Nursing on Peptic Ulcers and Diabetes Management
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Questions and Answers

What is a side effect that patients should monitor and report when taking pancreatic enzymes?

  • Drowsiness
  • Abdominal cramping
  • Headache (correct)
  • Nausea

    • Patients should administer pancrelipase after taking antacids or receptor antagonists.

    True

    What is the main cause of Type 1 Diabetes Mellitus?

    Destruction of pancreatic beta cells leading to lack of insulin.

    Monitor electrolytes and watch for signs of __________ and __________ in patients with hypovolemia.

    <p>hypotension, tachycardia</p> Signup and view all the answers

    Match the following nursing actions with their corresponding conditions:

    <p>Monitor blood glucose = Type 1 Diabetes Mellitus Monitor for rupture and hemorrhage = Pancreatic Infection Monitor for hypoxia = Left Lung Effusion and Atelectasis Monitor coagulation studies = Coagulation Defects</p> Signup and view all the answers

    Which of the following is the most common area for a peptic ulcer?

    <p>Duodenum</p> Signup and view all the answers

    Vomiting is a common symptom of peptic ulcer disease.

    <p>False</p> Signup and view all the answers

    What are the primary risk factors associated with peptic ulcers?

    <p>H. pylori infection, NSAID use, severe stress, familial tendency, hypersecretory states, excess alcohol consumption.</p> Signup and view all the answers

    Pain from a duodenal ulcer typically occurs ________ after a meal.

    <p>1.5 to 3 hours</p> Signup and view all the answers

    Match the types of ulcers with their characteristics:

    <p>Gastric Ulcer = Pain occurs 30 to 60 min after a meal Duodenal Ulcer = Pain occurs 1.5 to 3 hr after a meal Stress Ulcer = Occurs from physiological stress events Curling's Ulcer = Seen in burn victims</p> Signup and view all the answers

    Which of the following is NOT a method used to test for H. pylori?

    <p>Barium swallow</p> Signup and view all the answers

    Metronidazole is used as a treatment option for H. pylori infection.

    <p>True</p> Signup and view all the answers

    What is the recommended fasting period before an esophagogastroduodenoscopy (EGD)?

    <p>6 to 8 hours</p> Signup and view all the answers

    The medication class that suppresses gastric acid secretion by blocking H₂ receptors is known as __________.

    <p>Histamine Receptor Antagonists</p> Signup and view all the answers

    Match the following medications with their primary functions:

    <p>Pantoprazole = Proton-pump inhibitor Amoxicillin = Antibiotic to eliminate H. pylori Cimetidine = Histamine receptor antagonist Metronidazole = Antibiotic to eliminate H. pylori</p> Signup and view all the answers

    Which nursing action is important when a patient is receiving a proton-pump inhibitor?

    <p>Take the medication prior to the main meal</p> Signup and view all the answers

    Which medication is classified as a proton pump inhibitor?

    <p>Esomeprazole</p> Signup and view all the answers

    Histamine antagonists increase gastric acid output by blocking histamine receptors.

    <p>False</p> Signup and view all the answers

    What should be monitored for in patients after a procedure involving upper endoscopy?

    <p>Signs of perforation such as chest pain, fever, nausea, vomiting, and abdominal distention.</p> Signup and view all the answers

    _____ should not be administered to patients with acute kidney injury or chronic kidney failure.

    <p>Antacids</p> Signup and view all the answers

    Match the following medications with their classifications:

    <p>Omeprazole = Proton Pump Inhibitor Nizatidine = Histamine Antagonist Aluminum hydroxide = Antacid Famotidine = Histamine Antagonist</p> Signup and view all the answers

    What surgical procedure involves removing the lower portion of the stomach?

    <p>Antrectomy</p> Signup and view all the answers

    A vagotomy involves enlarging the opening between the stomach and small intestine.

    <p>False</p> Signup and view all the answers

    What is the purpose of administering vitamin B12 supplements after a gastrectomy?

    <p>Decreased absorption</p> Signup and view all the answers

    The process of _____ is done to decrease gastric acid production by cutting the vagus nerve.

    <p>vagotomy</p> Signup and view all the answers

    Match the medication with its effect:

    <p>Aluminum Hydroxide = Causes constipation Magnesium Hydroxide = Causes diarrhea Aluminum and Magnesium Hydroxide = Neutralizes acid Bismuth Subsalicylate = May turn stools black</p> Signup and view all the answers

    Which of the following should be avoided after a gastrectomy?

    <p>NSAIDs and aspirin</p> Signup and view all the answers

    What position should clients typically be placed in postoperatively to facilitate expansion?

    <p>Semi-Fowler's position</p> Signup and view all the answers

    Scant blood in nasogastric tube drainage is a normal finding within the first 12 to 24 hours post-surgery.

    <p>True</p> Signup and view all the answers

    Which of the following is NOT a risk factor for gastritis?

    <p>Regular exercise</p> Signup and view all the answers

    Individuals with acute gastritis may experience rapid onset of symptoms.

    <p>True</p> Signup and view all the answers

    What is the primary bacterial infection associated with gastritis?

    <p>Helicobacter pylori</p> Signup and view all the answers

    Chronic use of __________ can stop prostaglandin synthesis, increasing the risk of gastritis.

    <p>NSAIDs</p> Signup and view all the answers

    Match the symptoms to their corresponding findings related to gastritis:

    <p>Dyspepsia = General abdominal discomfort Hiccuping = Can last for several days Hematemesis = Bloody emesis Anorexia = Reduced appetite</p> Signup and view all the answers

    What dietary recommendation should be followed to manage gastritis symptoms?

    <p>Avoid spicy and fatty foods</p> Signup and view all the answers

    Pernicious anemia is not related to gastritis.

    <p>False</p> Signup and view all the answers

    What type of test can be used to measure the presence of H. pylori?

    <p>$^{13}$C urea breath test</p> Signup and view all the answers

    Individuals with gastrointestinal bleeding should watch for indications such as __________.

    <p>bloody stools</p> Signup and view all the answers

    Which of the following is a common physical assessment finding for gastritis?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the most critical immediate intervention for a client experiencing perforation of a peptic ulcer?

    <p>Providing oxygen support and maintaining blood pressure</p> Signup and view all the answers

    Pernicious anemia is caused by a deficiency of vitamin C.

    <p>False</p> Signup and view all the answers

    What is a common symptom reported by clients suffering from dumping syndrome?

    <p>Dizziness</p> Signup and view all the answers

    After a meal, clients experiencing dumping syndrome should limit their ______ intake to avoid complications.

    <p>fluid</p> Signup and view all the answers

    Match the following manifestations to their corresponding conditions:

    <p>Pallor and weakness = Dumping Syndrome Fatigue and glossitis = Pernicious Anemia Severe abdominal pain = Perforation/Hemorrhage Nausea after eating = Pyloric Obstruction</p> Signup and view all the answers

    What can be an early manifestation of dumping syndrome?

    <p>Diarrhea</p> Signup and view all the answers

    Daily vitamin B12 supplements are sufficient for managing pernicious anemia.

    <p>False</p> Signup and view all the answers

    What should patients with pyloric obstruction expect to feel after eating?

    <p>Nausea and fullness</p> Signup and view all the answers

    Pyloric obstruction can lead to emesis consisting of ______ food due to delayed gastric emptying.

    <p>undigested</p> Signup and view all the answers

    Which of the following nursing actions is NOT indicated for managing a perforation emergency?

    <p>Encouraging oral intake</p> Signup and view all the answers

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