A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new

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Peptic Ulcer Disease NCLEX Questions Flashcards Preview

I need at least 5 good ones, but 3 good ones will suffice. I have to do a careplan, which is the most comprehensive careplan I will have ever done, 3 outcome criteria, 2 interventions per outcome criteria for each Nursing diagnosis with rationale, So yeah its awful for me.

And I have to do 4 Nursing Dx on the same patient. The careplan book i am looking at by ackley and ladwig only lists these nursing dx for peptic ulcer:. I really feel I can do a good careplan with that. This patient has been in the hospital for 12 days, and I think she is going home tomorrow. But I feel i cant do 3 outcome criteria and 6 interventions with rationales, and my assessment data will be so minimal.

Understanding Stomach and Duodenal Ulcers

I dont know, I'm out of ideas. This patient is pretty much all better now, just waiting for her doctor to give the order for discharge, so I didnt get much out of her today. But this patient has a history of smoking, alcohol, drug abuse, currently unemployed if that helps. My book has peptic ulcers seperated as either duodenal or gastric but the nursing diagnosis are pretty much the same the only difference was 2 was listed for gastric ulcers but not duodelal ulcers.

I think they did an exploratory laparatomy to remove multiple abscess as a result of the peptic ulcer, the patient stated that there were a lot of air pockets in his abdomen, so they removed those, and now he has a huge dressing covering his abdomen.

Looks like I'll go back to the hospital and get more information from the chart, man the stresses of nursing school. This patient smokes AND drinks and with those habits I would guess her diet isn't good either. These are some of the leading factors for aggravation of GI problems. Sometimes the best thing you can do is help them understand how to help themselves.

Nursing is teaching :. The only time I notice is when it's painfully obvious like my last pt with multiple chronic illnesses who came from a SNF. This site uses cookies. By using this site, you consent to the placement of these cookies. General Students. World Leaders. Or sign in with one of these services Sign in with Google. Sign in with Facebook.

What are some good Nursing Dx for a pt. The careplan book i am looking at by ackley and ladwig only lists these nursing dx for peptic ulcer: Pain Nausea Ineffective health maintenance Ineffective therapeutic regimen management, readiness for enhanced for. Fatigue 1 I really like Ineffective therapeutic regimen management, I think I'll go with that one, especially since this patient had a previous history of ulcer, and now he is in again for the 2nd time.

Share this post Link to post Share on other sites. Sep 23, by not now, RN. I like that, Imbalance nutrition less than body requirements, that's a good one. Sep 24, by not now, RN.A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. When teaching the patient about his new diagnosis, how should the nurse best describe a peptic ulcer? Inflammation of the lining of the stomach. Erosion of the lining of the stomach or intestine. Bleeding from the mucosa in the stomach.

Viral invasion of the stomach wall. A peptic ulcer is erosion of the lining of the stomach or intestine.

Peptic ulcers are often accompanied by bleeding and inflammation, but these are not the definitive characteristics. A patient comes to the clinic complaining of pain in the epigastric region. What assessment question during the health interview would most help the nurse determine if the patient has a peptic ulcer? Does your pain resolve when you have something to eat? Do over-the-counter pain medications help your pain?

Does your pain get worse if you get up and do some exercise? Do you find that your pain is worse when you need to have a bowel movement? Pain relief after eating is associated with duodenal ulcers. The pain of peptic ulcers is generally unrelated to activity or bowel function and may or may not respond to analgesics. A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole Prilosec. How should the nurse best describe this medications therapeutic action? This medication will reduce the amount of acid secreted in your stomach.

This medication will make the lining of your stomach more resistant to damage. This medication will specifically address the pain that accompanies peptic ulcer disease. Proton pump inhibitors like Prilosec inhibit the synthesis of stomach acid. PPIs do not increase the durability of the stomach lining, relieve pain, or stimulate tissue repair. A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patients family is distraught and angry that she was not diagnosed earlier in the course of her disease.

What factor contributes to the fact that gastric cancer is often detected at a later stage? Gastric cancer does not cause signs or symptoms until metastasis has occurred. Adherence to screening recommendations for gastric cancer is exceptionally low.

Early symptoms of gastric cancer are usually attributed to constipation. The early symptoms of gastric cancer are usually not alarming or highly unusual. Symptoms of early gastric cancer, such as pain relieved by antacids, resemble those of benign ulcers and are seldom definitive. Symptoms are rarely a cause for alarm or for detailed diagnostic testing.

