HESI Case Studies – Peptic Ulcer Disease

Which information is most significant when assessing a client suspected of having a peptic ulcer?
Frequent use of aspirin or products containing aspirin.
Which response by Gail supports a peptic ulcer? (select all that apply)
The pain sometimes wakes me up at night.
My pain is temporarily relieved when I drink milk.
The pain is so bad that I get nauseated and sometimes I vomit.
Which intervention should the nurse include?
Instruct Gail not to take any antibiotics for 4 weeks prior to the test.
Which information should the nurse provide?
A pleasant-tasting solution is ingested and you breathe into a balloon.
Gail asks the nurse. “What happens if my pain is due to the H. pylori bacteria?”
Antibiotics and acid-suppressing medications are prescribed.

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Which priority intervention should the nurse implement when providing immediate post procedure care?
Confirm the return of the gag reflex.
Which action should the nurse include in the discharge preparation?
Discuss the need to notify the HCP if fever or shoulder pain develop.
How should the nurse respond to Gail’s question?
“The medication adheres to the lining of the stomach.”
Which instruction should the nurse discuss with Gail?
Take the medication daily even if pain is not present.
Which action should the nurse include in the teaching plan?
Instruct Gail to eat three small meals and three snacks daily.
Which information should the nurse provide?
Foods that cause gastric pain should be avoided.
What information should the nurse obtain from Gail during the teaching session?
Ingestion of alcoholic beverages.
Which nursing action takes priority when discussing stress and PUD with Gail?
Discuss ways with Gail to reduce stress in her current work environment.
Which intervention would the ED nurse implement first?
Start an 18 gauge angiocath and infuse a normal saline solution.
Which intervention should the nurse implement next?
Place Gail in a recumbent position with her legs elevated.
At how many mL/hr should the infusion pump be set?
200
In order to infuse the pantoprazole (Protonix), which intervention should the nurse implement?
Start a saline lock in the other arm and infuse the medication over 30 minutes.
Which intervention should the implement during the procedure?
Observe the client’s telemetry for dysrhythmias.
Which action should the nurse implement?
Notify the surgeon immediately.
Which intervention should the nurse implement?
Document the normal finding in the client’s record.
Which action should the nurse implement?
Explain to Gail the symptoms of dumping syndrome.
Which information should the nurse include in the discussion with Gail?
Eat between four and six small meals a day.
Which task(s) should the primary nurse delegate to the UAP)?
Assist Gail with ambulation down the hall while using a gait belt.
Empty the urinary catheter bags and record the output on the post-op clients.
Which action should the primary nurse implement?
Continue charting and take no action towards the unit clerk?
Which intervention should the nurse include in discharge preparation?
Explain that vitamin B12 levels should be routinely monitors after this surgery.
Which instruction should the nurse include?
Inspect the abdominal incisional site in the mirror.
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