A patient presents to the walk-in clinic complaining of vomiting and burning in their mid-epigastria. The nurse knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the presence of what?

A) Infection with Helicobacter pylori
B) Excessive stomach acid secretion
C) Gastric irritation caused by NSAIDs
D) Over-consumption of spicy foods


Ans: A
Feedback: H. pylori infection may be determined by endoscopy and histologic examination of a tissue specimen obtained by biopsy, or a rapid urease test of the biopsy specimen. Other less invasive diagnostic measures for detecting H. pylori include serologic testing for antibodies against the H. pylori antigen, stool antigen test, and urea breath test. Excessive stomach acid secretion, NSAIDs, and dietary indiscretion may all cause gastritis; however, peptic ulcers are caused by colonization of the stomach by H. pylori.

Nursing

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