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 A

Explanation

Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.

Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore

A. Administer pain medication B. Initiate IV fluid resuscitation

Correct Answer is B

Explanation

Choice A rationale
While administering pain medication can provide temporary relief for a client with severe abdominal pain, it does not address the underlying issue of a perforated peptic ulcer. Pain medication should be administered as part of a comprehensive treatment plan, but it should not be the first step in managing a perforated peptic ulcer.
Choice B rationale
Initiating IV fluid resuscitation is a crucial first step in the management of a client presenting with severe abdominal pain and a history of peptic ulcer disease. A perforated peptic ulcer is a medical emergency that can lead to infection and shock, and IV fluid resuscitation can help stabilize the client’s condition while further diagnostic and therapeutic measures are taken.

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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 reinforcing teaching about pain control with a client who has acute pain following gastric surgery. Which of the following client statements indicates an understanding of pain control?

Correct Answer is A

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Correct Answer is B

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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?