Antacids buffer gastric acid and prevent the formation of peptin. b. The most common cause of duodenal ulcers is a type of bacteria called Helicobacter pylori, also called H. pylori. Which of the following times should the nurse plan to administer the medications? 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. (select all that apply) Infuse the drug 30 min prior to chemotherapy Infuse the drug slowly over 15 min Repeat the dose four hr after chemotherapy. • Review with the client the need to avoid foods that are rich in milk and cream 2. What is the best follow-up action by the nurse? Swelling in the lower legs ; Abdominal fullness Smoking decreases the secretion of bicarbonate from the pancreas into the duodenum, resulting in increased acidity of the duodenum. A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron which of the following actions should the nurse plan to take select all that apply. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. a nurse is developing a plan of care for a client who has cirrhosis and ascites. Both stomach and duodenal ulcers are sometimes referred to as peptic ulcers. 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. A male client with hypertension, who received new antihypertensive prescriptions at his la A nurse is collecting data from a client who is postoperative following the placement of a pouch ileostomy. The nurse is assisting a client with Crohn's disease to ambulate to the bathroom. Which of the following would the nurse question? question. 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 client develops a sudden,sharp pain in the midepigastric region along with a rigid, boardlike abdomen. Which of the following signs or symptoms would the nurse expect to see with this condition? 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). How do they fit in with what I already know? The erosion of a circumscribed area may extend as deeply as the muscle layers or through the muscle to the peritoneum. 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. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. 1. 1. In planning assignments, which client should receive the most care hours by a registered nurse (RN)? An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the pediatrician’s office. Risk Factors Peak incidence of duodenal ulcers (between ages 25 and 50); gastric ulcers (older than age 50) Helicobacter pylori infection altered gastric acid and serum gastrin … Take your medicine as directed. A peptic ulcer is an open sore in the lining of your stomach, intestine, or esophagus. EVALUATION Mr. O’Donnell is discharged 48 hours after admission. answer. Mrs. Why and how do we even use Nursing Care Plans? It is characterized by a burning sensation and usually occurs shortly after meals with gastric ulcer and 2-3 hours afterward with duodenal ulcer. 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. Antacids are sold as aluminum hydroxide, magnesium carbonate and magnesium tricilicate. 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. Which of the following actions should the nurse plan to take? Limit or avoid foods that cause excess acid production or irritation to the peptic lining: Reduce salt intake – Increased risk of developing stomach cancer. This usually avoids the ulcer from returning. Monitor the intake of a soft, bland diet a. The nurse assigns an unlicensed nursing personnel (UAP) to take the vital signs. Bradycardia 2. Here are five (5) nursing care plans (NCP) and nursing diagnosis for patients with peptic ulcer disease: You may also like the following posts and care plans: Care plans covering the disorders of the gastrointestinal and digestive system: Save my name, email, and website in this browser for the next time I comment. When providing care for a client hospitalized with acute pancreatitis who has acute abdominal pain, which of the following nursing interventions would be most appropriate for this client? Include probiotics in regular diet – yogurt, aged cheeses and sauerkraut have healthy probiotics that help restore the natural bacteria in the GI tract, Eat regular, small meals – complete emptying of the stomach for prolonged amounts of time may cause acid build up in the stomach and increase pain and erosion of tissues, Avoid overeating – excess pressure from overeating or bloating may cause pressure on the stomach and increase pain, Reduce stress – although stress has not been proven to cause peptic ulcers, it may result in overeating or skipping meals which will irritate the peptic lining, Stop smoking – nicotine increases stomach acid and thins the mucous membranes, Limit or avoid alcohol – excessive alcohol increases acid production and can irritate and erode the peptic lining, https://www.mayoclinic.org/diseases-conditions/peptic-ulcer/diagnosis-treatment/drc-20354229, https://emedicine.medscape.com/article/181753-clinical, https://www.webmd.com/digestive-disorders/peptic-ulcer-overview#1, https://online.epocrates.com/diseases/80/Peptic-ulcer-disease, That Time I Dropped Out of Nursing School. 