NCLEX RN Practice Question # 623
NCLEX Examination.
Practice Question # 623.
Nclex
Peptic Ulcer Disease
Description
- A peptic ulcer is an ulceration in the mucosal wall of the stomach, pylorus, duodenum, or esophagus in portions accessible to gastric secretions; erosion may extend through the muscle.
- The ulcer may be referred to as gastric, duodenal, or esophageal, depending on its location.
- The most common peptic ulcers are gastric ulcers and duodenal ulcers.
Gastric ulcers
- Description
- A gastric ulcer involves ulceration of the mucosal lining that extends to the submucosal layer of the stomach.
- Predisposing factors include stress, smoking, the use of corticosteroids, NSAIDs, alcohol,
- history of gastritis, family history of gastric ulcers, or infection with H. pylori.
- Complications include hemorrhage, perforation, and pyloric obstruction.
Assessment
Assessment: Gastric and Duodenal Ulcers
Gastric
- Gnawing, sharp pain in or left of the midepigastric region occurs 30 to 60 minutes after a meal (food ingestion accentuates the pain).
- Hematemesis is more common than melena.
Duodenal
- Burning pain occurs in the midepigastric area 1½ to 3 hours after a meal and during the night (often awakens the client).
- Melena is more common than hematemesis.
- Pain is often relieved by the ingestion of food.