Peptic Ulcer and Gastric Surgeries Nursing Care

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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?

Family history of duodenal ulcers Signup and view all the answers

What is the effect of smoking cigarettes on the stomach?

It increases HCL secretion Signup and view all the answers

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

Aspirin and other NSAIDs Signup and view all the answers

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

To promote regular meal times Signup and view all the answers

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

To prevent fluids from interfering with digestion Signup and view all the answers

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

To delay the emptying of the stomach Signup and view all the answers

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

To prevent digestive discomfort Signup and view all the answers

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

Hemorrhage Signup and view all the answers

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

To monitor for signs of bleeding Signup and view all the answers

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

10%–15% Signup and view all the answers

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

To prevent signs and symptoms from increasing Signup and view all the answers

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 Signup and view all the answers

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

To monitor for complications Signup and view all the answers

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 Signup and view all the answers

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

To detect complications secondary to surgery Signup and view all the answers

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

To correct malnutrition Signup and view all the answers

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

Encouraging the patient to verbalize fears and concerns Signup and view all the answers

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

All of the above Signup and view all the answers

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

To ensure the patient understands postoperative procedures Signup and view all the answers

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

Esophagus, stomach, or duodenum 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?

Ethical, legal, socio-cultural, and professional standards 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?

Nutritional support Signup and view all the answers

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

Time management and setting priorities Signup and view all the answers

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

According to the best evidence-based practice Signup and view all the answers

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

Effective communication with surgical, nursing, and medical staff Signup and view all the answers

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

Exposure to cold temperatures Signup and view all the answers

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

Improved patient's outcomes Signup and view all the answers

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

Two antibiotics and a proton pump inhibitor Signup and view all the answers

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

Amoxicillin, Clarithromycin, and Metronidazole Signup and view all the answers

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

Long-term higher dose PPIs Signup and view all the answers

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

Avoiding extreme temperatures and over-stimulation from certain foods Signup and view all the answers

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

Consuming alcohol, coffee, and smoking Signup and view all the answers

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

Have small frequent feedings Signup and view all the answers

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

Asking about the pain and methods used to relieve it Signup and view all the answers

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

Practicing relaxation techniques Signup and view all the answers