NUFT 341 - PEPTIC ULCER DISEASE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (GRADED A+)
What is intensity of sxs based on? - Answer-GI contents spill into peritoneal cavity
1. Sudden severe abdominal pain
-may radiate to back and shoulders
-no relief with food or antacids
2. Rigid/board ...
NUFT 341 - PEPTIC ULCER DISEASE
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS (GRADED A+)
What is intensity of sxs based on? - Answer-GI contents spill into peritoneal cavity
1. Sudden severe abdominal pain
-may radiate to back and shoulders
-no relief with food or antacids
2. Rigid/board like abdomen
3. Absent bowel sounds
4. N/v
5. Shallow respirations
6. Pulse increased and weak
*these sxs develop w/in 2 hrs of perforation*
Amount and duration of spillage
What can occur if perforations secondary to peptic ulcer disease go untreated?
What is immediate treatment focus when on has a perforation?
What interprofessional interventions should be done for these patients? - Answer-
Bacterial peritonitis
-this can occur w/in 6 to 12 hrs of perforation
Stop spillage and restore blood volume
1. Should be made NPO
2. Should place NGT for gastric decompression and to prevent aspiration
3. Should give IV fluids, blood, and broad spectrum abx
4. Should place central line and urinary cath
5. Should complete an ECG
, Is surgery needed for small perforations secondary to peptic ulcer disease? - Answer-
No, these are self sealing (fibrin production helps with healing) but do need to monitor
for obstruction
Is surgery needed for large perforations secondary to peptic ulcer disease? - Answer-
Yes, these need surgical closure and suctioning of peritoneal cavity
What occurs with gastric outlet obstruction secondary to peptic ulcer disease? - Answer-
Edema, inflammation, pylorospasm or scar tissue cause obstruction in distal stomach
and duodenum
Stomach fills and dilates causing discomfort and pain
-this worsens at the end of the day b/c the stomach is most full then; may be visibly
dilated
-belching and projectile vomiting may provide some relief
-constipation and anorexia occur
What interprofessional care should be provided for treatment of gastric outlet
obstruction secondary to peptic ulcer disease? - Answer-NG tube placement for gastric
decompression
Provide PPI or H2 receptor blocker
Provide pain management
Provide fluid and electrolyte replacement
Provide surgery or balloon dilation if indicated
Describe nursing assume that for peptic ulcer disease. - Answer-1. Obtain subjective
data
-PMHx: CKD, pancreatic disease, COPD, serious illness or trauma,
hyperparathyroidism, cirrhosis of the liver, ZES
-medications: ASA, corticosteroids, NSAIDs
-surgery or other treatments: complicated or prolonged surgery
-functional health patterns
*health perception-health management: chronic alcohol use, smoking, caffeine use,
FMHx of PUD
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