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A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD?
(Select All that Apply.)

Irritable bowel syndrome

Diverticulitis

Gastrointestinal bleeding

Chronic pancreatitis

Celiac disease

Perforation of the stomach or duodenum

Gastric outlet obstruction

Appendicitis

Answer and Explanation

Correct Answer : C,F,G

A.   Irritable bowel syndrome is not a complication of PUD, as they are different gastrointestinal disorders.
B.   Diverticulitis is unrelated to PUD and involves inflammation of the diverticula in the colon.
C.   Gastrointestinal bleeding is a common and serious complication of PUD, occurring due to ulceration of the stomach or duodenum lining.
D.   Chronic pancreatitis is not a typical complication of PUD, but it involves inflammation of the pancreas, not the stomach or duodenum.
E.   Celiac disease is unrelated to PUD and involves an autoimmune reaction to gluten in the small intestine.
F.   Perforation of the stomach or duodenum is a severe complication of PUD, leading to a life-threatening condition with leakage of stomach contents into the abdominal cavity.
G.   Gastric outlet obstruction occurs when an ulcer causes scarring and narrowing of the pyloric canal, impeding gastric emptying.
H.   Appendicitis is unrelated to PUD, as it involves inflammation of the appendix, not the stomach or duodenum.

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Correct Answer is D

Explanation

A. Encouraging the patient to relax and breathe deeply does not address the immediate concerns of potential hemorrhage.
B. An abdominal ultrasound is not the first step in managing potential GI bleeding; stabilization is the priority.
C. Proton pump inhibitors are important for managing peptic ulcer disease, but the immediate priority is
stabilizing the patient’s condition.
D. Initiating IV access and administering fluids as prescribed is essential to stabilize the patient, manage shock, and address potential blood loss from gastrointestinal bleeding.

A. Drink fruit juices instead of whole fruits to avoid fiber. B. Eliminate all carbohydrates from the diet. C. Increase intake of high-per foods such as vegetables and whole grains. D. Consume high-protein, high-fat meals to maintain satiety.

Correct Answer is C

Explanation

A. Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B. Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C. Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D. Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.

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A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD? (Select All that Apply.)

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A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD?
(Select All that Apply.)