1 cup sliced banana. 112. answer. There are a host of healthy food items for a patient suffering from duodenal ulcer. In planning the post procedure care for a client who has a barium enema, the nurse should include which of the following? What principle are they based on? A duodenal ulcer happens when part of the lining of the intestine is eaten away by stomach acid and digestive juices. In planning discharge for the client who has undergone a gastrectomy, the nurse includes what information regarding dumping syndrome? • Review with the client the need to avoid foods that are rich in milk and cream 2. These help relieve pain and heal or prevent ulcers. Spices, in particular black pepper, red pepper, and chili powder, may produce dyspepsia. R /: to stimulate the secretion of hydrochloric acid. Hemorrhage. The client should decrease the amount of fluid consumed with each meal and for 1 hour after each meal. Fibre helps to dilute the bile & gastric secretions which may aggravate the ulcer … Antacids also cover the mucosal lining of duodenum resulting in protection of mucosa. 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. The primary cause of peptic ulcer disease (approx. A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. For more information, visit www.nursing.com/cornell. The case studies published has suggested duodenal ulcer was found in association with mucosal tumor. What instruction should the nurse include in the discharge teaching plan for this client? What’s beyond them? 3. This pain often awakens the patient hours of midnight and 3 am. which of the following interventions should the nurse include in the plan? 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. These are known as duodenal ulcers. This mechanism of action promotes of healing of the ulcer. Normally, the lining of the intestine is protected from stomach acids. What instruction should the nurse include in the discharge teaching plan for this client? A nurse is assessing several clients in a long term health care facility. Administer: A. Antacid (aluminum hydroxide, magaldrate). If you intake NSAIDs regularly then you must reduce the amount intake or you may … It looks at the condition of patient. Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. once excess peritoneal fluid is removed, the diaphragm will expand more freely. Gastric ulcers are peptic ulcers in the stomach. A 4- to 8-week course of acid-suppressing medication will enable the ulcer to heal. An intestinal obstruction has developed. He has 1 hour before meals b. limit NSAIDs e. swallow the capsule whole, do not crush or chew. Clients with gastric ulcer typically demonstrate pain 1 to 2 hours after eating. One study shows red chili powder to have no detrimental effect on duodenal ulcer healing. 1. Duodenal ulcers are peptic ulcers in the intestine. 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. The client with duodenal ulcers demonstrate pain 2 to 4 hours after eating or in the middle of the night. 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. The fat content of milk has no influence on these effects. (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. Antibiotics help kill bacteria. The nurse is caring for a client diagnosed with hemorrhage get duodenal ulcer. 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. Medicines: You may need any of the following: Antacids decrease stomach acid. 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. Numbness in the legs 4. David is a 45-year-old man, husband, and father of three. 16. ATI Pharmacology Online Practice 2016 A A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. R /: Schedule regular eating helps retain food particles in the stomach that helps neutralize the acidity of gastric secretions. Obtain permission and administer blood products 5. Antiulcer medicines help decrease the amount of acid made by the stomach. These medications may cause irritation of the gastric mucosa. Peptic ulcer is an ulceration in the mucosal wall of the lower esophagus, stomach, pylorus, or duodenum. Prevention of Duodenal Ulcer. These ulcers can cause different symptoms, depending on where they are. Which statement indicates that the nurse understands the rationale for instituting skin care measures for the client? Call your child’s healthcare provider if your child has signs of an ulcer. Anxiety Impaired skin integrity Fluid volume deficit Nutrition altered, less than body requirements OK Question Title * 56. A client has a large, deep duodenal ulcer diagnosed by endoscopy. Perforated Ulcer. When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant? In planning assignments, which client should receive the most care hours by a registered nurse (RN)? 