Management of Patients with Gastric and Duodenal Disorders

Question 1 of 5

A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer?

A. Inflammation of the lining of the stomach

B. Erosion of the lining of the stomach or intestine

C. Bleeding from the mucosa in the stomach

D. Viral invasion of the stomach wall

Correct Answer:

Rationale:

Question 2 of 5

A patient comes to the clinic complaining of pain in the epigastric region. What assessment question during the health interview would most help the nurse determine if the patient has a peptic ulcer?

A. Does your pain resolve when you have something to eat?

B. Do over-the-counter pain medications help your pain?

C. Does your pain get worse if you get up and do some exercise?

D. Do you find that your pain is worse when you need to have a bowel movement?

Correct Answer:

Rationale:

Question 3 of 5

A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medications therapeutic action?

A. This medication will reduce the amount of acid secreted in your stomach.

B. This medication will make the lining of your stomach more resistant to damage.

C. This medication will specifically address the pain that accompanies peptic ulcer disease.

D. This medication will help your stomach lining to repair itself.

Correct Answer:

Rationale:

Question 4 of 5

A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patients family is distraught and angry that she was not diagnosed earlier in the course of her disease. What factor contributes to the fact that gastric cancer is often detected at a later stage?

A. Gastric cancer does not cause signs or symptoms until metastasis has occurred.

B. Adherence to screening recommendations for gastric cancer is exceptionally low.

C. Early symptoms of gastric cancer are usually attributed to constipation.

D. The early symptoms of gastric cancer are usually not alarming or highly unusual.

Correct Answer:

Rationale:

Question 5 of 5

A nurse is preparing to discharge a patient after recovery from gastric surgery. What is an appropriate discharge outcome for this patient?

A. The patients bowel movements maintain a loose consistency.

B. The patient is able to tolerate three large meals a day.

C. The patient maintains or gains weight.

D. The patient consumes a diet high in calcium.

Correct Answer:

Rationale:

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