AQ stomach

Which location is common for gastric ulcers?

antrum

A patient experiences regular epigastric discomfort that usually goes away after eating. Which action would the nurse take?

contact HCP

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."

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

H pylori

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

IV fluids

The admission assessment for a patient with acute gastric bleeding indicates a blood pressure of 82/40 mm Hg, pulse of 124/min beats/min, and respiratory rate of 26 breaths/min. Which admission prescription would the nurse implement first?

LR 500 ml

A patient is admitted to the ICU with perforation of a duodenal ulcer. Which prescribed action would the nurse implement first?

NG tube

The nurse is caring for a patient who has acute gastritis. Which class of medication is likely to increase the patient's risk for bleeding?

NSAIDS

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

NV

The nurse is performing a health history on a patient who is newly diagnosed with peptic ulcer disease (PUD). Which condition in the patient's history may be related to a cause of PUD?

OA

A patient has undergone an esophagogastroduodenoscopy (EGD) procedure. Which assessment would the nurse make the priority for this patient?

ability to swallow

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

o-o or f-o

Which finding is a key feature of chronic gastritis? Select all that apply. One, some, or all responses may be correct.

pernicious anemia NV intolerance

A patient who has been diagnosed with rheumatoid arthritis also has a history of peptic ulcer disease (PUD). The health care provider has prescribed misoprostol to help prevent further gastric damage. Which concurrent condition should be ruled out before starting this medication?

pregnancy

Which information found in a patient's history frequently correlates with a diagnosis of chronic gastritis?

radiation therapy

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

reducing caffeine intake

A patient is experiencing bleeding related to peptic ulcer disease (PUD). Which action would the nurse take?

start large bore IV

Which clinical finding is associated with upper GI bleeding? Select all that apply. One, some, or all responses may be correct.

tarry or dark stools dec BP dizziness bright red

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

type O blood

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

use comp and alt

The nurse has placed a nasogastric (NG) tube in a patient with upper GI bleeding to administer gastric lavage. The patient asks the nurse about the purpose of the NG tube for the procedure. Which response would the nurse provide?

water

Which information would the nurse include when teaching patients to prevent gastritis? Select all that apply. One, some, or all responses may be correct.

well balanced avoid alcohol avoid excess intake of coffee protect against toxic

The nurse is caring for an older-adult man who reports stomach pain and heartburn. Which characteristic would lead the nurse to suspect the ulcer was duodenal rather than gastric in location?

worsened with food

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 food

A patient who currently takes phenytoin has been started on a multidrug regimen for treatment of peptic ulcer disease. Which information would the nurse provide about these medications?

1 - 2 hr before or after

The nurse will insert a nasogastric (NG) tube for gastric lavage in a patient who is vomiting blood. Which information would the nurse incorporate in planning the intervention?

large bore NG

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."

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 is teaching a patient how to prevent recurrent chronic gastritis symptoms. Which statement by the patient demonstrates a correct understanding of the nurse's instruction?

avoid alcohol and tobacco

A patient with a duodenal ulcer receives a prescription for pantoprazole tablets. The patient has a small-bore nasogastric (NG) tube and is NPO. Which action would the nurse take?

contact HCP

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

curling

A patient with peptic ulcer disease has developed a pyloric obstruction, and the health care provider orders placement of a nasogastric (NG) tube. For which purpose would the nurse place a NG tube in this patient?

decompression

Which nursing action would the nurse delegate to an experienced licensed practical nurse/licensed vocation nurse (LPN/LVN)?

document

Which instruction would the nurse give to help a patient prevent gastritis? Select all that apply. One, some, or all responses may be correct.

ensure that food and water safe try comp and alt avoid exposure

A patient asks the nurse how an infection such as Helicobacter pylori causes gastric ulcers. Which information would the nurse provide about this organism?

enzyme

Which nursing action is the priority for the patient with a stress ulcer

eval HR and BP

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 cue statement would the nurse associate with acute gastritis?

gastric bleeding

Which condition may result from Helicobacter pylori infection?

gastric ulcer

A patient with a gastric ulcer has a nasogastric (NG) tube in place. The patient develops severe epigastric pain, and the nurse notes a rigid, board-like abdomen. After the nurse notifies the health care provider of this condition, which action would the nurse take?

maintain

The nurse is teaching a patient with peptic ulcer disease about the prescribed drug regimen. Which statement made by the patient indicates a need for further teaching?

nizatidine

The nurse caring for a patient with a duodenal ulcer finds the patient lying in the fetal position. The patient reports experiencing a sudden onset of sharp pain. Which action would the nurse take?

notify HCP