Author Question: The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube inserted notes ... (Read 33 times)

future617RT · **on:** Jul 11, 2018

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 · **Reply #1 on:** Jul 11, 2018

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.