Answer to Question 1
B
Perforation is considered the most lethal complication of peptic ulcer. Bleeding may occur when the ulcer erodes into a blood vessel; however, perforation occurs when the ulcer crater penetrates the entire thickness of the wall of the stomach or duodenum. Gastric outlet obstruction can occur at any time and can be relieved by NG aspiration of stomach contents.
Answer to Question 2
C
The importance of adequate hydration to prevent kidney problems is high priority. Sulfasalazine should be taken with meals to reduce nausea and vomiting. Sulfasalazine decreases the effectiveness of oral contraceptives.