Symptoms precede metastasis, however, and do not include constipation. A nurse is preparing to discharge a patient after recovery from gastric surgery. What is an appropriate discharge outcome for this patient? The patients bowel movements maintain a loose consistency. The patient is able to tolerate three large meals a day. The patient maintains or gains weight.As a nurse providing care to a patient with peptic ulcer disease, it is important to know the signs and symptoms, pathophysiology, medications, nursing management, diet education, and complications.

NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results. A patient has developed a duodenal ulcer. As the nurse, you know that which of the following plays a role in peptic ulcer formation.

Select ALL that apply:. Which statement is correct about how peptic ulcers form? This causes histamine to be released which signals to the parietal cells to release more hydrochloric acid which erodes the stomach lining further.

This causes pepsin to be released which signals to the parietal cells to release more pepsinogen which erodes the stomach lining further. Your patient is diagnosed with peptic ulcer disease due to h. This bacterium has a unique shape which allows it to penetrate the stomach mucosa. You know this bacterium is:. The physician orders a patient with a duodenal ulcer to take a UREA breath test.

Which lab value will the test measure to determine if h. A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to be relieved by food intake.

In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. A patient with chronic peptic ulcer disease underwent a gastric resection 1 month ago and is reporting nausea, bloating, and diarrhea 30 minutes after eating. What condition is this patient most likely experiencing? Thinking back to the patient in question 8, select ALL the correct statements on how to educate this patient about decreasing their symptoms:.

A patient is recovering from discomfort from a peptic ulcer. Which food should the patient avoid eating? You are providing discharge teaching to a patient taking Sucralfate Carafate.

Which statement by the patient demonstrates they understand how to take this medication? Select all the medications a physician may order to treat a H. Pylori infection that is causing a peptic ulcer? A physician prescribes a Proton-Pump Inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? A patient with a peptic ulcer is suddenly vomiting dark coffee ground emesis.

On assessment of the abdomen you find bloating and an epigastric mass in the abdomen. Which complication may this patient be experiencing? B, C You can also take more fun nursing quizzes.

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A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? Bibasilar crackles. A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise induced asthma. A nurse is caring for a client who has acute acetaminophen toxicity.

The nurse should anticipate administering which of the following medications? A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor?

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Prevent delirium tremens. A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching? I will take the patch off right after my evening meal. Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects.

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the following findings should the nurse identify as as an indication of the medication has been effective?Chest Tubes may be used for drainage in what types of situations? Vitals …. A client is diagnosed with Cushing syndrome.

Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion …. The nurse is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant.

What intervention has the highest priority? Administer Prescribed stool softner B. Administer …. When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. Informal teaching is individualized one on …. The nurse should anticipate the surgical incision to be in which of the following locations?

You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer. Which of the following assessment findings should the nurse expect? A nurse is providing discharge instructions to a client who has a partial thickness burn of the hand.

Which of the following instructions should the nurse include? A nurse is assessing a client following the administration of magnesium sulfate 1g IV bolus. For which of the following adverse effects should the nurse monitor? Which of the following findings indicated fluid volume overload. A nurse is assessing a client following the administration of IV penicillin G.

Which of the following findings should indicate to the nurse that the client is experiencing an anaphylactic reaction?

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A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? A nurse is caring for a client who has portal hypertension.

The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? A nurse is assessing a client following IV urography. Which of the following findings is the priority? A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil.

Which of the following statements by the client indicates an understanding of the teaching? A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching?Which of the following findings should the nurse report to the provider SATA? Hemoglobin 7. Which of the following instructions should the nurse include SATA?

Blood glucose levels will be monitored during therapy Avoid contact with people who have known infections Grapefruit juice can increase the effects of the medication A nurse is caring for a client who has pneumonia. The client tells the nurse that she is pregnant and that she has not told her provider yet.

The nurse should identify that pregnancy is a contraindication to receiving which of the following medications? Doxycycline A nurse is caring for a client who is receiving long-term treatment for systemic lupus erythematosus with prednisone. The nurse should inform the client to expect to undergo which of the following diagnostic tests to monitor for long-term complications of prednisone?

Bone density scans A nurse is teaching a client who is to start taking ranitidine for peptic ulcer disease. Which of the following client statements should the nurse identify as understanding of the teaching? The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine DTaP. The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages?

Which of the following client statements should indicate to the nurse that the teaching is effective? The nurse should identify which of the following findings as a contraindication to receiving propranolol? Asthma A nurse in an emergency department is caring for a client who has heroin toxicity. Which of the following medications should the nurse plan to administer? Naloxone A nurse is teaching a client who is starting to take amitriptyline.

Which of the following findings should the nurse include in the teaching as an adverse effect of the medication? Urinary retention A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care?


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