planning care for a client who has a duodenal ulcer
The nurse doing discharge planning will teach him that the action of cimetidine is to: Protect the ulcer surface; Inhibit the production of hydrochloric acid (HCl) The syndrome will be a permanent problem, and the client should eat 5 to 6 small meals per day. This mechanism of action promotes of healing of the ulcer. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Also, the writing of questions sets up a perfect stage for exam-studying later. You have questions or concerns about your condition or care. During assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the client also appears to be confused. Rationale: Occurs with gastric ulcer. What is the best follow-up action by the nurse? This pain often awakens the patient hours of midnight and 3 am. • Review with the client the need to avoid foods that are rich in milk and cream 2. Advertisement . Swelling in the lower legs ; Abdominal fullness You can help yourself in preventing or lowering down the risk for duodenal ulcer. Placing the client in a side-lying position. The case studies published has suggested duodenal ulcer was found in association with mucosal tumor. Hemoglobin 7.0 g/dl Platelets 75,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. In addition, a one-week course of 2 antibiotics plus an acid-suppressing medicine will usually clear the H. pylori infection. Client will report satisfactory pain control at a level less than 2 to 4 on a scale of 0 to 10. A client with a duodenal ulcer questions the nurse as to why an antibiotic has been prescribed. Bradycardia 2. If you do, you’ll retain a great deal for current use, as well as, for the exam. question. a nurse is developing a plan of care for a client who has cirrhosis and ascites. Gastric ulcers occur on the inside of the stomach and duodenal ulcers occur on the inside of the upper portion of the small intestine (duodenum). question. A CLIENT CARE STUDY OF PATIENT WITH PERFORATED DUODENAL ULCER (PEPTIC ULCER) PREFACE The client’s care study is written in four chapters Chapter one is the introduction. Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. Numbness in the legs 4. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. The fat content of milk has no influence on these effects. A. A 40-year-old male client has been hospitalized with peptic ulcer disease. https://www.epainassist.com/diet-and-nutrition/diet-for-duodenal-ulcer-patients measure the clients abdominal girth daily. Which of the following should be included in the teaching? 23.A client with dysphagia has been diagnosed with duodenal ulcers and is being discharged from the hospital with a prescription for the proton pump inhibitor lansaprozole (Prevacid) 15mg PO daily. You have entered an incorrect email address! Client … answer. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. Which of the following signs or symptoms would the nurse expect to see with this condition? What instruction should the nurse include in the discharge teaching plan for this client? 5. An irregular schedule of meals may interfere with the regular administration of medications. B. A 4- to 8-week course of acid-suppressing medication will enable the ulcer to heal. The nursing goals of a client with a peptic ulcer disease include reducing or eliminating contributing factors, promoting comfort measures, promoting optimal nutrition, decreasing anxiety with increased knowledge of disease, management, and prevention of ulcer recurrence and preventing complications. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. 1. It looks at the condition of patient. (41/150) a. Client will exhibit increased comfort such as baseline levels for HR, BP, and respirations and relaxed muscle tone for body posture. Key points about stomach and duodenal ulcers in children. Client uses pharmacological and nonpharmacological pain relief measures. one hour before breakfast and the evening meal. It is characterized by a burning sensation and usually occurs shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcer. Medicines: You may need any of the following: Antacids decrease stomach acid. Peptic ulcers have different names, depending on their location. (Picmonic), Peptic Ulcer Disease Assessment Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. A 79 year-old malnourished client on bed rest; An obese client who uses a wheelchair; An incontinent client who has had 3 diarrhea stools; An 80 year-old ambulatory diabetic client; 16. 1. Which of the following findings should the nurse report to the provider (SATA)? Chapter two looks at the literature review : anatomy and physiology of the stomach. Which sign/symptom indicative of a complication should the nurse look for during the client's postprocedure assessment? Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. These medications may cause irritation of the gastric mucosa. The client with duodenal ulcers demonstrate pain 2 to 4 hours after eating or in the middle of the night. This usually avoids the ulcer from returning. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. Chronic use of NSAIDS (aspirin, ibuprofen, naproxen) weakens and thins the mucosal lining of the stomach and … Select all that apply. If you intake NSAIDs regularly then you must reduce the amount intake or you may … Name * Email * Telephone number * Tell us briefly how we can help you with Self-Pay * Contact permission . This course is going to expand on that for you and show you the most effective way to write a Nursing Care Plan and how to use Nursing Care Plans in the clinical setting. These help relieve pain and heal or prevent ulcers. • An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied 20. How do they fit in with what I already know? Review: Spend at least ten minutes every week reviewing all your previous notes. The primary cause of peptic ulcer disease (approx. The pain caused by duodenal ulcers subsides when acid content of stomach juice is neutralized within stomach prior to its contact with duodenal mucosa. measure the clients abdominal girth daily. Infuse the drugs slowly over 15 minutes. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. A 40-year-old male client has been hospitalized with peptic ulcer disease. After an initial inspection, the patient may be referred to a gastroenterologist for further testing. The medication comes in capsule form. A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Nurse Salary: How Much Do Registered Nurses Make? Assessment for Peptic Ulcer Patient history acts as an important basis for diagnosis. Gastric ulcers are peptic ulcers in the stomach. