Case Study Chapter 41b Patient with PUD. Peptic ulcer disease (PUD) is an erosio

Published by

Oct 17, 2021

s

Please note that this is just a preview of a school assignment posted on our website by one of our clients. If you need assistance with this question too, please click on the Submit Your Instructions at the bottom of the page to get started.

Case Study Chapter 41b Patient with PUD.
Peptic ulcer disease (PUD) is an erosion of the gastrointestinal (GI) mucosa resulting from the digestive action of hydrochloric (HCl) acid and pepsin. Any portion of the GI tract that comes in contact with gastric secretions is susceptible to ulcer development, including the lower esophagus, stomach, duodenum, and margin of gastrojejunal anastomosis after surgical procedures. Peptic ulcers can be classified as acute or chronic, depending on the duration and degree of mucosal involvement, and gastric or duodenal, according to the location. PUD development is associated with a variety of factors, including taking ulcerogenic drugs and the presence of H. pylori infection or chronic gastritis. Treatment for PUD is focused on decreasing gastric acidity and enhancing mucosal defense mechanisms.
Instructions:
Please complete the following case study: Chapter 41b and submit your assignment here.
Answer each objective thoroughly below in your own words, you will receive a zero for copy and pasting
Cite all references. References must be from a Medical Surgical Nursing Textbook
Case Study
A.D., a 48-year-old business executive, is brought to the emergency department by a co-worker. At work he started vomiting a large amount of coffee-ground emesis and requested to go to the hospital. A.D. has a 9-year history of PUD and was hospitalized with upper GI bleeding 4 years ago. At that time, specimens obtained via fiberoptic endoscopy were positive for H. pylori, so he was treated with triple antibiotic therapy. His PUD has been controlled with medications since that time, but he states he has recently been under much more stress than usual because of company merger negotiations. He started smoking again after having quit for 7 years, and his alcohol consumption in the last 3 months has increased, especially when meeting with other business executives. Because of his work demands, he has not taken his medications routinely, eaten a healthy diet, or slept well. He has a chronic but intermittent headaches. He has been careful not to use aspirin, instead taking ibuprofen for headache relief. He reports that he has had increasingly dark stools for the past week and developed severe nausea before he started vomiting this morning. He says he has no sharp pain, only mild upper abdominal discomfort and nausea.
Your initial assessment reveals the following vital signs: BP 102/62 mm Hg, heart rate (HR) 98 beats/min, respiratory rate (RR) 24 breaths/min, temperature 98.0°F (36.7°C); capillary refill at 4 sec; skin cool and slightly moist, no distention of jugular veins, clear lung sounds, and a soft abdomen with hyperactive bowel sounds.
Objectives
Identify risk factors for PUD.
Differentiate between the characteristics of gastric and duodenal ulcers.
Evaluate results of diagnostic testing in a patient with PUD.
Identify relevant assessment data for a patient with PUD.
Prioritize nursing care of a patient with a bleeding peptic ulcer.
Describe the interprofessional care of a patient with PUD.
Develop an individualized teaching plan for a patient with PUD.
Describe interprofessional care of a patient with a perforated ulcer requiring surgical intervention.
Appropriately delegate nursing care for a postoperative patient following surgery for PUD.

n

Need Writing Help? Our writing specialists are here 24/7, every day of the year, ready to support you! Instantly chat with an online tutor below or click here to submit your paper instructions to the writing team.

More than just an assignment.

GET THE GRADES YOU DESERVE | A OR A- GUARANTEED
NO MORE SLEEPLESS NIGHTS DOING RESEARCH
NO MORE LATE POINTS DEDUCTIONS 
GET A QUALITY PAPER SENT TO YOUR EMAIL
GET GOOD GRADES ON YOUR ASSIGNMENTS
Explore Now →

Who is this homework service for?

* If you are having a really hard class and want to get through it, then this is for you.

* If you have a medical emergency or someone close to you has a medical emergency and you don’t think you’ll be able to turn your assignment on time, this is definitely a service you could use.

* You can use us if you are having a tough Professor who won’t give you the grades you deserve.

* If you have a tight work schedule and you are getting points deducted for not submitting assignments on time.

* English might not be your first language and you feel like you are being left behind in class because of it.

* If you have a large project coming up and don’t think you have enough time to get it done well, definitely reach out to us.

TALK TO SUPPORT
{

Super stoked you are checking us out! We would like to help you with your assignment. We just need a few things from you:

* The full assignment instructions as they appear on your school account.

* If a Rubric is present, make sure to attach it.

* Any relevant weekly readings or learning resources.

* Include any special announcements or emails you might have gotten from your Professor regarding your assignment.

* Any templates or additional files required to complete the assignment.

If your assignment is somewhat complex and you need to explain it, please don’t hesitate to reach out to me via live chat. 

 

FAQ

Frequently asked questions

How soon can I get my paper done?
It depends with your deadline. If you need your paper completed in 3 hours, we will deliver it in that time. All you need to do is indicate your deadline in our custom order page here. Alternatively, if you are sending us your instructions via email, please be sure to indicate your deadline.
Will it be completely original? I don't want to be caught in a case of Academic Integrity Violation.

We are as paranoid as you are. Maybe even more! And we understand that the greatest sin you can commit in your academic journey is plagiarizing your academic work. To that end, we have made sure that we check and double-check our papers using high quality plagiarism detection tools such as SafeAssign and Turnitin before submitting the paper to you.

Who is my writer? Is he/she a native English Speaker?

All our writers are native English Speakers. That is not to say that ESL writers are not good, we just prefer hiring native writers because we want the very best people working on your paper. This might mean paying a little bit more for your paper as opposed to when you pay a foreign company whose writers are non-native English Speakers.

What if I need revisions? Will your charge additional for this?

Of course not! If you do happen to require a revision on your paper, our team will handle it for you free of charge. Matter of fact, we won’t rest till you are happy with your paper. So, ask for as many revisions as you need, it’s completely FREE!

Will you give me my money back if I don't like my paper?

We have very few instances where we delivered a paper that a client didn’t fall in love with. But if it so happens that you don’t like your paper for any reason whatsoever, we’ll refund your money back no questions asked.

I have more assignments after this, can you help me with those too?

Of course! And what’s even better is that we can reserve a writer permanently to work on your entire class. This comes in handy for projects which build up on each other and where you need just one writer, one writing style.

I got my order information wrong, can I change that?

Yes you can. Just reach out to our support team via email (support@essaynook.com) or live chat here and they’ll help you change the instructions.

Can I place an order via email instead of going through the order page?

Yes you can. Email Anna at anna@essaynook.com, she’s in charge of our sales team. Alternatively, you can talk to our Live Chat team here and request to speak to Anna.

Trusted by Thousands of Students

Delivering quality assignments since 2007