Learn more about the nursing care management of patients with peptic ulcer disease in this study guide. Show
What is Peptic Ulcer Disease?A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location.
ClassificationPeptic ulcer is classified into gastric, duodenal or esophageal ulcer.
PathophysiologyPeptic ulcers occur mainly in the gastroduodenal mucosa.
Statistics and EpidemiologyPeptic ulcer disease may occur in both genders and in all ages.
CausesThere are three major causes of peptic ulcer disease: infection with H. pylori, chronic use of NSAIDs, and pathologic hypersecretory disorders (e.g., Zollinger-Ellison syndrome).
Clinical ManifestationsSymptoms of ulcer may last for a few days, weeks, months, and may disappear only to reappear, often without an identifiable cause.
ComplicationsPossible complications may include:
Assessment and Diagnostic FindingsTo establish the diagnosis of peptic ulcer, the following assessment and laboratory studies should be performed:
Medical ManagementOnce the diagnosis is established, the patient is informed that the condition can be controlled.
Surgical ManagementThe introduction of antibiotics to eradicate H. pylori and of H2 receptor antagonists as a treatment for ulcers has greatly reduced the need for surgical interventions.
Nursing ManagementThe management of the patient with a peptic ulcer is as follows:. Nursing AssessmentNursing assessment includes:
Nursing DiagnosisBased on the assessment data, the patient’s nursing diagnoses may include the following:
Nursing Care Planning & GoalsMain Article: 5 Peptic Ulcer Disease Nursing Care Plans The goals for the patient may include:
Nursing InterventionsNursing interventions for the patient may include: Relieving Pain and Improving Nutrition
Reducing Anxiety
Monitoring and Managing Complications If hemorrhage is a concern:
If perforation and penetration are concerns:
Home Management and Teaching Self-Care
EvaluationExpected patient outcomes include:
Discharge and Home Care GuidelinesThe patient should be taught self-care before discharge.
Documentation GuidelinesThe focus of documentation should include:
Practice Quiz: Peptic Ulcer DiseaseHere’s a 6-item quiz about the study guide. Please visit our nursing test bank for more NCLEX practice questions. 1. Peptic ulcers occur with the most frequency in those between the ages of: A. 15 and 25 years. 2. The most common site for peptic ulcer formation is the: A. Duodenum. 3. Peptic ulcer disease may be caused by which of the following? A. Helicobacter pylori 4. Pain control with peptic ulcer disease includes all of the following except: A. promoting physical and emotional rest. 5. A characteristic associated with peptic ulcer pain is a: A. Burning sensation localized in the back or midepigastrium. 6. The most common complication of peptic ulcer disease that occurs in 10% to 20% of patients is: A. Hemorrhage. Answers and Rationale 1. Answer: C. 40 and 60 years.
2. Answer: A. Duodenum. Peptic ulcers are more likely to occur in the duodenum. 3. Answer: A. Helicobacter pylori Helicobacter pylori is considered to be the major cause of ulcer formation. Other choices are not related to ulcer formation. 4. Answer: C. eating meals when desired. Meals should be regularly spaced in a relaxed environment. Choices A, B, and D are proper interventions in providing pain control. 5. Answer: A. Burning sensation localized in the back or midepigastrium.
6. Answer: A. Hemorrhage.
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