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NCLEX RN Practice Question # 623

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NCLEX Examination.

Practice Question # 623.

 

Nclex

peptic-ulcer

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.

 

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