Peptic Ulcer Disease

A nurse working in the emergency department in the emergency department is admitting a client with a gastric ulcer and GI Bleeding. Which of the following factors in the client's medical history should the nurse report to the provider? A. arthritis treated with ibuprofen every 8 hours as needed B. previous tobacco smokijg cessation 5 years ago C. Negative H. Pylori test 1 year ago D. Prescribed bismuth salicylate as needed for GI upset

A. arthritis treated with ibuprofen every 8 hours as needed Ibuprofen is a NSAID that is contraindicated in patients with ulcer disease

A Nurse is caring for a client taking glucocorticoids. The nurse should monitor the client for which of the following adverse effects of the medication? A. weight loss B. peptic ulcer C. hyperkalemia D. Diplopia

B. peptic ulcer the nurse should monitor the client taking glucocorticoids for peptic ulcers due to the irritation of the gastric mucosa

A nurse is teaching a female client who has a new prescription for misoprostol to treat peptic ulcer disease. Which of the following client states should the nurse indicate that the teaching was effective? A. "I should avoid taking NSAIDs while using this medication" B. "Misoprostol is used to treat to treat stress induced ulcers" C. "I should avoid becoming pregnant while using this medication" D. "This medication is used to treat dysmenorrhea"

C. I should avoid becoming pregnant while taking this medication Misoprostol is contraindicated with pregnancy. Black Box Warning and Pregnancy Category X

A nurse is teaching a client with a new diagnosis of peptic ulcer disease who has a prescription for bismuth subsalicylate. The client ask the nurse "how will this medication help with my ulcer?" which of the following statements should the nurse make? A. This medication will decrease prostaglandins B. the amount of bicarbonate in the body will increase C. this medication will decrease bacteria in your GI tract D. This medication acts by increasing blood flow to the stomach

C. this medication will decrease bacteria in your GI tract bismuth subsalicylate can assist by eliminating H. Pylori which cause PUD

A nurse is caring for a client who has peptic ulcer disease and reports a headache? Which of the following medications should the nurse plan to administer? A. Ibuprofen B. Naloxone C. Aspirin D. Acetaminophen

D. Acetaminophen D. Acetaminophen is a analgesic used for mild to moderate pain. it can be administered to a patient with peptic ulcer disease because it does not cause GI bleeding or affect blood coagulation

A nurse is assessing a client who is experiencing a perforation of a peptic ulcer. Which of the following manifestations should the nurse expect ? A. increased blood pressure B. decreased heart rate C. yellowing of the skin D. boardlike abdomen

D. board like abdomen a client with peptic ulcer disease will have manifestations of a board like abdomen and severe pain in the abdomen or back that radiates to right shoulder