Question 1

A client with a diagnosis of peptic ulcer disease is prescribed omeprazole (Prilosec)and asks the nurse where in the body this medication will work.The nurse correctly answers:

Accepted Answer

Omeprazole (Prilosec) works by inhibiting the proton pump on the surface of parietal cells in the stomach, thereby reducing gastric acid secretion.

Question 2

The nurse is caring for an adult male diagnosed with a peptic ulcer.The nurse states that the most likely causative agent is:

Accepted Answer

Peptic ulcers are commonly caused by Helicobacter pylori. Cryptococcus and Pneumocystis carinii are typically associated with opportunistic infections in immunocompromised individuals, while Mycobacterium avium is associated with a lung infection known as MAC (Mycobacterium avium complex).

Question 3

A client complains of gastroesophageal symptoms every evening.The nurse would include what in the teaching to decrease the client's symptoms?

Accepted Answer

B

Question 4

The nurse is caring for a client being treated for duodenal ulcer.The nurse anticipates the client will begin to experience symptoms of discomfort associated with this condition in ___ to 3 hours after eating a meal.

Accepted Answer

The answer of The nurse is caring for a client...

Question 5

A nurse is performing discharge teaching for a client being discharged with a diagnosis of gastroesophageal reflux disease.The nurse should teach the client to eliminate what foods from the diet?

Accepted Answer

Tomato sauce is acidic and can trigger symptoms of gastroesophageal reflux disease, so it should be eliminated from the client's diet. Mashed potatoes, bananas, and toast are typically well-tolerated by individuals with this condition.

Question 6

The nurse is planning care for a client with PUD.What treatment goal should be included in the plan of care for this client?

Accepted Answer

The goal of treatment for PUD is to prevent recurrence of the disease by addressing the underlying causes and promoting healing of the ulcer. The other options are not as important in the overall management of PUD.

Question 7

The health care team is attempting to determine cause for a client's duodenal ulcer.Which factors are not associated with peptic ulcer disease?

Accepted Answer

Smoking cigarettes, having a parent diagnosed with a peptic ulcer, and excessive stress at home are all factors associated with peptic ulcer disease, while having type A blood is not.

Question 8

During a pain assessment,a client reports stomach pain that feels like gnawing in the upper abdomen that occurs about 1-1/2 hours after eating meals.The nurse identifies these symptoms to be most consistent with:

Accepted Answer

The symptoms described are classic for a duodenal ulcer, which is a common type of peptic ulcer disease. The gnawing pain typically occurs about 1-3 hours after eating and is relieved by antacids or food. Acute appendicitis would present with pain in the lower right abdomen, diverticulitis would present with left lower abdominal pain, and cholelithiasis would present with pain in the upper right quadrant of the abdomen.

Question 9

A client with a chronic cough,wheezing,and a sore throat states these symptoms have been present for 3 months,and asthma is not the cause.What does the nurse suspect to be causing this client's respiratory issues and sore throat?

Accepted Answer

The symptoms of chronic cough, wheezing, and sore throat can be indicative of gastroesophageal reflux disease (GERD), which occurs when stomach acid flows back into the esophagus. Asthma has already been ruled out as the cause, making GERD a likely possibility.

Question 10

A 48-year-old male is returned from endoscopy with a diagnosis of a duodenal ulcer.The nurse is aware that the most likely causative agent for this ulcer is:

Accepted Answer

H.pylori infection is the most common cause of duodenal ulcers. Prolonged use of NSAIDs and intermittent use of glucocorticoids can also contribute to the development of ulcers, but H.pylori infection is the primary cause. Chronic stress has not been definitively linked to the development of duodenal ulcers.

