The nurse caring for a patient with a peptic ulcer who has had a ...

[future617RT]

The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes bright blood in the tube; the patient complains of pain and has become hypotensive. Which condition should the nurse recognize these as signs of?
 
  a. Hiatal hernia
  b. Gastritis
  c. Perforation
  d. Bowel obstruction

Question 2

The home health nurse is caring for a patient who has frequent bouts of diverticulitis accompanied by increased flatulence, diarrhea, and nausea. Which of the following is the most appropriate suggestion to lessen these symptoms?
 
  a. Eat a diet high in fiber content
  b. Increase dietary fat intake
  c. Exercise to increase intra-abdominal pressure
  d. Take daily laxatives

[af]

Answer to Question 1

ANS: C
Perforation of the gastric wall causes pain, hypotension, and hematemesis. Immediate reporting to the charge nurse/physician is essential as peritonitis, potentially lethal, is the result of a perforation.

Answer to Question 2

ANS: A
The symptoms of diverticulitis can be reduced or prevented by eating a high-fiber diet, reduction of meat and fats in the diet, and avoiding activities that increase intra-abdominal pressure. Although laxatives might be prescribed sparingly, daily laxatives are not recommended.

[future617RT]

Thanks for the timely response, appreciate it

[ecabral0]

Excellent