H., a 40-yr-old male immigrant from Vietnam, has a 1-yr history of… H., a 40-yr-old male

H., a 40-yr-old male immigrant from Vietnam, has a 1-yr history of… H., a 40-yr-old male immigrant from Vietnam, has a 1-yr history of epigastric distress. Increasingly, it is not relieved by over-the-counter antacids and cimetidine (Tagamet). He is scheduled for an upper endoscopy this morning.Subjective Data•Reports increasing substernal pain, especially 2 to 3 hr after eating•Currently avoids alcohol and is taking antacids and over-the-counter H2-receptor blocker•Smoking history of 1 pack of cigarettes per day for 20 yr•Complains of increasing fatigue with exercise•Reports occasional black bowel movement•Takes Chinese medicine for frequent back pain Objective Data1. Physical Examination•Height 5 ft, 5 in tall and weight 140 lb2. Diagnostic Studies•Endoscopy reveals a duodenal ulcer•Hgb 10.2 g/dL; Hct 30%•Histology of biopsied tissue reveals Helicobacter pylori infection Collaborative Care•omeprazole 20 mg bid × 10 days•clarithromycin 500 mg bid × 10 daysNG tube insertion •amoxicillin 1 g bid × 10 days Discussion Questions1. Explain the pathophysiology of peptic ulcer disease.2. What are the risk factors for duodenal ulcers? Which of these did F.H. have?3. What is the pathophysiology of H. pylori?4. What lifestyle changes and home care considerations would you recommend for F.H.?5. What are the priority nursing interventions for F.H.?6. For the interventions that you identified in question 5, which of the following personnel could be responsible for implementing them: registered nurse (RN), licensed practical nurse (LPN), unlicensed assistive personnel (UAP)?7. Based on the assessment data provided, what are the priority nursing diagnoses? Are there any collaborative problems?8. What are some side effects and nursing implications for cimetidine (Tagamet).9. Discuss the purpose and interventions regarding NG or intestinal tube insertion in a patient with PUD.10. F.H. asks you if the treatment will work and this will be the end of his problems. How will you respond? Health Science Science Nursing NURS 206 Share QuestionEmailCopy link Comments (0)

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