hr

First, we need to convert the time from hours to minutes:

12 hr * 60 min/hr = 720 min

Now, we can calculate the infusion rate:

Infusion rate (gtt/min) = (1000 ml * 10 gtt/ml) / 720 min

Simplifying the equation:

Infusion rate (gtt/min) = 10000 gtt / 720 min

Dividing both sides:

Infusion rate (gtt/min) ≈ 13.89 gtt/min

Rounding the answer to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 14 gtt/min.

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A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

Correct Answer is B

Explanation

Correct Answer is ["14"]

Explanation

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