Parents of a child undergoing an endoscopy to rule out peptic ...

[Mr3Hunna]

Parents of a child undergoing an endoscopy to rule out peptic ulcer disease (PUD) from H. pylori ask the nurse, If H. pylori is found will my child need another endoscopy to know that it is gone? Which is the nurse's best response?
 
  a. Yes, the only way to know the H. pylori has been eradicated is with another endoscopy.
  b. We can collect a stool sample and confirm that the H. pylori has been eradicated.
  c. A blood test can be done to determine that the H. pylori is no longer present.
  d. Your child will always test positive for H. pylori because after treatment it goes into remission, but can't be completely eradicated.

Question 2

A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician's prescription for an NG tube to low intermittent suction.
 
  The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take?
  a. Replace the NG tube and continue the low intermittent suction.
  b. Leave the NG tube out and notify the physician at the end of the shift.
  c. Leave the NG tube out and monitor for bowel sounds.
  d. Replace the NG tube, but leave to gravity drainage instead of low wall suction.

[mammy1697]

Answer to Question 1

ANS: B
An upper endoscopy is the procedure initially performed to diagnose PUD. A biopsy can determine the presence of H. pylori. Polyclonal and monoclonal stool antigen tests are an accurate, noninvasive method to confirm H. pylori has been eradicated after treatment. A blood test can identify the presence of the antigen to this organism, but because H. pylori was already present it would not be as accurate as a stool sample to determine whether it has been eradicated. H. pylori can be treated and, once the treatment is complete, the stool sample can determine that it was eradicated.

Answer to Question 2

ANS: A
A newborn with a gastroschisis performed the day before will require bowel decompression with an NG tube to low wall intermittent suction. The nurse's priority action is to replace the NG tube and continue with the low wall intermittent suctioning. The NG tube cannot be left out this soon after surgery. The physician's prescription was to have the NG tube to low wall intermittent suction so the tube cannot be placed to gravity drainage.

[Mr3Hunna]

Thanks for the timely response, appreciate it

Excellent