Nokea
Which is the purpose of antibiotic therapy in treating peptic ulcers?
- A. It eradicates H. pylori.
- B. It inhibits gastric acid secretion.
- C. It protects the gastric mucosa.
- D. It neutralizes or reduces the acidity of stomach contents.
Correct Answer: A
Rationale: Antibiotic therapy eradicates H. pylori.
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Why are peptic ulcers a common problem of aging?
- A. Older adults develop esophageal diverticula
- B. Older adults have a higher incidence of hiatal hernia
- C. Older adults use nonsteroidal anti-inflammatory drugs to treat chronic joint conditions
- D. Older adults have decreased secretion of hydrochloric acid from the parietal cells of the stomach.
Correct Answer: C
Rationale: Medications such as aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) taken for arthritis or degenerative joint conditions may contribute to ulcer formation.
The home health nurse evaluates a patient being treated for a peptic ulcer with an antacid and famotidine (histamine receptor blocker). Which statement made by the patient indicates a need for further instruction?
- A. I know famotidine will not interfere with my Coumadin.'
- B. I take the antacid at least 2 hours after any of my other drugs.'
- C. Boy! That antacid keeps my stomach happy!'
- D. I take both those meds at the same time every morning.'
Correct Answer: D
Rationale: Antacids should not be taken with other drugs, because the absorption of the other drugs may be affected.
Which activities should the home health nurse suggest to an older adult patient to avoid constipation?
- A. Schedule toileting after meals
- B. Taking bulk-forming laxatives
- C. Increasing fiber intake
- D. Drinking at least 1000 mL fluid
- E. Taking a daily stool softener
- F. Using tap water enemas for persons with altered mobility
Correct Answer: A,B,C,D
Rationale: Inactivity and changes in diet and fluid intake can contribute to constipation. A nutritional diet high in fiber and bulk-forming foods can promote normal elimination. Increasing fluids to 8 to 10 glasses per day will be beneficial in preventing constipation. A daily bowel routine will also benefit elimination. Use of daily stool softeners is no longer recommended for the older adult. Tap water enemas for persons with altered mobility are not routine.
The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition. Which will be the best nursing response?
- A. Go for it. Alternative medicine does great things.'
- B. YIKES! An acupuncturist?'
- C. Some people have found relief from nausea and colon muscle spasms.'
- D. You should confirm that the acupuncturist and facility are state licensed.'
Correct Answer: C
Rationale: Some people find that acupuncture provides relief from nausea, vomiting and relaxation of muscle spasms in the colon. However, clinical trial data are inadequate to determine efficacy.
The nurse anticipates that the patient who has had a subtotal gastrectomy will need which type of supplement?
- A. protein due to the loss of some of the digestive processes.
- B. vitamin B12 due to the loss of the intrinsic factor.
- C. bulk to prevent constipation.
- D. vitamin A due to the loss of the gastric lining.
Correct Answer: B
Rationale: It is recommended that all patients with a gastrectomy have a blood serum vitamin B12 level measured every 1 to 2 years. Decreased absorption of vitamin B12 may cause pernicious anemia.