Peptic Ulcer and Gastric Surgeries Nursing Care
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Questions and Answers

What percentage of duodenal ulcers are caused by Helicobacter pylori?

  • 90% (correct)
  • 70%
  • 80%
  • 60%

Which of the following is a symptom of peptic ulcers?

  • Abdominal pain (correct)
  • Nausea
  • Fatigue
  • Headache

What is the effect of food on duodenal ulcers?

  • Food is unrelated to duodenal ulcers
  • Food has no effect on the pain
  • Food exacerbates the pain
  • Food relieves the pain (correct)

Which of the following is a risk factor for peptic ulcers?

<p>Family history of duodenal ulcers (A)</p> Signup and view all the answers

What is the effect of smoking cigarettes on the stomach?

<p>It increases HCL secretion (C)</p> Signup and view all the answers

Which of the following drugs can cause or worsen peptic ulcers?

<p>Aspirin and other NSAIDs (B)</p> Signup and view all the answers

What is the primary goal of teaching dietary self-management to patients?

<p>To promote regular meal times (B)</p> Signup and view all the answers

Why are fluids discouraged with meals in patients with certain conditions?

<p>To prevent fluids from interfering with digestion (A)</p> Signup and view all the answers

What is the purpose of antispasmodic medication as prescribed in patients with certain conditions?

<p>To delay the emptying of the stomach (C)</p> Signup and view all the answers

Why are small and frequent meals recommended for patients with certain conditions?

<p>To prevent digestive discomfort (B)</p> Signup and view all the answers

What is the most common complication in patients with certain conditions?

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

What is the primary goal of monitoring vital signs in patients with hemorrhage?

<p>To monitor for signs of bleeding (A)</p> Signup and view all the answers

What percentage of patients experience recurrence of ulcer after subtotal gastrectomy with Billroth I or II anastomosis?

<p>10%–15% (D)</p> Signup and view all the answers

Why is it essential to instruct patients to avoid certain medications and foods?

<p>To prevent signs and symptoms from increasing (B)</p> Signup and view all the answers

What is the primary goal of preoperative patient education in subtotal gastrectomy with Billroth I or II anastomosis?

<p>To provide knowledge about preoperative and postoperative procedures (B)</p> Signup and view all the answers

What is the primary goal of follow-up care in patients with certain conditions?

<p>To monitor for complications (A)</p> Signup and view all the answers

What is the nurse assessing during the evaluation of the patient's nutritional status before surgery?

<p>Weight loss, nausea, vomiting, hematemesis, and time taken to lose weight (D)</p> Signup and view all the answers

What is the purpose of assessing bowel sounds and palpating the abdomen in postoperative care?

<p>To detect complications secondary to surgery (B)</p> Signup and view all the answers

What is the primary reason for providing enteral or parenteral nutrition preoperatively in patients with gastric cancer?

<p>To correct malnutrition (C)</p> Signup and view all the answers

What is the nurse's role in reducing anxiety in the preoperative period?

<p>Encouraging the patient to verbalize fears and concerns (C)</p> Signup and view all the answers

What is the possible complication of subtotal gastrectomy with Billroth I or II anastomosis?

<p>All of the above (D)</p> Signup and view all the answers

Why is it essential to reinforce preoperative education after surgery, especially in emergency cases?

<p>To ensure the patient understands postoperative procedures (B)</p> Signup and view all the answers

What part of the gastrointestinal tract is primarily affected by peptic ulcer disease (PUD)?

<p>Esophagus, stomach, or duodenum (B)</p> Signup and view all the answers

Which of the following is a skill that should be integrated when providing care to adults with peptic ulcer and gastric surgeries?

<p>Ethical, legal, socio-cultural, and professional standards (A)</p> Signup and view all the answers

Which of the following is NOT listed as a type of care provided to patients undergoing peptic ulcer surgery?

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

What is a critical skill mentioned for effectively managing nursing activities?

<p>Time management and setting priorities (C)</p> Signup and view all the answers

How should nursing activities be conducted according to the module objectives?

<p>According to the best evidence-based practice (A)</p> Signup and view all the answers

What kind of communication skills should be applied when providing care?

<p>Effective communication with surgical, nursing, and medical staff (B)</p> Signup and view all the answers

Which of the following is NOT identified as a risk factor or cause for peptic ulcers?

<p>Exposure to cold temperatures (A)</p> Signup and view all the answers

What is the outcome of effective inter-professional communication when treating patients with peptic ulcers?

<p>Improved patient's outcomes (B)</p> Signup and view all the answers

What is typically included in the most effective treatment for pylori infection?

<p>Two antibiotics and a proton pump inhibitor (D)</p> Signup and view all the answers

Which antibiotics can be used together in complicated, treatment-resistant cases of pylori infection?

<p>Amoxicillin, Clarithromycin, and Metronidazole (C)</p> Signup and view all the answers

What is typically used in the treatment of peptic ulcers in the absence of H. pylori?

<p>Long-term higher dose PPIs (B)</p> Signup and view all the answers

What dietary modification can help avoid over secretion of acid in the GIT?

<p>Avoiding extreme temperatures and over-stimulation from certain foods (A)</p> Signup and view all the answers

What should be avoided to reduce the stimulation in the GIT for those with dietary concerns?

<p>Consuming alcohol, coffee, and smoking (C)</p> Signup and view all the answers

How should a patient with peptic ulcers modify their eating patterns?

<p>Have small frequent feedings (B)</p> Signup and view all the answers

Which assessment is crucial in understanding a patient's pain related to peptic ulcers?

<p>Asking about the pain and methods used to relieve it (D)</p> Signup and view all the answers

What is a part of the nursing intervention for relieving pain in a patient with peptic ulcers?

<p>Practicing relaxation techniques (A)</p> Signup and view all the answers

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