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. A peptic ulcer is an excavation that forms in the mucosal wall of the stomach, in the pylorus, in the duodenum, or in the esophagus. The most common symptom of both gastric and duodenal ulcers is epigastric pain. Infuse the drug 30 minutes prior to chemotherapy. The nurse is working with a client who has peptic ulcer disease. once excess peritoneal fluid is removed, the diaphragm will expand more freely. Predisposing factors of peptic ulcer includes infection with the gram-negative bacteria Helicobacter pylori which may be acquired through the ingestion of food and water, excessive HCL secretion in the stomach, chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) which weakens the lining of the GI tract by reducing the protective function of the mucosal layer, increased stress associated with illness and surgery, alcohol ingestion and excessive cigarette smoking. Endoscopy is a procedure that is done by a doctor using a scope that is placed orally to visualize the upper GI tract including the esophagus, stomach, and upper portion of the small intestine. a. Swelling in the lower legs ; Abdominal fullness Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Therapeutic Communication Techniques Quiz. 1. (select all) a. take 1 hour before a meal b. limit NSAIDs c. expect skin flushing d. increase fiber intake e. chew the medication before swallowing. Chronic use of NSAIDS (aspirin, ibuprofen, naproxen) weakens and thins the mucosal lining of the stomach and duodenum and greatly contributes to the formation of breaks in the protective lining. The nurse is assisting a client with Crohn's disease to ambulate to the bathroom. Relief of pain, absence of complications, maintain adequate nutrition. the risk of further ulcer development. Patients were asked to describe the pain and the methods used to eliminate them. Which of the following are assessments for hemorrhage in this client? In planning the post procedure care for a client who has a barium enema, the nurse should include which of the following? 16. Defects (open sores) in the protective lining of the stomach and upper small intestine. Rationale: Symptoms of ulcer depending on site (pain 1-2 hours after meals in gastric ulcer; 2-4 hours in duodenal ulcer). which of the following findings should the nurse expect? It has also been proposed that daily pepper ingestion may have a beneficial adaptive cytoprotective response. A client with a peptic ulcer has been brought in to the healthcare clinic and is being assessed by the nurse for an upper GI bleed. Assess the clients vital signs frequently 3. Antacids also cover the mucosal lining of duodenum resulting in protection of mucosa. With both gastric and duodenal ulcers, the pain is located in the upper abdomen and is intermittent. a nurse is assessing a client who has a duodenal ulcer. You can get an ulcer in your stomach as well as in your duodenum. What is the best follow-up action by the nurse? The nurse is caring for a client with peptic ulcer disease due to H. pylori. Esophagogastroduodenoscopy 2. Which collaborative interventions shoulder nurse implement? The nurse assigns an unlicensed nursing personnel (UAP) to take the vital signs. A primary care physician who suspects a duodenal ulcer usually takes a blood sample to check for H. pylori and to rule out other possible causes of the patient's symptoms. Monitor for signs and symptoms of infection / inflammation to include: Monitor for signs and symptoms of hypovolemia to include: The most common symptom of peptic ulcers is burning stomach pain that may be worse between meals and at night. Etiology. The nurse is caring for a client who has just had an upper GI endoscopy. 1. Hemoglobin 7.0 g/dl Platelets 75,000/mm3 Potassium 5.2 meq/l A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisone. A nurse is collecting data from a client who is postoperative following the placement of a pouch ileostomy. Rationale: Symptoms of ulcer depending on site (pain 1-2 hours after meals in gastric ulcer; 2-4 hours in duodenal ulcer). A client with a peptic ulcer has been brought in to the healthcare clinic and is being assessed by the nurse for an upper GI bleed. Definition, causes, pathophysiology, signs and symptom, Antacids buffer gastric acid and prevent the formation of peptin. This is a quiz that contains NCLEX review questions for peptic ulcer disease. answer. Encourage clients to avoid foods / drinks that irritate the gastric mucosa: caffeine and alcohol. The client's vital signs must be taken every 30 minutes for 2 hours after the procedure. question. Which client is at highest risk for development of decubitus ulcers? (this multiple choice question has been scrambled) A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. The ulcer may be referred to as duodenal, gastric, or esophageal, depending on its location. Prevention of Duodenal Ulcer. the nurse should identify this finding … A peptic ulcer is an open sore in the lining of your stomach, intestine, or esophagus. 2. 3. He has For more information, visit www.nursing.com/cornell. A male client with hypertension, who received new antihypertensive prescriptions at his la Which of the following complications has the client most likely developed? which of the following findings should the nurse expect? Definition Peptic ulcer disease involves ulcers, circumscribed breaks in the mucosa, involving the duodenum (duodenal ulcers), the stomach (gastric ulcers) and less commonly the distal esophagus and the jejunum. What principle are they based on? Which of the following would the nurse question? • Review with the client the need to avoid foods that are rich in milk and cream 2. The healthy diet for duodenal ulcer patients include fruits, veggies, grains, fat free dairy products, pasta, whole wheat bread, cereals, brown rice, beans, eggs, lean meats, fish, eggs, and poultry. which of the following interventions should the nurse include in the plan? ATI Pharmacology Online Practice 2016 A A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. However, sometimes this protection fails and ulcers can result. Make a Self-Pay enquiry. b. The nurse is caring for a client diagnosed with hemorrhage get duodenal ulcer. Capsule contents can be sprinkled on pudding or applesauce. Which of the following actions should the nurse plan to take? 1. If your ulcer was due to NSAIDs, lifelong avoidance then becomes necessary to reduce your risk of developing another. Bloated or gaseous feeling. Chapter two looks at the literature review : anatomy and physiology of the stomach. (Picmonic), Peptic Ulcer Disease Pathochart It follows a chronic course characterized by remission and exacerbation, commonly requiring surgery. PLUS, we are going to give you examples of Nursing Care Plans for all the major body systems and some of the most common disease processes. What is the best follow-up action by the nurse? A rigid board-like abdomen 4. Repeat the dose four hours after chemotherapy. Your duodenum is the first part of your small intestine, the part of your digestive system that food travels through straight after it leaves your stomach. The syndrome will be a permanent problem, and the client should eat 5 to 6 small meals per day. Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Which of the following signs or symptoms would the nurse expect to see with this condition? Maintaining the client on a high-calorie, highprotein diet. 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