Question 11

A client new to the clinic reports having peptic ulcer disease and a weight loss of 14 pounds in 2 months.The symptom of weight loss would be most consistent with:

Accepted Answer

Weight loss is not typically associated with duodenal ulcers, but it can occur with gastric ulcers if the individual is experiencing decreased appetite and/or avoiding certain foods due to pain or discomfort. Frequent exercise or anorexia nervosa are possible causes of weight loss, but they are not consistent with the reported diagnosis of peptic ulcer disease.

Question 12

The nurse is teaching the family of a client recently diagnosed with PUD.The nurse knows the family understands the teaching when they state that the risk factors for the development of PUD include: Note: Credit will be given only if all correct choices and no incorrect choices are selected Standard Text: Select all that apply.

Accepted Answer

The risk factors for the development of PUD include infection with the bacterium Helicobacter pylori, daily use of aspirin, and smoking. Blood type AB and consumption of caffeine-free soda are not identified as risk factors for PUD.

Question 13

The nurse is caring for a client with PUD.What signs and symptoms does the nurse expect the client to exhibit? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is caring for a client...

Question 14

A client who was taking large doses of ibuprofen (Motrin)for over a year developed a peptic ulcer.The client asks the nurse why this occurred.The nurse best answers the client by stating:

Accepted Answer

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, which help protect the lining of the stomach and intestines. Without these protective prostaglandins, the stomach and intestines are more vulnerable to damage from stomach acid and other irritants, leading to the development of peptic ulcers.

Question 15

A client diagnosed with GERD asks the nurse what his treatment will be.The nurse correctly states:

Accepted Answer

Lifestyle changes such as avoiding trigger foods, losing weight, and elevating the head of the bed are often the first line of treatment for GERD. Treatment with medications or surgery may be considered if lifestyle changes are not effective. Over-the-counter medication may help in mild cases, but combination therapy or surgery is not typically the first line of treatment.

Question 16

What are the principal physiological stimuli that regulate acid secretion from the proton pump? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The principal physiological stimuli that regulate acid secretion from the proton pump are gastrin, histamine, and acetylcholine. Intrinsic factor and dopamine do not have a direct effect on acid secretion from the proton pump.

Question 17

The nurse caring for a client with PUD explains that the treatment goals include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The treatment goals for PUD includes immediate relief from symptoms, promoting healing of the ulcer, preventing complications of the disease, and preventing future recurrence of the disease. These are the standard goals of treatment for PUD. While reduction of the level of H. pylori is important in treatment, it is not the only goal.

Question 18

What client has the greatest risk of having a peptic ulcer?

Accepted Answer

Taking prednisone and ibuprofen increases the risk of developing peptic ulcers as it can irritate the stomach lining and reduce the stomach's ability to protect itself from acid. Smoking and stress can contribute to the development of ulcers but do not carry as high of a risk as the combination of prednisone and ibuprofen. Taking acetaminophen and aspirin can also increase the risk of ulcers but is not as high as taking prednisone and ibuprofen.

Question 19

A client with peptic ulcer disease is undergoing pharmacologic therapy.After reviewing the medication administration record,the nurse suggests changing a prn pain order of ibuprofen to:

Accepted Answer

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the stomach lining and worsen peptic ulcer disease. Acetaminophen is a better option for pain relief in patients with peptic ulcer disease as it is not an NSAID and is less likely to cause stomach irritation. Aspirin and naprosyn are also NSAIDs and can exacerbate peptic ulcer disease. Ketorolac is also an NSAID and is not recommended in patients with peptic ulcer disease.

Question 20

The nurse correctly states that which function is not characteristic of the parietal cells?

Accepted Answer

Parietal cells are primarily responsible for the secretion of hydrochloric acid (HCl) and intrinsic factor, which is essential for vitamin B12 absorption. They do not secrete pepsinogen; this is the function of chief cells in the stomach.

Quiz 59: Pharmacotherapy of Peptic Ulcer Disease

A client with a diagnosis of peptic ulcer disease is prescribed omeprazole (Prilosec) and asks the nurse where in the body this medication will work.The nurse correctly answers: