A patient is suspected to have peptic ulcer disease from H. pylori. The patient asks the nurse what kind of testing will be done to determine the cause of the peptic ulcer. What will the nurse tell the client?
blood cultures will need to be drawn.
a biopsy of the stomach will be done.
a breath test will be performed.
computerized scanning will identify if H. pylori is present.
The Correct Answer is C
A. Blood cultures will need to be drawn.
Blood cultures are not typically used for diagnosing H. pylori infection. Instead, specific blood tests, such as serology or antibody tests, may be employed to detect antibodies against H. pylori.
B. A biopsy of the stomach will be done.
While a biopsy may be taken during an upper endoscopy to examine the stomach lining for ulcers and H. pylori infection, it is not the primary method for detecting the presence of H. pylori. The biopsy may be used for confirming the infection and assessing the severity of damage.
C. A breath test will be performed.
This is the correct choice. The breath test is a common and non-invasive method used to detect the presence of H. pylori. The patient drinks a solution containing a substance that H. pylori can break down, and the detection of carbon dioxide in the patient's breath indicates the presence of the bacteria.
D. Computerized scanning will identify if H. pylori is present.
Computerized scanning, such as computed tomography (CT) scans, is not a primary method for detecting H. pylori. Imaging studies are not typically used for H. pylori diagnosis, and the methods mentioned earlier, like breath tests and endoscopy, are more commonly employed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Continue taking OCPS because phenytoin is not safe during pregnancy."
This statement is not accurate. While it's essential to address pregnancy risk, phenytoin can reduce the effectiveness of oral contraceptives. Women on phenytoin are often advised to use additional contraceptive measures.
B. "You should use a backup method of contraception along with OCPs."
This is the correct response. Phenytoin can accelerate the metabolism of oral contraceptives, potentially reducing their effectiveness. Using a backup method, such as condoms, is recommended to ensure adequate contraception.
C. "You should stop taking OCPs because of drug-drug interactions with phenytoin."
This advice is generally not recommended without consulting the healthcare provider. Abruptly stopping OCPs without an alternative form of contraception can increase the risk of unintended pregnancy.
D. "You should take low-dose aspirin while taking these medications to reduce your risk of stroke."
This statement is not relevant to the situation described. Low-dose aspirin is not typically recommended for contraception, and its use in this context does not address the potential interaction between phenytoin and oral contraceptives.
Correct Answer is A
Explanation
A. The importance of consuming adequate amounts of water
When instructing a patient who will take psyllium (Metamucil) to treat constipation, it is crucial to emphasize the importance of consuming adequate amounts of water. Psyllium is a bulk-forming laxative that works by absorbing water in the intestines, forming a gel-like mass that helps soften stools and promote bowel movements. Without sufficient water intake, psyllium may cause an obstruction or worsen constipation.
B. The need to monitor for systemic side effects.
Psyllium is generally well-tolerated and is not associated with significant systemic side effects. The primary consideration is ensuring proper hydration.
C. The onset of action of 30-60 minutes after administration.
Psyllium is not a fast-acting laxative. It usually takes a longer time to produce its effects, and patients should not expect an immediate response within 30-60 minutes.
D. The need to use the dry form of psyllium to prevent cramping.
Using the dry form of psyllium is not recommended, as it may increase the risk of choking or swallowing difficulties. It is typically recommended to mix psyllium with a sufficient amount of water or other liquids to prevent cramping and ensure proper absorption.
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