Question 1

The nurse takes into consideration that a proton pump inhibitor drug,such as ______________,will completely eradicate gastric acid production.

Accepted Answer

Omeprazole (Prilosec) is a proton pump inhibitor (PPI) that works by blocking the enzyme in the wall of the stomach that produces acid, thereby reducing the production of gastric acid. Ranitidine (Zantac) is an H2 blocker, sucralfate (Carafate) is a mucosal protectant, and olsalazine (Dipentum) is used in the treatment of ulcerative colitis, none of which are PPIs.

Question 2

Why are peptic ulcers a common problem of aging?

Accepted Answer

Peptic ulcers in the elderly are often linked to the overuse of nonsteroidal anti-inflammatory drugs (NSAIDs). These medications can irritate the stomach lining and increase the risk of ulcers.

Question 3

Flexible sigmoidoscopy should be performed every ________ years.

Accepted Answer

The answer of Flexible sigmoidoscopy should be performed every ________...

Question 4

Which of the following is the purpose of antibiotic therapy in treating peptic ulcers?

Accepted Answer

Antibiotic therapy is used in the treatment of peptic ulcers primarily to eradicate Helicobacter pylori (H. pylori), a bacterium that is a common cause of such ulcers.

Question 5

To assist a family with a bowel-training program to reduce fecal incontinence,the nurse would suggest the use of a ___________ at an optimal time to stimulate defecation.

Accepted Answer

Glycerin suppositories are commonly used to stimulate defecation by irritating the rectum's lining, which helps to induce a bowel movement, making them a practical choice for a bowel-training program aimed at reducing fecal incontinence.

Question 6

Which of the following would be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?

Accepted Answer

The application of an ice bag can help reduce inflammation and provide pain relief for a patient with appendicitis. Warm compresses, enemas, and ambulation could potentially worsen the condition or increase discomfort.

Question 7

Bowel sound assessment on a patient with an obstruction who has distention,nausea,and visible peristaltic waves would be:

Accepted Answer

In bowel obstruction, bowel sounds are typically high-pitched due to the increased peristaltic activity as the intestines attempt to move contents past the obstruction.

Question 8

The nurse takes into consideration that long-term use of antibiotics can cause an antibiotic-associated pseudomembranous colitis from the organism ________.

Accepted Answer

The answer of The nurse takes into consideration that long-term...

Question 9

Due to frequent bouts of constipation,the nurse examines the bedfast nursing home resident for ulceration of the anus,called anal __________________.

Accepted Answer

The answer of Due to frequent bouts of constipation,the nurse...

Question 10

The patient with irritable bowel syndrome tells the home health nurse she is going to an acupuncturist for therapy for her condition.Which of the following would be the best nursing response?

Accepted Answer

The answer of The patient with irritable bowel syndrome tells...

Question 11

What is the most lethal complication of a peptic ulcer?

Accepted Answer

Perforation of a peptic ulcer is the most lethal complication because it leads to the spillage of gastric or duodenal contents into the peritoneal cavity, causing peritonitis and potentially leading to sepsis and shock if not treated promptly.

Question 12

The patient with a peptic ulcer has been placed on regular doses of bismuth salicylate (Pepto-Bismol)to combat Helicobacter pylori.What color will this drug turn the stool?

Accepted Answer

Bismuth salicylate (Pepto-Bismol) can cause the stool to turn a gray-black color due to a harmless reaction between bismuth and sulfur in the saliva and the colon.

Question 13

The nurse explains that ___________,the chief enzyme of gastric juice,is activated by hydrochloric acid to begin digestion of protein.

Accepted Answer

The answer of The nurse explains that ___________,the chief enzyme...

Question 14

How should the nurse counsel the 34-year-old woman who has been prescribed sulfasalazine (Azulfidine)for Crohn disease? (Select all that apply. )

Accepted Answer

Sulfasalazine can cause crystalluria, so adequate hydration is important. It can also cause hypersensitivity reactions like rash, and it may reduce the effectiveness of oral contraceptives.

Question 15

The nurse caring for a patient with Crohn disease will closely monitor the urinary output to ensure that the patient is excreting at least _______ mL/day.

Accepted Answer

The answer of The nurse caring for a patient with...

Question 16

Which of the following should be included in the patient teaching of a patient with a peptic ulcer?

Accepted Answer

Eating 6 small meals a day can help manage peptic ulcers by avoiding large meals that can increase stomach acid production, thus potentially reducing symptoms and promoting healing.

Quiz 45: Care of the Patient With a Gastrointestinal Disorder