*NURSING > EXAM REVIEW > NR 341 / NR341 CMS Review Updated: Complex Adult Health - Chamberlain (All)

NR 341 / NR341 CMS Review Updated: Complex Adult Health - Chamberlain

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NR341 Complex Adult Health - CMS Review NR-341 Complex Adult Health Complex Adult Health CMS Review Resources - ATI: RN Adult Medical Surgical Nursing Edition 11 Expected findings of... peptic ulcer disease - • Dyspepsia: heart burn, bloating, N/V (may feel like uncomfortable fullness or hunger) - • Dull gnawing pain or burning sensation at mid epigastric or back - • pain after eating - • Pain or epigastric tenderness or abdominal distension - • Blood emesis or stools - • Weight loss Nursing care for peptic ulcer disease - • Esophagogastroduodenoscopy - • If NG is placed monitor fluid amount & color - • Avoid foods that cause distress (coffee, tea, carbonated beverages) - • Orthostatic changes in VS = bleeding of perforation - • Encourage rest periods - • Saline lavage via NG tube When would a client be considered for surgery from PUD? - If ulcers do not heal following 12-16 weeks of medical treatment What signs/ symptoms are seen when a peptic ulcer perforates? - • Severe epigastric pain spreading across abdomen - • Pain can radiate into shoulders (especially right) - • Tender abdomen that is rigid (board like) - • Rebound tenderness - • Hyperactive to diminished bowel sounds - • manifestations of shock, hypotension, & tachycardia [Show More]

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