What symptom is more common to a duodenal ulcer than a gastric ulcer?
Nighttime pain
Anorexia
Postprandial pain (occurring after a meal)
Nausea and vomiting
The Correct Answer is C
A) Nighttime pain:
Nighttime pain, also known as nocturnal pain, is a symptom associated with both duodenal and gastric ulcers. It occurs when the stomach or duodenal lining is empty and no food is present to buffer the effect of gastric acid. While nighttime pain can occur in both types of ulcers, it is not more specific to duodenal ulcers compared to gastric ulcers.
B) Anorexia:
Anorexia, or loss of appetite, can occur in both duodenal and gastric ulcers due to factors such as pain, discomfort, and inflammation. It is not a symptom that is more commonly associated with one type of ulcer over the other.
C) Postprandial pain (occurring after a meal).
Postprandial pain, which occurs after a meal, is more commonly associated with duodenal ulcers than gastric ulcers. This pain typically occurs 2 to 3 hours after eating, as it is often triggered by the release of gastric acid and duodenal contractions stimulated by food intake. Duodenal ulcers tend to cause this type of pain because they are located in the duodenum, the first part of the small intestine, which is exposed to gastric acid and bile after a meal.
D) Nausea and vomiting:
Nausea and vomiting can occur in both duodenal and gastric ulcers, particularly if the ulcer is accompanied by complications such as obstruction or perforation. These symptoms are not more specific to duodenal ulcers compared to gastric ulcers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.
B. Hypertension: Decongestants can cause vasoconstriction, which may lead to an increase in blood pressure. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider to avoid exacerbating their condition.
C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.
D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially exacerbating symptoms in patients with underlying heart conditions such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.
E. Allergic rhinitis: Allergic rhinitis is not typically a contraindication for decongestant use. In fact, decongestants are often used to relieve nasal congestion associated with allergic rhinitis. However, patients with allergic rhinitis should use decongestants cautiously and follow the recommended dosage instructions.
Correct Answer is D
Explanation
A) Montelukast:
Montelukast is a leukotriene receptor antagonist (LTRA) used as a controller or maintenance medication for asthma. It is not used for the immediate relief of asthma symptoms during an acute attack. Montelukast is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks, but it does not provide rapid relief during an ongoing attack.
B) Fluticasone:
Fluticasone is an inhaled corticosteroid (ICS) used as a controller medication for asthma. It works by reducing airway inflammation and is taken regularly to control asthma symptoms and prevent exacerbations. Fluticasone is not used for the immediate relief of acute asthma symptoms and is not suitable for aborting an ongoing asthma attack.
C) Cromolyn:
Cromolyn is a mast cell stabilizer used as a controller medication for asthma. It helps prevent the release of inflammatory substances that contribute to asthma symptoms. Cromolyn is taken regularly to prevent asthma symptoms and reduce the frequency of asthma attacks but is not used for the immediate relief of acute asthma symptoms like albuterol.
D) Albuterol.
Albuterol is a short-acting beta agonist (SABA) bronchodilator used for the quick relief of asthma symptoms during an acute asthma attack or exacerbation. It works rapidly to relax the smooth muscles in the airways, opening them up and relieving bronchoconstriction, which improves airflow and alleviates symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is typically administered via inhalation through a metered-dose inhaler (MDI) or a nebulizer.
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