NUR 3270 Final Exam Questions and Correct Answers

Peptic Ulcer Disease definition erosion of the GI mucosa from the digestive action of HCL and pepsin Causes of PUD H. Pylori, Medications, stress, depression, coffee, smoking, or alcohol Gastric ulcers S/S pain high in epigastric, pain occurs 1-2 hours after meals, burning, worse with food Duodenal ulcers S/S mid-epigastric pain and can also have back pain, pain usually 2-5 hours after meals, burning/cramp like pain Both ulcers S/S bloating , N/V, feelings of fullness Complications of PUD hemorrhage, perforation, gastric outlet obstruction Testing and treatments for PUD testing- endoscopy and biopsy, CBC, stool exam treatment- discontinue ASA and NSAIDs, smoking cessation, dietary modifications, antibiotics if h pylori, PPI, histamine blockers, and antacids Gastritis definition inflammation of the gastric mucosa; common Causes of Gastritis drugs, diet, h pylori, smoking, radiation, stress, sepsis, shock, large burns, Crohn's disease S/S of Gastritis anorexia, N/V, epigastric tenderness, feeling of fullness, bleeding/hemorrhage Testing and treatment of Gastritis testing- based off symptoms and history of ETOH, EGD and biopsy, CBC treatment- remove the cause, histamine blockers, PPI, B-12 cholelithiasis stones in the gallbladder cholecystitis inflammation of the gallbladder Causes of gallstones cause is unknown; occurs when the balance of cholesterol, bile, and calcium is disrupted; bile becomes saturated with cholesterol (sludge) Causes of cholecystitis most commonly associated with obstruction caused by gallstones or sludge S/S of gallstones and inflammation pain usually occurs 3-6 hours after a high fat meal, when patient lies down, or when stones move; RUQ pain, may be referred to right shoulder or scapula; indigestion, fever/chills, jaundice, N/V