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 D
Explanation
Choice A rationale
The UREA breath test does not measure ammonia levels. While H. pylori can convert urea to ammonia and carbon dioxide, the test specifically measures the level of carbon dioxide in the breath.
Choice B rationale
The UREA breath test does not measure hydrochloric acid. Hydrochloric acid is produced by the stomach to aid in digestion, but it is not measured in the UREA breath test.
Choice C rationale
The UREA breath test does not measure potassium. Potassium is an important electrolyte in the body, but it is not related to the presence of H. pylori or the UREA breath test.
Choice D rationale
The UREA breath test measures carbon dioxide in the breath.
H. pylori bacteria break down urea into ammonia and carbon dioxide. Excess carbon dioxide in the breath is a sign of an H. pylori infection.
Correct Answer is D
Explanation
Choice A rationale
While headaches can be a side effect of many medications, they are not commonly associated with daily aspirin intake.
Choice B rationale
Muscle pain is not a common side effect of daily aspirin intake. It is more commonly associated with statins, a class of drugs used to lower cholesterol levels.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Stomach upset is a potential adverse effect of taking daily aspirin. Aspirin can irritate the stomach lining, which can lead to symptoms such as heartburn and nausea.
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