Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?

To repair a perforation in the stomach.

To remove the ulcerated tissue which allows healing.

To reduce the ability of the stomach to produce acid.

To prevent the stomach from sliding into the chest.

Answer and Explanation

The Correct Answer is C

A.   A vagotomy is not performed to repair a perforation. A perforation typically requires different surgical interventions, such as suturing or possibly resection. This response does not accurately reflect the purpose of a vagotomy.

B.   While this sounds like a logical reason for treating an ulcer, vagotomy itself does not involve removing ulcerated tissue. It is a procedure that involves cutting the vagus nerve to reduce acid secretion in the stomach, rather than directly excising tissue. Thus, this response is incorrect.
C.   A vagotomy is performed to cut the vagus nerve, which decreases the stimulation of acid production in the stomach. This reduction in acid helps promote healing of the ulcer and prevents future ulcer formation. It directly addresses the underlying problem of excessive acid production associated with peptic ulcers.
D.   This response refers to a different surgical procedure, such as a fundoplication, which is done to prevent hiatal hernias where the stomach slides into the chest. Vagotomy does not serve this purpose and is unrelated to preventing such anatomical issues.

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Correct Answer is D

Explanation

A. While some individuals may experience discomfort or irritation from spicy foods, there is no substantial evidence linking spicy food consumption directly to the development of oral cancer. It can cause symptoms like mouth ulcers or gastritis in some people but is not recognized as a significant risk factor for oral cancer.
B. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) is not directly associated with an increased risk of oral cancer. In some contexts, they may even have protective effects against certain cancers due to their anti-inflammatory properties. However, chronic use can lead to other complications, such as gastrointestinal issues, rather than directly influencing oral cancer risk.
C. Cholecystitis, or inflammation of the gallbladder, is unrelated to the development of oral cancer. It primarily affects the digestive system and does not have a known link to oral malignancies. Thus, it is not considered a risk factor for oral cancer.
D. HPV, particularly certain high-risk strains, is recognized as a significant risk factor for the development of oral cancers, especially oropharyngeal cancers. HPV can lead to cellular changes that increase the likelihood of malignancy in the oral cavity.

A. Administer metronidazole B. Administer loperamide C. Obtain a CBC D. Collect a stool sample

Correct Answer is D

Explanation

A. Metronidazole is an antibiotic used to treat certain bacterial and parasitic infections, including those caused by organisms like Giardia and some anaerobic bacteria. While it may be appropriate if a specific diagnosis indicates its use, it is not the first action without further evaluation.
B. Loperamide is an antidiarrheal medication that slows intestinal movement and can help alleviate diarrhea. However, using loperamide in cases of suspected infectious diarrhea (especially if due to a bacterial or parasitic cause) can worsen the condition by keeping pathogens in the system longer. It is generally not the first choice in such scenarios.
C. A complete blood count (CBC) can provide information about the patient's overall health and help identify signs of infection (like elevated white blood cell counts). However, this diagnostic test is not an immediate intervention to manage the patient's current symptoms.
D. Collecting a stool sample is crucial to identify the causative organism responsible for the diarrhea, especially given the recent consumption of undercooked meat. This step is important for guiding appropriate treatment, as it will help determine whether an infectious agent is present and what specific treatment may be required.

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Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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