Ch 50 EAQ: Stomach Disorders & Disease

A patient tells the nurse that calcium carbonate has been effective in treating the discomfort associated with peptic ulcer disease. Which response would the nurse provide?

"Calcium carbonate causes rebound acid secretion, which will make symptoms worse."

The nurse is teaching a patient about the use of famotidine and sucralfate to treat gastritis. Which information would the nurse include?

"Take the famotidine at bedtime."

The nurse is caring for a patient who has extensive burns. For which type of ulcer would this patient be at high risk?

Curling ulcer

Which complication of peptic ulcer disease is more common in older adults?

Hemorrhage

Which nutritional recommendation would the nurse provide to the patient with peptic ulcer disease (PUD)?

Reducing caffeine intake

The nurse is assessing the nature of abdominal pain in a patient with a suspected gastric ulcer. Which feature of the patient's pain is consistent with a gastric ulcer?

Worsens with the ingestion of food

Which pathologic change is caused by gastritis? (SATA) a. Vascular congestion b. Acute inflammatory cell infiltration c. Prostaglandins providing a mucosal barrier d. Histamine release and vagus nerve stimulation e. Degenerative changes in the superficial stomach lining

a, b, e

Which finding is a key feature of chronic gastritis? (SATA) a. Heartburn b. Hematemesis c. Pernicious anemia d. Gastric hemorrhage e. Nausea and vomiting f. Intolerance to fatty food

c, e, f

A patient is diagnosed with a duodenal ulcer cause by H. pylori infection. The patient asks the nurse how this infection was contracted. Which response would the nurse provide?

"H. pylori infection is spread by the spread by the oral-to-oral or fecal-to-oral routes."

A patient with chronic gastritis who is prescribed vitamin B12 asks the nurse why this vitamin is necessary. Which information would the nurse provide?

"It will prevent a type of anemia."

A patient with peptic ulcer disease (PUD) asks the nurse whether licorice and slippery elm might be useful in managing the disease. Which response would the nurse provide?

"Those herbs could be helpful. However, you should talk with your provider before adding them to your treatment regimen."

The nurse is teaching a patient about self-management of gastritis. Which information would the nurse include?

"Use complementary and alternative therapies."

A patient's endoscopy report reveals a reddened and thick mucosal membrane around the stomach with prominent rugae. Which condition is associated with these findings?

Acute gastritis

The nurse finds a patient vomiting coffee ground-type emesis. The patient is acutely confused, has blood pressure of 100/74 mmHg, and has a weak and thready pulse. Which intervention would the nurse expect to be prescribed?

Administering IV fluids

Which location is common for gastric ulcers?

Antrum of the stomach

The nurse is caring for a patient who has just returned from an endoscopic procedure. The patient's spouse verbalizes that the patient must be hungry. Which action would the nurse take?

Assess for a gag reflex

Which disorder in older adults has a direct association with mucosa-associated lymphoid tissue (MALT) lymphoma?

Atrophic gastritis

Which self-management measure would the nurse teach the patient who has gastritis?

Avoid exposure to lead

The nurse is caring for a patient who has granular, dark vomitus that resembles coffee grounds. Which type of ulcer would the nurse suspect in this patient?

Gastric

Which condition may result from H. pylori infection?

Gastric ulcer

A patient has been diagnosed with gastritis. Which information describes this condition?

Gastritis is the inflammation of the stomach mucosa

A patient presents to the clinic and is diagnosed with chronic gastritis. Which organism would the nurse suspect as the likely cause?

H. pylori

A patient who has peptic ulcer disease has developed pyloric obstruction. The nurse would monitor the patient's laboratory values closely to assess for which complication?

Metabolic alkalosis

A patient is admitted with chronic peptic ulcer disease (PUD). Which finding suggests a possible pyloric obstruction?

Nausea and vomiting

Which condition is a complication of chronic gastritis?

Pernicious anemia

The nurse is assessing a patient who reports episodes of abdominal pain. Which patient data suggest increased risk for duodenal ulcer?

Type O blood