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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale
Lemon pepper fish might not be the best choice for a patient with GERD. Citrus fruits like lemon can trigger GERD symptoms, and spicy foods like pepper can also exacerbate GERD56.
Choice B rationale

Corned beef brisket is a fatty food, and fatty foods are known to worsen GERD symptoms. They can increase the production of stomach acid and delay stomach emptying, which can trigger GERD56.
Choice C rationale
Spaghetti with red sauce might not be a good choice for a patient with GERD. Tomato-based foods like red sauce can trigger GERD symptoms.
Choice D rationale
Baked turkey breast is a good choice for a patient with GERD. It’s a lean meat, and lean meats are low in fat and less likely to cause symptoms of acid reflux than fatty meats.

A. Monitor peripheral pulses every 8 hr. B. Ambulate the client three times daily. C. Maintain NPO status. D. Measure urine output every 4 hr.

Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor peripheral pulses as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.
Choice B rationale
Ambulating the client three times daily is not a specific intervention for a client who has acute pancreatitis. While physical activity is generally beneficial for overall health, it does not directly address the needs of a patient with acute pancreatitis, especially during an acute attack.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a common intervention for a client who has acute pancreatitis. This allows the pancreas to rest and recover, reducing inflammation and pain.
Choice D rationale
Measuring urine output every 4 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor urine output as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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Which of the following statements by the patient would indicate a correct understanding of peptic ulcer disease?

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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?