Regardless of the precipitating factor, what causes the injury to mucosal cells in peptic ulcers?

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23. Regardless of the precipitating factor, what causes the injury to mucosal cells in peptic ulcers?a. Acid back diffusion into the mucosac. Ammonia formation in the mucosal wallb. The release of histamine from GI cellsd. Breakdown of the gastric mucosal barrier

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24. What does the nurse include when teaching a patient with newly diagnosed peptic ulcer disease?

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25. What is the rationale for treating acute exacerbation of peptic ulcer disease with NG intubation?

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26. Which statements are characteristic of the uses of antacids for peptic ulcer disease (select all that apply)?

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27. Which medications are used to decrease gastric or hydrochloric acid secretion (select all that apply)?a. Famotidine (Pepcid)d. Misoprostol (Cytotec)b. Sucralfate (Carafate)e. Bethanechol (Urecholine)c. Omeprazole (Prilosec)

28. The nurse determines that teaching for the patient with peptic ulcer disease has been effective when thepatient makes which statement?

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29. A patient with a history of peptic ulcer disease is hospitalized with symptoms of a perforation. During theinitial assessment, what should the nurse expect the patient to report?

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Helicobacter pylori, projectile vomiting

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What causes peptic ulcers disease?

The most common causes of peptic ulcers are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stress and spicy foods do not cause peptic ulcers.

What provides a barrier between ulcers and gastric secretions?

The gastric mucosal barrier (GMB) is a thick, viscous, mucous material that provides a barrier between the mucosal lining and acidic gastric secretions.

What's the most common complication of peptic ulcer?

Internal bleeding is the most common complication of stomach ulcers. It can happen when an ulcer develops at the site of a blood vessel. The bleeding can either be: slow, long-term bleeding, leading to anaemia – causing fatigue, shortness of breath, pale skin and heart palpitations (noticeable heartbeats)

What is the pathophysiology of gastric ulcer?

The pathophysiology of gastric ulcer development depends on the insult. Since about 80 to 90% of gastric ulcers result from either Helicobacter pylori and/or NSAID use, a detailed discussion will focus on each in detail. NSAID medications are the other most common etiology causing gastric ulcers.

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