NCLEX RN Practice Question # 588
NCLEX Examination.
Practice Question # 588.
Naplex
Duodenal ulcers
Description
- A duodenal ulcer is a break in the mucosa of the duodenum.
- Risk factors and causes include infection with H. pylori; alcohol intake; smoking; stress; caffeine; the use of aspirin, corticosteroids, and NSAIDs.
- Complications include bleeding, perforation, gastric outlet obstruction, and intractable disease.
Interventions
- Monitor vital signs.
- Instruct the client about a bland diet, with small frequent meals.
- Provide for adequate rest.
- Encourage the cessation of smoking.
- Instruct the client to avoid alcohol intake, caffeine, the use of aspirin, corticosteroids, and NSAIDs.
- Administer medications to treat H. pylori and antacids to neutralize acid secretions as prescribed.
- Administer H2-receptor antagonists or proton pump inhibitors as prescribed to block the secretion of acid.
Surgical interventions:
Surgery is performed only if the ulcer is unresponsive to medications or if hemorrhage, obstruction, or perforation occurs.
Dumping syndrome
- Description: The rapid emptying of the gastric contents into the small intestine that occurs following gastric resection
Assessment
- Symptoms occurring 30 minutes after eating
- Nausea and vomiting
- Feelings of abdominal fullness and abdominal cramping
- Diarrhea
- Palpitations and tachycardia
- Perspiration
- Weakness and dizziness
- Borborygmi (loud gurgles indicating hyperperistalsis)