A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

High hemoglobin

Yellowing of the skin

Acute, sharp, and severe abdominal pain

High hematocrit .

Answer and Explanation

The Correct Answer is C

Choice A rationale
High hemoglobin is not typically a symptom of a perforated peptic ulcer. Hemoglobin is a protein in red blood cells that carries oxygen. While changes in hemoglobin levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer.
Choice B rationale
Yellowing of the skin, or jaundice, is a symptom typically associated with liver disease, not a perforated peptic ulcer. Jaundice occurs when there’s too much bilirubin, a yellow-orange substance, in your blood.
Choice C rationale
Acute, sharp, and severe abdominal pain is a common symptom of a perforated peptic ulcer. A perforated peptic ulcer is a medical emergency that occurs when an ulcer goes through all the layers of the stomach or duodenum wall, creating a hole. This allows stomach or intestinal contents to leak into the abdominal cavity, causing severe abdominal pain.

Choice D rationale
High hematocrit is not typically a symptom of a perforated peptic ulcer. Hematocrit is the proportion of your total blood volume that is composed of red blood cells. While changes in hematocrit levels can indicate various health conditions, they are not directly associated with a perforated peptic ulcer. Dumping syndromeDumping syndrome Explore

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Correct Answer is B

Explanation

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

A. I will take the capsule before eating a meal in the morning. B. I should not take antacids while I’m on this medication. C. I will report any abdominal pain, diarrhea, or bleeding that occurs. D. I will need to take this drug for 3 weeks for my ulcer to heal. E. If I wish, I can open the capsule and sprinkle it on the food.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale
Omeprazole should be taken before eating a meal in the morning. This is because the drug works best when the stomach is empty, allowing it to effectively block the production of stomach acid.
Choice B rationale
It’s not necessary to avoid antacids while taking omeprazole. In fact, antacids can be used in combination with omeprazole if needed.
Choice C rationale
Patients should indeed report any abdominal pain, diarrhea, or bleeding that occurs while taking omeprazole. These could be signs of a serious side effect or complication.
Choice D rationale
The duration of treatment with omeprazole can vary depending on the condition being treated. For peptic ulcer disease, treatment typically lasts for 4-8 weeks, not just 3 weeks.
Choice E rationale

Omeprazole capsules can be opened and the contents sprinkled on food if needed. This can make the medication easier to swallow.

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A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Correct Answer is B

Explanation

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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