A nurse is providing enteral tube feedings for a client with third-degree burns to prevent the development of Curling's ulcer. Which of the following mechanisms is involved in the development of Curling's ulcer?
A) Depletion of hydrogen ions in the gastric mucosa
B) Occurrence of ischemic changes in the gastric mucosa
C) Effect of medication such as cimetidine on gastric mucosa
D) Proliferation of gastric mucosal cells in excess
B
Feedback:
Curling's ulcer develops in burn injuries when the gastric mucosa becomes ischemic. Multiple stomach and duodenal ulcers are called Curling's ulcers. The other mechanisms involved in the development of Curling's ulcers include the presence of excessive hydrogen ions in the gastric mucosa or when there is inadequate mucosal cell proliferation. Medication such as cimetidine is used to prevent this complication.
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