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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 ["1440"]

Explanation

To calculate the total units of heparin per hour:

Multiply the patient’s weight (80 kg) by the dosage (18 units/kg/hour):

80 kg × 18 units = 1440 units/hour.

This means the patient should receive 1440 units of heparin per hour.

A. Use sterile water to flush the tube before and after feeding. B. Lower the head of the bed to 15 degrees to facilitate feeding. C. Change the feeding bag and tubing every 24 hours. D. Check for residual volume before each feeding E. Add crushed medications to the enteral formula for convenience. F. Administer the feeding in a continuous cycle over 24 hours.

Correct Answer is ["C","D"]

Explanation

A. Using sterile water is recommended for flushing the tube before and after feeding, but it is not the most critical step in preventing complications.
B. Lowering the head of the bed to 15 degrees during feeding may increase the risk of aspiration, as a higher elevation is typically recommended.
C. Changing the feeding bag and tubing every 24 hours helps prevent bacterial contamination and reduces the risk of infection.
D. Checking for residual volume before each feeding helps ensure that the stomach is empty, reducing the risk of aspiration.
E. Adding crushed medications to the enteral formula is not recommended, as it can alter the formula's absorption and cause clogging of the tube.
F. Administering the feeding in a continuous cycle over 24 hours is typically done for certain patients, but it is not essential to prevent complications in all cases.

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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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Naxlex Comprehensive Predictor Exams

A 65-year-old adult patient weighing 80 kg is prescribed a continuous heparin infusion. The order is for 18 units/kg/hour. The pharmacy supplies heparin in a concentration of 25,000 units/500 mL. Determine the total units of heparin the patient should receive per hour.

Correct Answer is ["1440"]

Explanation

A nurse is caring for a patient receiving enteral nutrition via a gastrostomy tube. Which actions should the nurse take to prevent complications associated with enteral feeding? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

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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.)