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NURS 6501 Module 3 Knowledge Check

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A 45-year-old male comes to the clinic with a chief complaint of epigastric abdominal pain that has persisted for 2 weeks. He describes the pain as burning, non-radiating and is worse after meals. He denies nausea, vomiting, weight loss or obvious bleeding. He admits to bloating and frequent belching. PMH: osteoarthritis; seasonal allergies with frequent sinusitis infections Meds: Zyrtec 10mg daily year-round; Ibuprofen 400-600mg prn pain Family Hx: non-contributory Social hx: recently divorced and expressed concern at how expensive it is to support 2 homes. Works as a manager at a local tire and auto company. He has 25 pack/year hx of smoking; drinks 2-3 beers/day; and drinks 5-6 cups of coffee/day. He denies illicit drug use, vaping or unprotected sexual encounters Breath test in office revealed + urease The healthcare provider suspects the client has peptic ulcer disease. What factors may have contributed to the development of PUD?


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