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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Drinking a glass of water with each meal is not typically recommended for patients with dumping syndrome. In fact, it’s often suggested to avoid drinking liquids until at least 30 minutes after a meal.
Choice B rationale
Increasing protein in the diet is indeed a good recommendation for a patient with dumping syndrome. High-protein foods can help to slow the rate of gastric emptying and reduce symptoms.
Choice C rationale
Eating three moderate-sized meals a day might not be the best advice for a patient with dumping syndrome. Instead, it’s often recommended to eat smaller, more frequent meals throughout the day.
Choice D rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can sometimes exacerbate symptoms.
Correct Answer is B
Explanation
Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.
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