A nurse is providing teaching to a client who has peptic ulcer disease and is to start a newOn 17.02.2021 by Mijin
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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.
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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