Peptic Ulcer Disease NCLEX Questions Flashcards
Which assessment data support to the nurse the clients diagnosis of gastric ulcer?
- Presence of blood in the clients stool for the past month.
- Reports of a burning sensation moving like a wave.
- Sharp pain in the upper abdomen after eating a heavy meal.
- Complaints of epigastric pain 30-60 minutes after ingesting food.
- The client diagnosed with a gastric ulcer, pain usually occurs 30 to 60 minutes after eating, but not at night. In contrast,no client with a duodenal ulcer has pain during the night often relieved by eating food. Pain occurs 1-3 hours after meals.
The nurse is caring for a client diagnosed with rule out peptic ulcer disease. Which test confirms this diagnosis?
- Esophagogastroduodenoscopy
- Magnetic resonance imaging
- Occult blood test
- Gastric acid stimulation.
- The esophagogastroduodenoscopy (EGD) is an invasive diagnostic test which visualizes the esophagus, stomach, and duodenum to accurately diagnose an ulcer and evaluate the effectiveness of the clients treatment.
Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?
- History of side effects experienced from all medications
- Use of non steroidal anti inflammatory drugs (NSAIDs)
- Any known allergies to drugs and environmental factors
- Medical histories of at lease 3 generations
- Use of NSAIDs places the client at risk for peptic ulcer and hemorrhage. NSAIDs suppress the production of prostaglandin in the stomach, which is a protective mechanism to prevent damage from hydrochloric acid.
Which physical examination should the nurse implement first when assessing the client diagnosed with peptic ulcer disease?
- Auscultate the clients bowel sounds in all four quadrants
- Palpate the abdominal area for tenderness
- Percuss the abdominal borders to identify organs
- Assess the tender area progressing to nontender
- Auscultation should be used prior to palpitation or percussion when assessing the abdomen. Manipulation of the abdomen can alter bowel sounds and give false information
Which problems should the nurse include in the plan of care for the client diagnosed with peptic ulcer disease to observe for physiological complications?
- Alteration in bowel elimination patterns
- Knowledge deficit in the causes of ulcers
- Inability to cope with changing family roles
- Potential for alteration in gastric emptying
- Potential for alteration in gastric emptying is caused by edema or scarring associated with an ulcer, which may cause a feeling of “fullness”, vomiting of undigested food or abdominal distention
The nurse is caring for a client diagnosed with hemorrhage get duodenal ulcer. Which collaborative interventions shoulder nurse implement? Select all that apply.
- Perform a complete pain assessment
- Assess the clients vital signs frequently
- Administer a proton pump inhibitor intravenously
- Obtain permission and administer blood products
- Monitor the intake of a soft, bland diet
- This is a collaborative intervention the nurse should implement. It requires an order from the HCP.
- Administering blood products is collaborative, requiring an order from the HCP.
Which expected outcome should the nurse include for a client diagnosed with peptic ulcer disease?
- The clients pain is controlled with the use of NSAIDs
- The client maintains lifestyle modifications
- The client has no signs and symptoms of hemoptysis
- The client take s antacids with each meal
- Maintaining lifestyle changes such as following an appropriate diet and reducing stress indicate the client is complying with the medical regimen. Compliance is the goal of treatment to prevent complications.
The nurse has been assigned to care for a client diagnosed with peptic ulcer disease. Which assessment data require further intervention?
- Bowel sour s auscultated 15 times in 1 minute
- Belching after eating a heavy and fatty meal late at night
- A decrease in systolic BP of 20 mm Hg from lying to sitting
- A decreased frequency of distress located in the epigastric region
- A decrease of 20 mm Hg in blood pressure after changing position from lying, to sitting, to standing is orthostatic hypotension. This could indicate client is bleeding.
Which oral medication should the nurse question before administering to the client with peptic ulcer disease?
- E-mycin, an antibiotic
- Prilosec, a proton pump inhibitor
- Flagyl, an anti microbial agent
- Tylenol, a nonnarcotic analgesic
- E-mycinis irritating to stomach, and it’s use Ina client with peptic ulcer disease should be questioned
The nurse has administered an antibiotic, a proton pump inhibitor, and Pepto- Bismol for peptic ulcer disease secondary to H. pylori. Which data would indicate to the nurse the medications are effective?
- A decrease in alcohol intake
- Maintaining a bland diet
- A return to previous activities
- A decrease in gastric distress
- Antibiotics, proton pump inhibitors, and Pepto-Bismol are administered to decrease the irritation of the ulcerative area and cure the ulcer. A decrease in gastric distress indicates the medication is effective
Which assessment data indicate to the nurse the clients gastric ulcer has perforated?
- Complaints of sudden, sharp, substernal pain
- Rigid, boardlike abdomen with rebound tenderness
- Frequent, clay-colored, liquid stool
- Complaints of vague abdominal pain in the right upper quadrant
- A rigid, boardlike abdomen with rebound tenderness is the classic sign/symptom of peritonitis, which is a complication of a perforated gastric ulcer
The client with a history of peptic ulcer disease is admitted into the intensive care unit with frank gastric bleeding. Which priority intervention should the nurse implement?
- Maintain a strict record of intake and output
- Insert a nasogastric tube and begin saline lavage
- Assist the client with keeping a detailed calorie count
- Provide a quiet environment to promote rest
- Inserting a nasogastric tube and lavaging the stomach with saline is the most important intervention because this directly stops the bleeding