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. 2 The nurse is caring for a client diagnosed with rule out peptic ulcer disease. Antacids are taken in liquid form or chewable pills. 2. After an initial inspection, the patient may be referred to a gastroenterologist for further testing. Client will report satisfactory pain control at a level less than 2 to 4 on a scale of 0 to 10. 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. In addition, a one-week course of 2 antibiotics plus an acid-suppressing medicine will usually clear the H. pylori infection. Nurse Farrah is providing care for Kristoff who has jaundice. The nurse is working with a client who has peptic ulcer disease. Advertisement . Esophageal ulcers are peptic ulcers in the esophagus. Name * Email * Telephone number * Tell us briefly how we can help you with Self-Pay * Contact permission . Select all that apply: Position the client on the right side Monitor the client for a rise in body temperature and abdominal pain Maintain bed rest for 12 hours Administer a laxative Encourage fluids Observe and record the amount of rectal drainage. The nurse is reviewing orders for a client with peptic ulcer disease (PUD). Which client is at highest risk for development of decubitus ulcers? 3. The nurse is caring for a client who has just had an upper GI endoscopy. Which of the following findings should the nurse report to the provider (SATA)? Which of the following are assessments for hemorrhage in this client? The nurse is planning care for a client who is convalescing from hepatitis. measure the clients abdominal girth daily. This lesson is part of the NURSING.com Nursing Student Academy. 4. A 40-year-old male client has been hospitalized with peptic ulcer disease. • An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied 20. Nausea and vomiting 3. During assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the client also appears to be confused. 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. question. Select all that apply. The syndrome will be a permanent problem, and the client should eat 5 to 6 small meals per day. A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. 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. 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. Client may report relief after eating or taking an. A client with a duodenal ulcer questions the nurse as to why an antibiotic has been prescribed. Client uses pharmacological and nonpharmacological pain relief measures. How do I write a Nursing Care Plan? Maintaining the client on a high-calorie, highprotein diet. Select all that apply. 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. You have entered an incorrect email address! (Cheat Sheet), 00.01 Nursing Care Plans Course Introduction, 01.03 Using Nursing Care Plans in Clinicals, Nursing Care Plan for Atrial Fibrillation (AFib), Nursing Care Plan for Congenital Heart Defects, Nursing Care Plan for Congestive Heart Failure (CHF), Nursing Care Plan for Gestational Hypertension, Preeclampsia, Eclampsia, Nursing Care Plan for Heart Valve Disorders, Nursing Care Plan for Myocardial Infarction (MI), Nursing Care Plan for Thrombophlebitis / Deep Vein Thrombosis (DVT), Nursing Care Plan for Cleft Lip / Cleft Palate, Nursing Care Plan for Infective Conjunctivitis / Pink Eye, Nursing Care Plan for Otitis Media / Acute Otitis Media (AOM), Nursing Care Plan for Constipation / Encopresis, Nursing Care Plan for Diverticulosis / Diverticulitis, Nursing Care Plan for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder), Nursing Care Plan for Gastroesophageal Reflux Disease (GERD), Nursing Care Plan for Hyperemesis Gravidarum, Nursing Care Plan for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease), Nursing Care Plan for Peptic Ulcer Disease (PUD), Nursing Care Plan for Vomiting / Diarrhea, Nursing Care Plan for GI (Gastrointestinal) Bleed, Nursing Care Plan for Acute Kidney Injury, Nursing Care Plan for Benign Prostatic Hyperplasia (BPH), Nursing Care Plan for Chronic Kidney Disease, Nursing Care Plan for Enuresis / Bedwetting, Nursing Care Plan for Urinary Tract Infection (UTI), Nursing Care Plan for Acquired Immune Deficiency Syndrome (AIDS), Nursing Care Plan for Disseminated Intravascular Coagulation (DIC), Nursing Care Plan for Dehydration & Fever, Nursing Care Plan for Herpes Zoster – Shingles, Nursing Care Plan for Lymphoma (Hodgkin’s, Non-Hodgkin’s), Nursing Care Plan for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma, Nursing Care Plan for Varicella / Chickenpox, Nursing Care Plan for Burn Injury (First, Second, Third degree), Nursing Care Plan for Eczema (Infantile or Childhood) / Atopic