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Question 1

What is a peptic ulcer?

Answer 1

An excavation that forms in the mucosal wall of the stomach, duodenum, or esophagus

Question 2

Where are peptic ulcers more likely to occur?

Answer 2

In the duodenum

Question 3

What are the common causes of upper GI tract bleeding?

Answer 3

• Gastritis * Hemorrhage from peptic ulcer

Question 4

What is the primary goal of medical management for peptic ulcer disease?

Answer 4

To eradicate H. pylori and manage gastric acidity

Question 5

What methods are used in the medical management of peptic ulcers?

Answer 5

• Medications * Lifestyle changes * Surgical intervention

Question 6

True or False: Stress reduction can help manage peptic ulcers.

Answer 6

True

Question 7

What dietary modifications can help patients with peptic ulcers?

Answer 7

• Avoid extremes of temperature * Avoid overstimulation from certain foods * Eat three regular meals a day

Question 8

What is vagotomy?

Answer 8

A surgical operation where branches of the vagus nerve are cut to reduce gastric secretion

Question 9

What are potential complications of gastric surgery?

Answer 9

• Hemorrhage * Perforation * Penetration * Pyloric obstruction

Question 10

What nursing assessments are important for patients with peptic ulcers?

Answer 10

Assess pain description, relief strategies, and dietary habits

Question 11

Fill in the blank: The patient usually describes peptic ulcer pain as _______.

Answer 11

[burning or gnawing]

Question 12

What nursing diagnoses may be applicable for a patient with peptic ulcer disease?

Answer 12

• Acute pain * Anxiety * Imbalanced nutrition * Deficient knowledge

Question 13

What interventions can relieve pain in peptic ulcer disease?

Answer 13

• Prescribed medications * Avoiding aspirin and caffeine * Relaxed meal setting

Question 14

How can a nurse help reduce a patient’s anxiety related to peptic ulcers?

Answer 14

• Provide information * Encourage expression of fears * Explain diagnostic tests

Question 15

What is the purpose of teaching dietary self-management for peptic ulcer patients?

Answer 15

To delay stomach emptying and manage dumping syndrome

Question 16

What should a patient avoid during meals to manage peptic ulcer symptoms?

Answer 16

Fluid intake

Question 17

What dietary supplements may be prescribed for patients with peptic ulcers?

Answer 17

• Vitamins * Medium-chain triglycerides * Vitamin B12 * Iron injections

Question 18

What surgical procedures may be performed for peptic ulcer disease?

Answer 18

• Vagotomy * Pyloroplasty * Partial gastrectomy * Total gastrectomy

Question 19

What dietary change is recommended for the patient post-surgery?

Answer 19

Smaller but more frequent meals

This approach helps manage nutritional intake and digestive comfort.

Question 20

What types of dietary supplements may be prescribed?

Answer 20

Vitamins and medium-chain triglycerides, vitamin B12 and iron injections

These supplements support nutritional status post-surgery.

Question 21

What does the nurse assess regarding the patient’s nutritional status before surgery?

Answer 21

Weight loss, nausea and vomiting, hematemesis, malnutrition, fullness

These factors are crucial for understanding the patient’s health before surgery.

Question 22

What complications should the nurse assess for after gastric surgery?

Answer 22

Hemorrhage, infection, abdominal distention, atelectasis, impaired nutritional status

These complications can significantly impact recovery.

Question 23

True or False: The patient undergoing gastric surgery is at increased risk for bile reflux.

Answer 23

True

This is one of the specific risks associated with gastric surgery.

Question 24

What is the purpose of administering analgesic agents post-surgery?

Answer 24

To relieve pain and discomfort

Adequate pain relief is essential for postoperative recovery and mobility.

Question 25

What position should the patient be placed in after gastric surgery for comfort?

Answer 25

Fowler’s position ## Footnote This position promotes comfort and aids in gastric emptying.

Question 26

What is important to maintain regarding the Nasogastric tube after surgery?

Answer 26

Functioning of the tube and securing it to prevent dislocation ## Footnote Proper management of the NG tube is critical to avoid complications.

Question 27

What should be explained to the patient regarding preoperative and postoperative procedures?

Answer 27

Preoperative medications, NG intubation, IV fluids, abdominal dressings, feeding tube needs, pain management, pulmonary care ## Footnote Understanding these procedures is vital for patient compliance and recovery.

Question 28

What type of nutrition may be required for a patient undergoing surgery for gastric cancer?

Answer 28

Preoperative enteral or parenteral nutrition ## Footnote This is often needed due to malnutrition prior to surgery.

Question 29

What are the goals of continuing parenteral nutrition after surgery?

Answer 29

Meet caloric needs, replace fluids lost, support metabolic needs until oral intake is adequate ## Footnote Parenteral nutrition helps stabilize the patient during recovery.

Question 30

Fill in the blank: After the return of bowel sounds and removal of the NG tube, the nurse may give fluids, followed by food in _______.

Answer 30

small portions ## Footnote Gradual reintroduction of food helps prevent complications.

Question 31

How should foods be introduced to the patient after surgery?

Answer 31

Gradually as tolerated ## Footnote Each patient's tolerance to foods may vary.

Question 32

What is the typical dietary goal after surgery?

Answer 32

Six small meals a day and drinking 120 mL of fluid between meals ## Footnote This encourages adequate nutrition and hydration.

Question 33

What are signs of hemorrhage that may complicate gastric surgery?

Answer 33

Rapid blood loss, shock, vomiting bright-red blood ## Footnote Recognizing these signs early is critical for patient safety.

Question 34

What should the nurse assess regarding NG drainage after surgery?

Answer 34

Type and amount of drainage ## Footnote Monitoring NG drainage helps in identifying potential complications.

Question 35

What emergency measures may be performed in case of excessive bleeding?

Answer 35

NG lavage and administration of blood products ## Footnote These measures are essential for stabilizing the patient.

Question 36

What is emphasized regarding vitamin B12 after gastric surgery?

Answer 36

Continued need for injections ## Footnote This is crucial for preventing deficiencies following gastric surgery.

Question 37

What role does the home care nurse play after patient discharge?

Answer 37

Supervising enteral or parenteral feedings and educating about detection and prevention of complications ## Footnote This support is vital for successful recovery at home.