NURS 6051 Module 3 Knowledge Check

NURS 6051 Module 3 Knowledge Check

In this exercise, you will complete a 5-essay type question Knowledge Check to gauge your understanding of this module’s content. Cite each of the short essay answers with at least one resource.

QUESTION 1

1. Scenario 1: Peptic Ulcer

A 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain is described as burning, non-radiating, and worse after meals. Denies N&V, weight loss, or obvious bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,
Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain

Family Hx-non contributary Social history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping or unprotected sexual encounters.
A breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.

Questions:

1. Explain what contributed to the development of this patient’s history of PUD?

QUESTION 2

1. Scenario 1: Peptic Ulcer

A 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain is described as burning, non-radiating, and worse after meals. Denies N&V, weight loss, or obvious bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis, Meds: Claritin 10 mg PO daily, ibuprofen 400-600 mg PO prn pain Family Hx-non contributary
Social history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping, or unprotected sexual encounters.
A breath test in the office revealed + urease. NURS 6051: Module 3 Knowledge Check
The healthcare provider suspects the client has peptic ulcer disease.

Question:

1. What is the pathophysiology of PUD/ formation of peptic ulcers?

QUESTION 3

1. Scenario 2: Gastroesophageal Reflux Disease (GERD)

A 44-year-old morbidly obese female comes to the clinic complaining of “burning in my chest and a funny taste in my mouth”. The symptoms have been present for years but the patient states she had been treating the symptoms with antacid tablets which helped until the last 4 or 5 weeks. She never saw a healthcare provider for that. She says the symptoms get worse at night when she is lying down and has had to sleep with 2 pillows. She says she has started coughing at night which has been interfering with her sleep. She denies palpitations, shortness of breath, or nausea. NURS 6051: Module 3 Knowledge Check.
PMH-HTN, venous stasis ulcers, irritable bowel syndrome, osteoarthritis of the knees, morbid obesity (BMI 48 kg/m2)

FH: non-contributary

Medications: Lisinopril 10 mg po qd, Bentyl 10 mg po, ibuprofen 800 mg po q 6 hr prn
SH: 20 PPY of smoking, ETOH rarely, denies vaping
Diagnoses: Gastroesophageal reflux disease (GERD). NURS 6051: Module 3 Knowledge Check

Question:

1. If the client asks what causes GERD how would you explain this as a provider?

QUESTION 4

1. Scenario 3: Upper GI Bleed

A 64-year-old male presents to the clinic with complaints of passing dark, tarry, stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid-epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is upper GI bleed which won’t be confirmed until further endoscopic procedures are performed. NURS 6051 Module 3 Knowledge Check

Question:

1. What are the variables here that contribute to an upper GI bleed?

QUESTION 5

1. Scenario 4: Diverticulitis

A 54-year-old schoolteacher is seeing your today for complaints of passing bright red blood when she had a bowel movement this morning. She stated the first episode occurred last week. The episode today was accompanied by nausea, sweating, and weakness. She states she has had some LLQ pain for several weeks but described it as “coming and going”. She says she has had a fever and abdominal cramps that have worsened this morning. NURS 6051: Module 3 Knowledge Check
Diagnosis is lower GI bleed secondary to diverticulitis.

Question:

1. What can cause diverticulitis in the lower GI tract?

Course Resources include the following:

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
• Chapter 38: Structure and Function of the Renal and Urological Systems including Summary Review
• Chapter 39: Alteration of Renal and Urinary Function (stop at Fluids and electrolytes); Summary Review
• Chapter 41: Structure and Function of the Digestive System (stop at Tests of digestive function); Summary Review. NURS 6051: Module 3 Knowledge Check
• Chapter 42: Alterations of Digestive Function (stop at Cancer of the digestive tract); Summary Review

Osna, N. A., Donohue, T. M., Jr., & Kharbanda, K. K. (2017). Alcoholic liver disease: Pathogenesis and current management. Alcohol Research: Current Reviews, 38(2), 7–21

ALSO, SEE:

NRNP 6552 Week 7 Discussion: Health Conditions and Implications for Women