Nursing Interventions: GI System Physiology and Pathological Changes
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Questions and Answers

What is the primary site of stomach-like digestion?

  • Jejunum
  • Colon
  • Ileum
  • Duodenum (correct)

Which factor is stated as a way that can predispose to peptic ulcer disease (PUD)?

  • NSAID interference with prostaglandin production (correct)
  • Excessive water consumption
  • High fiber diet
  • Low fat diet

What can neutralize acid in the duodenum?

  • Probiotics
  • Antipsychotics
  • Antacids (correct)
  • Antibiotics

Why are the stomach and duodenum most susceptible to ulcers?

<p>They have the most acid (B)</p> Signup and view all the answers

What is a common feature of ulcers even after healing?

<p>Likelihood of recurrence (B)</p> Signup and view all the answers

What is one action of some drugs in the context of ulcers?

<p>Forming a coating over ulcers to protect and promote healing (A)</p> Signup and view all the answers

What can exacerbate the condition if there is already an ulcer?

<p>Stress (C)</p> Signup and view all the answers

What risk does stress pose to an existing ulcer?

<p>It may lead to sepsis and shock. (C)</p> Signup and view all the answers

Which condition mostly occurs with repeated episodes of ulcers over the same spot?

<p>Scar tissue build-up (C)</p> Signup and view all the answers

Where must an ulcer be located to cause obstruction due to swelling?

<p>Near the pyloric sphincter (B)</p> Signup and view all the answers

What could be a consequence of an ulcer close to the pyloric sphincter?

<p>Obstruction due to swelling (A)</p> Signup and view all the answers

What is the build-up of scar tissue a result of?

<p>Repeated episodes of ulcers (B)</p> Signup and view all the answers

What can lead to obstruction if an ulcer is close to a specific part of the stomach?

<p>Near the pyloric sphincter (C)</p> Signup and view all the answers

What is the potential danger of exacerbated stress on ulcers?

<p>Progression to sepsis and shock (C)</p> Signup and view all the answers

Which factor primarily contributes to ulcers forming in parts of the GI tract exposed to acid-pepsin secretions?

<p>Pathological changes in the GI lining (D)</p> Signup and view all the answers

Which bacteria is often treated with antibiotics to reduce ulcer recurrence?

<p>H. pylori (B)</p> Signup and view all the answers

What is a key function of medications that are used to decrease acidity in the GI tract?

<p>Allow ulcer healing (A)</p> Signup and view all the answers

Which part of the GI tract is most susceptible to peptic ulcers due to acid-pepsin exposure?

<p>Duodenum (A)</p> Signup and view all the answers

What is the specific nursing problem associated with ulcerative conditions in the stomach?

<p>GI bleeding (D)</p> Signup and view all the answers

Which secretion is categorized under secretions in the small intestine?

<p>Digestive enzymes (A)</p> Signup and view all the answers

Peptic Ulcer Disease (PUD) typically affects which parts of the gastro-intestinal tract?

<p>Stomach and duodenum (C)</p> Signup and view all the answers

What breaks down proteins in the stomach, contributing to ulcer formation when secretions are excessive?

<p>Pepsin (B)</p> Signup and view all the answers

What is the function of prostaglandins in the GI tract?

<p>They increase blood flow to the GI tract. (C)</p> Signup and view all the answers

How can NSAID-induced pain in the GI tract usually be relieved?

<p>By using antacids and sometimes by food. (C)</p> Signup and view all the answers

What is the consequence of NSAID action on the GI tract?

<p>It reduces blood flow to the GI tract. (B)</p> Signup and view all the answers

What might happen if NSAID usage leads to pain relief?

<p>There may not be much pain due to NSAID action. (A)</p> Signup and view all the answers

What are primary complications of reduced prostaglandin production in the GI tract?

<p>Increased risk of GI tract damage. (D)</p> Signup and view all the answers

What typically does not serve as relief for pain caused by NSAID use?

<p>Additional NSAID dosage (D)</p> Signup and view all the answers

What symptom is noted when there's not a complete occlusion of the stomach into the small intestine?

<p>Feeling full fast (D)</p> Signup and view all the answers

What issue arises when there is complete occlusion?

<p>Vomiting undigested food (D)</p> Signup and view all the answers

Which of the following is not an effect of a complete occlusion?

<p>Improved digestion (C)</p> Signup and view all the answers

What is caused by impaired emptying of the stomach into the small intestine?

<p>Bloating (D)</p> Signup and view all the answers

Which of the following is a common issue with complete occlusion?

<p>Electrolyte imbalances (C)</p> Signup and view all the answers

How could a person feel if the stomach is not completely occluded?

<p>Full fast (B)</p> Signup and view all the answers

Which symptom is associated with complete occlusion but not with partial occlusion?

<p>Vomiting undigested food (A)</p> Signup and view all the answers

What does the impaired emptying of the stomach into the small intestine imply?

<p>Feeling full without eating much (C)</p> Signup and view all the answers

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