PEPTIC ULCER DISEASE PRACTICE
QUESTIONS AND ANSWERS
A client with peptic ulcer disease (PUD) asks why stomach pain occurs 2 to 3
hours after eating. Which response should the nurse make to this client?
A."The pain occurs when your stomach is empty."
B."The food that you ate for dinner likely contained too much fat, causing
pain."
C."The acid in your stomach is increased at night, causing pain."
D."The food in your stomach takes longer to digest at night, which causes pain."
- ANSWER A."The pain occurs when your stomach is empty."
Pain from PUD occurs when the stomach is empty, typically 2dash3 hours after
a meal. The other responses are incorrect.
The nurse is reviewing the complications of peptic ulcer disease (PUD) with a
group of new staff nurses. Which statement regarding peritonitis should the
nurse include in the teaching?
A.
"Peritonitis occurs due to the obstruction of the pyloric region of the stomach
and duodenum. The increased pressure from the obstruction leads to
peritonitis."
B."Peritonitis occurs when the ulcer penetrates through the mucosal wall,
causing gastric or duodenal contents to enter the peritoneum."
C."Chemical peritonitis occurs between 6 and 12 hours after perforation, when
the acids from the stomach or duodenum create an inflammatory response."
D."Bacterial peritonitis happens immediately after perforation as bacteria
proliferate in the peritoneal cavity." - ANSWER B."Peritonitis occurs when
the ulcer penetrates through the mucosal wall, causing gastric or duodenal
contents to enter the peritoneum."
Peritonitis occurs due to the ulcer penetrating through the mucosal wall, causing
gastric or duodenal contents to enter the peritoneum. Chemical peritonitis is
immediate after perforation. Bacterial peritonitis occurs between 6 and 12 hours
, after perforation. Gastric outlet obstruction, not perforation, occurs due to the
obstruction of the pyloric region of the stomach and duodenum.
The nurse is reviewing risk factors for peptic ulcer disease (PUD) with a group
of community members. Which factor should the nurse include in the
presentation? (Select all that apply.)
A.Chronic alcohol abuse
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs - ANSWER B,C,D,E
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs
Cigarette smoking, chronic use of NSAIDs, chronic H. pylori infection, and
unsanitary living conditions are all risk factors for PUD. Chronic alcohol abuse
is not considered a risk factor for PUD.
Which pathophysiologic change contributing to the development of peptic ulcer
disease occurs secondary to H. pylori infection? (Select all that apply.)
A.The inflammatory response to H. pylori contributes to epithelial cell damage
without producing immunity.
B.Prostaglandin synthesis is interrupted, which impacts the ability to maintain
the gastric mucosal barrier.
C.Production of protective bicarbonate by the epithelial cells is inhibited.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which
protects the gastric mucosa.
E.Topical injury occurs due to H. pylori crossing the lipid membranes of gastric
epithelial cells. - ANSWER A,D
A.The inflammatory response to H. pylori contributes to epithelial cell damage
without producing immunity.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which
protects the gastric mucosa.
The H. pylori bacteria produce enzymes that reduce the efficacy of mucous gel
in protecting the gastric mucosa. Also, the host's inflammatory response to H.
pylori contributes to gastric epithelial cell damage without producing immunity
QUESTIONS AND ANSWERS
A client with peptic ulcer disease (PUD) asks why stomach pain occurs 2 to 3
hours after eating. Which response should the nurse make to this client?
A."The pain occurs when your stomach is empty."
B."The food that you ate for dinner likely contained too much fat, causing
pain."
C."The acid in your stomach is increased at night, causing pain."
D."The food in your stomach takes longer to digest at night, which causes pain."
- ANSWER A."The pain occurs when your stomach is empty."
Pain from PUD occurs when the stomach is empty, typically 2dash3 hours after
a meal. The other responses are incorrect.
The nurse is reviewing the complications of peptic ulcer disease (PUD) with a
group of new staff nurses. Which statement regarding peritonitis should the
nurse include in the teaching?
A.
"Peritonitis occurs due to the obstruction of the pyloric region of the stomach
and duodenum. The increased pressure from the obstruction leads to
peritonitis."
B."Peritonitis occurs when the ulcer penetrates through the mucosal wall,
causing gastric or duodenal contents to enter the peritoneum."
C."Chemical peritonitis occurs between 6 and 12 hours after perforation, when
the acids from the stomach or duodenum create an inflammatory response."
D."Bacterial peritonitis happens immediately after perforation as bacteria
proliferate in the peritoneal cavity." - ANSWER B."Peritonitis occurs when
the ulcer penetrates through the mucosal wall, causing gastric or duodenal
contents to enter the peritoneum."
Peritonitis occurs due to the ulcer penetrating through the mucosal wall, causing
gastric or duodenal contents to enter the peritoneum. Chemical peritonitis is
immediate after perforation. Bacterial peritonitis occurs between 6 and 12 hours
, after perforation. Gastric outlet obstruction, not perforation, occurs due to the
obstruction of the pyloric region of the stomach and duodenum.
The nurse is reviewing risk factors for peptic ulcer disease (PUD) with a group
of community members. Which factor should the nurse include in the
presentation? (Select all that apply.)
A.Chronic alcohol abuse
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs - ANSWER B,C,D,E
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs
Cigarette smoking, chronic use of NSAIDs, chronic H. pylori infection, and
unsanitary living conditions are all risk factors for PUD. Chronic alcohol abuse
is not considered a risk factor for PUD.
Which pathophysiologic change contributing to the development of peptic ulcer
disease occurs secondary to H. pylori infection? (Select all that apply.)
A.The inflammatory response to H. pylori contributes to epithelial cell damage
without producing immunity.
B.Prostaglandin synthesis is interrupted, which impacts the ability to maintain
the gastric mucosal barrier.
C.Production of protective bicarbonate by the epithelial cells is inhibited.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which
protects the gastric mucosa.
E.Topical injury occurs due to H. pylori crossing the lipid membranes of gastric
epithelial cells. - ANSWER A,D
A.The inflammatory response to H. pylori contributes to epithelial cell damage
without producing immunity.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which
protects the gastric mucosa.
The H. pylori bacteria produce enzymes that reduce the efficacy of mucous gel
in protecting the gastric mucosa. Also, the host's inflammatory response to H.
pylori contributes to gastric epithelial cell damage without producing immunity
