peptic ulcer disease
A nurse is planning care for a client who is going to be admitted to the nurse's unit. The client has a diagnosis of peptic ulcer disease (PUD) and is complaining of nausea, heartburn, and epigastric pain. What nursing intervention will the nurse plan to implement?
Discourage the client from eating a nighttime snack.
A nurse is caring for a client with peptic ulcer disease (PUD). The client tells the nurse, "I don't understand why I have pain in the middle of the night. It's like my pain starts 2-3 hours after I eat, not right away. Why does this happen? What is the nurse's best response
The pain occurs when your stomach is empty
A nurse is providing discharge orders for a client with peptic ulcer disease (PUD). What statement will the nurse include regarding client diet and lifestyle modifications for the prevention of PUD?
Do not skip any meals
A nurse is caring for a client with peptic ulcer disease (PUD) who is taking a proton pump inhibitor (PPI) for the treatment of PUD. Prior to administering this medication, what does the nurse need to know about a PPI?
It inhibits an acid-secreting enzyme to reduce gastric acid content It may be used in combination with two antibiotics to eliminate H. pylori
A nurse manager is teaching a group of staff nurses about the complications related to peptic ulcer disease (PUD). What statement regarding peritonitis will the nurse manager include in the teaching?
Peritonitis occurs when the ulcer penetrates through the mucosal wall, causing gastric or duodenal contents to enter the peritoneum
A nurse is preparing to obtain a health history from a client with peptic ulcer disease (PUD). Which factors should the nurse include in this portion of the nursing assessment? (Select all that apply.)
Presence of nausea and vomiting Complaints of heartburn History of chronic use of NSAIDs . History of smoking
A nurse is caring for a client with peptic ulcer disease (PUD) who asks the nurse, open double quoteI don't understand how I can help to prevent my ulcers from recurring.close double quote What is the nurse's best response? (Select all that apply.)
Stop smoking. Reduce your stress as much as possible. Be cautious with your intake of over-the-counter pain medications.
A nurse is planning care for a client with peptic ulcer disease (PUD) who presents with intractable nausea and vomiting and epigastric pain. What is an appropriate outcome for this client?
The client will maintain adequate fluid volume
A nurse is caring for a client with congestive heart failure (CHF) who has recently been diagnosed with peptic ulcer disease (PUD). The client takes digoxin to manage symptoms associated with CHF. The healthcare provider has ordered antacids for the client to help heal the gastric mucosa as a result of PUD. What is true regarding antacids and digoxin?
Antacids interfere with the absorption of digoxin
The nurse is providing discharge instructions for a client with peptic ulcer disease (PUD). What will the nurse include in teaching?
Importance of stress management techniques
A nurse is caring for a client who has recently been diagnosed with peptic ulcer disease (PUD). The client asks the nurse, open double quoteMy doctor told me I might have bacteria that is causing my ulcers. How will I know if I do?close double quote What is the nurse's best response?
Your healthcare provider may order a breath test to determine the presence of H. pylori
A nurse is caring for a client who complains of diarrhea and epigastric pain. The client tells the nurse that he has recently been diagnosed with a gastrinoma. What additional condition does the nurse suspect the client has?
Zollinger-Ellison syndrome
