NCLEX RN Practice Question # 781

NCLEX Examination.

Practice Question # 781.

 

nclex examination

 

Duodenal ulcers:

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.

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