The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease.
Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?
Surgery to increase mucus will heal the ulcerations.
A common cause is an infection from Helicobacter pylori (H. pylori).
Gastric ulcers occur more frequently than do peptic ulcers.
Erosion is confined to the stomach and esophagus.
The Correct Answer is B
Choice A rationale
Surgery to increase mucus will not heal the ulcerations. Peptic ulcers are caused by an imbalance between the digestive fluids hydrochloric acid and pepsin, and the body’s ability to protect itself from these substances. The stomach and the duodenum have some protection from these acids, but if this protection is decreased, or the production of acids and pepsin is increased, an ulcer can form.
Choice B rationale
A common cause of peptic ulcer disease is an infection from Helicobacter pylori (H. pylori).
H. pylori is a bacterium that can damage the protective lining of your stomach and small intestine. This can lead to inflammation and ulcers.
Choice C rationale
Gastric ulcers do not occur more frequently than peptic ulcers. In fact, peptic ulcers include both gastric ulcers, which form on the lining of the stomach, and duodenal ulcers, which form on the lining of the upper part of the small intestine.
Choice D rationale
Erosion is not confined to the stomach and esophagus in peptic ulcer disease. Peptic ulcers can occur in the stomach and the duodenum, and less commonly, the lower esophagus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1 is: The doctor has ordered 650 mg of aspirin and each tablet contains 325 mg. So, to find out how many tablets to administer, we divide the ordered dose by the dose per tablet.
Step 2 is: 650 mg ÷ 325 mg/tablet = 2 tablets.
Correct Answer is C
Explanation
Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.
Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.
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