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HESI Case Studies - Peptic Ulcer Disease.
Exam Questions And Answers (Guaranteed
A+)
Which information is most significant when assessing a client suspected of having a peptic
ulcer? - answer✔Frequent use of aspirin or products containing aspirin.
Long term use of NSAIDs damages the stomach lining and causes ulvers.
Which response by Gail supports a peptic ulcer? (select all that apply) - answer✔The pain
sometimes wakes me up at night.
My pain is temporarily relieved when I drink milk.
The pain is so bad that I get nauseated and sometimes I vomit.
Because gastric acid production at night can cause extreme abdominal pain, individuals with
ulcers may wake up during the night. Although antacids and milk usually provide temporary
relief for the pain because they neutralize the gastric acid in the stomach, milk can make an
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ulcer worse because it stimulates the stomach to produce more acid and digestive juices that
can aggravate an ulcer.
An associated factor with a peptic ulcer disease other than pain is often nausea and vomiting.
Which intervention should the nurse include? - answer✔Instruct Gail not to take any antibiotics
for 4 weeks prior to the test.
Antibiotics and pepto bismol should be withheld for 4 weeks so that they do not interfere with
the results of the H. pylori breath test.
Which information should the nurse provide? - answer✔A pleasant-tasting solution is ingested
and you breathe into a balloon.
Exhaling into a balloon like bag is performed first to obtain a baseline sample. Then a small
amount of pleasant lemon-flavored solution is ingested, and 15 minutes later another balloon
breath sample is obtained. This sample is tested for an increase in Co2 which indicates a
positive H. pylori breath test.
Gail asks the nurse. "What happens if my pain is due to the H. pylori bacteria?" -
answer✔Antibiotics and acid-suppressing medications are prescribed.
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