After reinforcing teaching on peptic ulcer disease, the nurse evaluates the patient as understanding the education if the patient states which of the following is a primary cause of peptic ulcer disease?
"Eating spicy foods"
"A stressful life"
"Excessive caffeine intake"
"A bacterial infection"
The Correct Answer is D
D. The primary cause of peptic ulcer disease is infection with Helicobacter pylori (H. pylori) bacteria. H. pylori infection is associated with the majority of peptic ulcers, particularly those in the stomach. This bacterium weakens the protective mucous lining of the stomach and duodenum, allowing stomach acid to damage the underlying tissue and form ulcers.
A. Spicy foods can exacerbate symptoms in some individuals with peptic ulcer disease but they are not a primary cause of the condition. Spicy foods can irritate the lining of the stomach or duodenum, potentially worsening symptoms, but they do not directly cause ulcers.
B. Stress was once thought to be a major factor in the development of peptic ulcers, but research has shown that while stress may aggravate symptoms, it is not a primary cause of peptic ulcer disease.
C. Excessive caffeine intake was also previously believed to be a major cause of peptic ulcer disease, but this is not entirely accurate. While caffeine can stimulate gastric acid secretion, leading to increased acidity in the stomach, it is not a primary cause of peptic ulcers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"B"},"H":{"answers":"A"}}
Explanation
Hypoglycemia
Tremor is a common symptom of hypoglycemia, as low blood sugar levels can lead to shaky hands and trembling.
Seizures can occur in severe cases of hypoglycemia when the brain is deprived of glucose, leading to abnormal electrical activity and convulsions.
Sweating, particularly cold and clammy skin, is a common symptom of hypoglycemia as the body responds to low blood sugar levels.
Hunger or sudden feelings of extreme hunger are common symptoms of hypoglycemia as the body seeks additional fuel to raise blood sugar levels.
Hyperglycemia
Lethargy, or extreme fatigue and drowsiness, is more commonly associated with hyperglycemia, as elevated blood sugar levels can affect energy levels and lead to feelings of sluggishness.
Polydipsia is a classic symptom of hyperglycemia, as high blood sugar levels can cause dehydration and trigger the body's thirst response.
Abdominal pain is more commonly associated with hyperglycemia, particularly in conditions like diabetic ketoacidosis (DKA), where abdominal discomfort can be a sign of metabolic disturbances.
Polyuria is a classic symptom of hyperglycemia, as high blood sugar levels can lead to increased urine production as the kidneys work to remove excess glucose from the bloodstream.
Correct Answer is B
Explanation
B. Severe upper abdominal pain is a hallmark symptom of gastrointestinal perforation. Perforation can lead to the leakage of gastric contents into the peritoneal cavity, causing intense, sharp pain in the upper abdomen. The pain may be sudden and severe and can radiate to the back or shoulders.
A. Bradycardia, or a slow heart rate, is not typically associated with gastrointestinal perforation. Instead, tachycardia (rapid heart rate) is more commonly observed due to the body's response to shock or inflammation caused by perforation.
C. Hyperactive bowel sounds are more commonly associated with conditions such as gastroenteritis or bowel obstruction. In the case of gastrointestinal perforation, bowel sounds may initially be normal but can eventually become absent due to peritoneal irritation and subsequent paralytic ileus.
D. Epigastric fullness may be present in peptic ulcer disease but is not a specific manifestation of gastrointestinal perforation. Perforation is more likely to present with severe, acute pain rather than a sensation of fullness.
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