Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 7 Gastrointestinal System^329


Helicobacter Pylori


This is a gram negative bacteria which can be detected by a serum test, discovered
by gastric biopsy and ELISA for anti-H. pyloriimmunoglobulin G. A carbon
isotope urea breath test can reveal the presence of H. pylori(which has a false-
negative rate of 5 to 15 percent).


Quiz



  1. An inflammatory bowel disorder in which the patient develops abdominal
    pain, bloody diarrhea, tenesmus and weight loss is
    (a) Crohn’s disease.
    (b) diverticulitis.
    (c) ulcerative colitis.
    (d) appendicitis.

  2. Chronic hepatitis C may be treated with:
    (a) sulfasalazine.
    (b) interferon and ribavirin.
    (c) metronidazole or ciprofloxacin.
    (d) acetaminophen.

  3. The patient with gastroesophageal reflux disease should be taught:
    (a) to avoid coffee, tea, or other caffeine-containing beverages.
    (b) to take histamine 2 blockers, such as ranitidine, as directed.
    (c) to avoid acidic foods such as citrus or tomato.
    (d) all of the above.

  4. A patient presents with abdominal pain that is initially periumbilical but over
    time moves to the right lower quadrant area. This pain is most likely due to:
    (a) appendicitis.
    (b) Crohn’s disease.
    (c) cholecystitis.
    (d) diverticulitis.

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