A 28-year-old man is seen in a community clinic with the chief complaint of epig

Question

A 28-year-old man is seen in a community clinic with the chief complaint of epigastric pain. He states he has the pain every day and has been present for 10 days. The pain is characterized as a dull burning sensation that increases about 2 hours after eating. He has had no nausea or vomiting. He denies having similar symptoms in the past. He states that he is in good health. He takes only an occasional ibuprofen for headaches. He has taken two tablets three times over the past week. He drinks two beers at night with dinner. On exam his abdomen is flat, soft, bowel sounds are present. He has mild tenderness with palpation of the epigastric area. No organomegaly or masses palpated. Vital signs are normal. BMI 35. What risk factors for gastroesophageal reflux or ulcer disease should the nurse ask about during her nursing assessment? What history and physical examination findings given in the scenario above can increase this patients risk of ulcer disease? While doing the physical assessment what are two important complications of ulcer disease the nurse should evaluate? Helicobacter pylori has been implicated in peptic ulcer disease. Describe how this bacteria can increase the chance of ulcer disease? (Learning objectives 4, 5, 6, 7, 8, 9)

Explanation / Answer

4. Helicobacter pylori infection occurs when these bacteria attach to the lining of stomach or small intestine, multiply, and release toxins that cause mucosal inflammation and damage. bacteria can cause peptic ulcer diseaseand other complications.

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