Dermatitis, Nursing Care Plan for Pressure Ulcer / Decubitus Ulcer (Pressure Injury), Nursing Care Plan for Alcohol Withdrawal Syndrome / Delirium Tremens, Nursing Care Plan for Alzheimer’s Disease, Nursing Care Plan for Autism Spectrum Disorder, Nursing Care Plan for Dissociative Disorders, Nursing Care Plan for Generalized Anxiety Disorder, Nursing Care Plan for Mood Disorders (Major Depressive Disorder, Bipolar Disorder), Nursing Care Plan for Personality Disorders, Nursing Care Plan for Post-Traumatic Stress Disorder (PTSD), Nursing Care Plan for Somatic Symptom Disorder (SSD), Nursing Care Plan for Suicidal Behavior Disorder, Nursing Care Plan for Addison’s Disease (Primary Adrenal Insufficiency), Nursing Care Plan for Diabetic Ketoacidosis (DKA), Nursing Care Plan for Diabetes Mellitus (DM), Nursing Care Plan for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS), Nursing Care Plan for Myasthenia Gravis (MG), Nursing Care Plan for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), Nursing Care Plan for Systemic Lupus Erythematosus (SLE), Nursing Care Plan for Cerebral Palsy (CP), Nursing Care Plan for Increased Intracranial Pressure (ICP), Nursing Care Plan for Multiple Sclerosis (MS), Nursing Care Plan for Neural Tube Defect, Spina Bifida, Nursing Care Plan for Parkinson’s Disease, Nursing Care Plan for Abortion, Spontaneous Abortion, Miscarriage, Nursing Care Plan for Abruptio Placentae / Placental abruption, Nursing Care Plan for Bronchiolitis / Respiratory Syncytial Virus (RSV), Nursing Care Plan for Fetal Alcohol Syndrome (FAS), Nursing Care Plan for Hyperbilirubinemia of the Newborn / Infant Jaundice / Neonatal Hyperbilirubinemia, Nursing Care Plan for Meconium Aspiration, Nursing Care Plan for Pediculosis Capitis / Head Lice, Nursing Care Plan for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM), Nursing Care Plan for Phenylketonuria (PKU), Nursing Care Plan for Postpartum Hemorrhage (PPH), Nursing Care Plan for Preterm Labor / Premature Labor, Nursing Care Plan for Acute Respiratory Distress Syndrome, Nursing Care Plan for Asthma / Childhood Asthma, Nursing Care Plan for Bronchoscopy (Procedure), Nursing Care Plan for Chronic Obstructive Pulmonary Disease (COPD), Nursing Care Plan for Pertussis / Whooping Cough, Nursing Care Plan for Pneumothorax/Hemothorax, Nursing Care Plan for Respiratory Failure, Nursing Care Plan for Restrictive Lung Diseases, Nursing Care Plan for Thoracentesis (Procedure), Nursing Care Plan for Gout / Gouty Arthritis, Nursing Care Plan for Rheumatoid Arthritis (RA). A duodenal ulcer is usually triggered by an infection with a bacterium (bacterium) called Helicobacter pylori (H. pylori). ATI Pharmacology Online Practice 2016 A A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. It follows a chronic course characterized by remission and exacerbation, commonly requiring surgery. one hour before breakfast and the evening meal. Rationale: Symptoms of ulcer depending on site (pain 1-2 hours after meals in gastric ulcer; 2-4 hours in duodenal ulcer). Client will exhibit increased comfort such as baseline levels for HR, BP, and respirations and relaxed muscle tone for body posture. • Review with the client the need to avoid foods that are rich in milk and cream2. Select all that apply. (41/150) a. You can get an ulcer in your stomach as well as in your duodenum. Encourage clients to avoid foods / drinks that irritate the gastric mucosa: caffeine and alcohol. Which of the following labs is important to monitor with this condition? The medication comes in capsule form. Which of the following complications has the client most likely developed? Defects (open sores) in the protective lining of the stomach and upper small intestine. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. measure the clients abdominal girth daily. The pain caused by duodenal ulcers subsides when acid content of stomach juice is neutralized within stomach prior to its contact with duodenal mucosa. Instruct the client that meals should be eaten ar regularly paced intervals in a relaxed setting. Nurse Salary: How Much Do Registered Nurses Make? Ulceration stems from the inhibition of prostaglandin synthesis, … Which test confirms this diagnosis? 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. c. The esophagus has become infl amed. Peptic ulcer pain is usually described as a burning or gnawing and occurs approximately occurs after 2 hours after meals. Peptic ulcers have different names, depending on their location. 1. Which collaborative interventions shoulder nurse implement? Additional ulcers have developed. II. 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. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. 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.
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