38 Questions
What percentage of duodenal ulcers are caused by Helicobacter pylori?
90%
Which of the following is a symptom of peptic ulcers?
Abdominal pain
What is the effect of food on duodenal ulcers?
Food relieves the pain
Which of the following is a risk factor for peptic ulcers?
Family history of duodenal ulcers
What is the effect of smoking cigarettes on the stomach?
It increases HCL secretion
Which of the following drugs can cause or worsen peptic ulcers?
Aspirin and other NSAIDs
What is the primary goal of teaching dietary self-management to patients?
To promote regular meal times
Why are fluids discouraged with meals in patients with certain conditions?
To prevent fluids from interfering with digestion
What is the purpose of antispasmodic medication as prescribed in patients with certain conditions?
To delay the emptying of the stomach
Why are small and frequent meals recommended for patients with certain conditions?
To prevent digestive discomfort
What is the most common complication in patients with certain conditions?
Hemorrhage
What is the primary goal of monitoring vital signs in patients with hemorrhage?
To monitor for signs of bleeding
What percentage of patients experience recurrence of ulcer after subtotal gastrectomy with Billroth I or II anastomosis?
10%–15%
Why is it essential to instruct patients to avoid certain medications and foods?
To prevent signs and symptoms from increasing
What is the primary goal of preoperative patient education in subtotal gastrectomy with Billroth I or II anastomosis?
To provide knowledge about preoperative and postoperative procedures
What is the primary goal of follow-up care in patients with certain conditions?
To monitor for complications
What is the nurse assessing during the evaluation of the patient's nutritional status before surgery?
Weight loss, nausea, vomiting, hematemesis, and time taken to lose weight
What is the purpose of assessing bowel sounds and palpating the abdomen in postoperative care?
To detect complications secondary to surgery
What is the primary reason for providing enteral or parenteral nutrition preoperatively in patients with gastric cancer?
To correct malnutrition
What is the nurse's role in reducing anxiety in the preoperative period?
Encouraging the patient to verbalize fears and concerns
What is the possible complication of subtotal gastrectomy with Billroth I or II anastomosis?
All of the above
Why is it essential to reinforce preoperative education after surgery, especially in emergency cases?
To ensure the patient understands postoperative procedures
What part of the gastrointestinal tract is primarily affected by peptic ulcer disease (PUD)?
Esophagus, stomach, or duodenum
Which of the following is a skill that should be integrated when providing care to adults with peptic ulcer and gastric surgeries?
Ethical, legal, socio-cultural, and professional standards
Which of the following is NOT listed as a type of care provided to patients undergoing peptic ulcer surgery?
Nutritional support
What is a critical skill mentioned for effectively managing nursing activities?
Time management and setting priorities
How should nursing activities be conducted according to the module objectives?
According to the best evidence-based practice
What kind of communication skills should be applied when providing care?
Effective communication with surgical, nursing, and medical staff
Which of the following is NOT identified as a risk factor or cause for peptic ulcers?
Exposure to cold temperatures
What is the outcome of effective inter-professional communication when treating patients with peptic ulcers?
Improved patient's outcomes
What is typically included in the most effective treatment for pylori infection?
Two antibiotics and a proton pump inhibitor
Which antibiotics can be used together in complicated, treatment-resistant cases of pylori infection?
Amoxicillin, Clarithromycin, and Metronidazole
What is typically used in the treatment of peptic ulcers in the absence of H. pylori?
Long-term higher dose PPIs
What dietary modification can help avoid over secretion of acid in the GIT?
Avoiding extreme temperatures and over-stimulation from certain foods
What should be avoided to reduce the stimulation in the GIT for those with dietary concerns?
Consuming alcohol, coffee, and smoking
How should a patient with peptic ulcers modify their eating patterns?
Have small frequent feedings
Which assessment is crucial in understanding a patient's pain related to peptic ulcers?
Asking about the pain and methods used to relieve it
What is a part of the nursing intervention for relieving pain in a patient with peptic ulcers?
Practicing relaxation techniques
This quiz assesses your understanding of peptic ulcer and gastric surgeries nursing care, including standardized protocols, communication skills, and ethical considerations.
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