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Nursing Interventions: GI System Physiology and Pathological Changes

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36 Questions

What is the primary site of stomach-like digestion?

Duodenum

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

NSAID interference with prostaglandin production

What can neutralize acid in the duodenum?

Antacids

Why are the stomach and duodenum most susceptible to ulcers?

They have the most acid

What is a common feature of ulcers even after healing?

Likelihood of recurrence

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

Forming a coating over ulcers to protect and promote healing

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

Stress

What risk does stress pose to an existing ulcer?

It may lead to sepsis and shock.

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

Scar tissue build-up

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

Near the pyloric sphincter

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

Obstruction due to swelling

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

Repeated episodes of ulcers

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

Near the pyloric sphincter

What is the potential danger of exacerbated stress on ulcers?

Progression to sepsis and shock

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

Pathological changes in the GI lining

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

H. pylori

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

Allow ulcer healing

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

Duodenum

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

GI bleeding

Which secretion is categorized under secretions in the small intestine?

Digestive enzymes

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

Stomach and duodenum

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

Pepsin

What is the function of prostaglandins in the GI tract?

They increase blood flow to the GI tract.

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

By using antacids and sometimes by food.

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

It reduces blood flow to the GI tract.

What might happen if NSAID usage leads to pain relief?

There may not be much pain due to NSAID action.

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

Increased risk of GI tract damage.

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

Additional NSAID dosage

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

Feeling full fast

What issue arises when there is complete occlusion?

Vomiting undigested food

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

Improved digestion

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

Bloating

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

Electrolyte imbalances

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

Full fast

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

Vomiting undigested food

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

Feeling full without eating much

This quiz covers the physiological secrets of the GI system, including secretions produced by the stomach, and how they relate to nursing interventions for pathological changes. Test your knowledge of predisposing factors, assessment findings, and antibiotic treatments.

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