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Author Question: Which factor is the cause of most peptic ulcers? a. Excessive production of stomach acids b. ... (Read 38 times)

jho37

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on: Jul 23, 2018
Which factor is the cause of most peptic ulcers?
 
  a. Excessive production of stomach acids
  b. Lifestyle factors such as stress and spicy foods
  c. Infection with Helicobacter pylori bacteria
  d. Excessive use of drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs)

Question 2

A patient who has been taking efavirenz (Sustiva) reports a sore throat, fever, and blisters. What is the nurse's best action?
 
  a. Hold the dose and notify the prescriber.
  b. Document the report as the only action.
  c. Remind the patient that these are symptoms of opportunistic infection.
  d. Reassure the patient that these are common and expected side effects of the drug.


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patma1981

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Historically the cause of peptic ulcers was thought to be excessive acid formation. Research has shown that 80 to 90 of gastric ulcers are caused by H. pylori infections. Lifestyle changes including stress and diet as well as acid secretion are causes, but H. pylori is the major cause of peptic ulcers.

Answer to Question 2

A
Efavirenz is a nonnucleotide analogue reverse transcriptase inhibitor (NNRTI). A sore throat, fever, different types of rashes, blisters, or multiple bruises are all signs of serious adverse effects of drugs from this class. The drug should be stopped and the prescriber contacted.


jho37

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Reply #2 on: Jul 23, 2018
Thanks


patma1981

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Reply #3 on: Jul 23, 2018
Welcome :)


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