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NCLEX RN Practice Question # 588

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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)

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