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8 Cards in this Set
- Front
- Back
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Which of these conditions are considered stomach pathologies? a. candidiasis b. GERD c. Peptic ulcer disease d. Irritable Bowel Syndrome |
C. Peptic Ulcer Disease Pepsin is an enzyme secreted by the stomach. |
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In three words, describe Peptic Ulcer Disease. |
Ulcers (holes) in stomach. |
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What is two main causes of peptic ulcers? |
1. H. pylori bacteria 2. NSAIDS (i.e. ibuprofen)
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A patient who was admitted for severe peptic ulcer disease yesterday, complains suddenly of sharp pain that near the stomach and spread over the entire abdomen. The patient is curled in a fetal position. What do you think happened? |
The patient probably experienced a life-threatening emergency called "peptic ulcer perforation". This means the ulcer went ALL THE WAY through the stomach and their acid is spilling into their body. |
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The nurse has been assigned to provide care for four clients at the beginning of the day shift. In what order does the nurse assess these clients? a. a client planned for an esophagogastroduodenoscopy (EGD) at 1pm b. A client requesting pain medication 2 days after a partial gastrectomyc. a client with peptic ulcer disease experiencing a sudden onset of acute stomach paind. a client who is NPO for tests to rule out gastric cancer. |
C, B, A, D Work in order of acute pain. C - most pain B - 2nd most pain A - EGD is happening at 1pm D - can wait, I guess. |
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A complication of peptic ulcers is bleeding in the GI. How can you tell the difference between an upper GI bleed and a lower GI bleed? |
Upper GI --> bright red or coffee-ground vomit (hematemesis). Lower GI bleed --> black stool (melena). |
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Patient admitted for PUD wants to have some Advil to control the pain. He says he takes them every day for muscle pain. What is something you would say? |
You can educate the patient and let them know that NSAIDs like Advil can cause PUD by breaking down the stomach lining. The drugs you could prescribe instead are the same as those for GERD. (remember: Pant, Met, Mag's Fam) |
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When taking a history of a client diagnosed with a gastric ulcer, which assessment findings does the nurse expect? Select all that apply a. Vomiting b. Weight loss c. Epigastric pain at night d. Relief of epigastric pain after eating e. Melena |
A, C, E |
