Author Question: A client with peptic ulcer disease is undergoing pharmacologic therapy. After reviewing the ... (Read 30 times)

09madisonrousseau09 · **on:** Jul 23, 2018

A client with peptic ulcer disease is undergoing pharmacologic therapy. After reviewing the medication administration record, the nurse suggests changing a prn pain order of ibuprofen to:

1. acetaminophen.
2. aspirin.
3. ketorolac.
4. naprosyn.

Question 2

The nurse caring for a client with PUD explains that the treatment goals include:

Standard Text: Select all that apply.
1. immediate relief from symptoms.
2. promoting healing of the ulcer.
3. preventing complications of the disease.
4. preventing future recurrence of the disease.
5. reduction of the level of H. pylori by one-third.

sailorcrescent · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Acetaminophen has analgesic and antipyretic qualities only. This drug should not worsen the progression of PUD.
Rationale 2: Aspirin, an NSAID, should be avoided in clients with PUD.
Rationale 3: Ketorolac, an NSAID, should be avoided in clients with PUD.
Rationale 4: Naprosyn, an NSAID, should be avoided in clients with PUD.
Global Rationale: Acetaminophen has analgesic and antipyretic qualities only. This drug should not worsen the progression of PUD. The remaining medications are NSAIDs and should be avoided in those with PUD.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: The goals of PUD pharmacotherapy are to provide immediate relief from symptoms.
Rationale 2: The goals of PUD pharmacotherapy are to promote healing of the ulcer.
Rationale 3: The goals of PUD pharmacotherapy are to prevent complications of the disease.
Rationale 4: The goals of PUD pharmacotherapy are prevent future recurrence of the disease.
Rationale 5: Eradication of H. pylori is a key factor in the goal of pharmacotherapy for PUD.
Global Rationale: The goals of PUD pharmacotherapy are to provide immediate relief from symptoms, promote healing of the ulcer, prevent complications, and prevent future recurrence of the disease. Eradication of H. pylori and discontinuing NSAIDs or other ulcer-promoting medications when possible are key factors.