PUD, Gastric Ulcer

Question 1

An experienced nurse explains to a new nurse that the definitive diagnosis of peptic ulcer disease ivolves:
a. a urea breath test
b. upper gastrointestinal endoscopy with biopsy
c. barium contrast studies
d. the string test

Answer 1

B
Rationale: The key words are “definitive diagnosis.” This positive diagnosis usually involves actually viewing the tissue or taking biopsies.

Question 2

Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?
1. History of side effects experienced from all medications
2. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
3. Any known allergies to drugs and environmental factors
4. Medical histories of at least three (3) generations

Answer 2

2
Rationale: NSAIDS increases the risk of mucosal damage, GI bleeding

Question 3

The nurse is caring for a client diagnosed with hemorrhaging duodenal ulcer. Which collaborative interventions should the nurse implement? Select all that apply.
1. Perform a complete pain assessment
2. Assess the client’s vital signs frequently
3. Administer a PPI intravenously
4. Obtain permission and administer blood products
5. Monitor the intake of a soft, bland diet

Answer 3

3,4
PPI reduce acid production. It treats conditions that are caused by either overproduction of stomach acid or exacerbated by stomach acid. e.g. Omeprazole

Blood transfusion - A blood transfusion in the case of a hemorrhaging duodenal ulcer is crucial to promptly restore depleted blood volume, prevent hypovolemic shock, and ensure adequate oxygen delivery to vital organs, mitigating the immediate life-threatening consequences of acute blood loss.