\nLATEST<\/span><\/b>\u00a0<\/span><\/td>\n | Attempt 1<\/span><\/a>\u00a0<\/span><\/td>\n | 3,764 minutes<\/span>\u00a0<\/span><\/td>\n | 20 out of 20<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n Score for this quiz:\u202f<\/span>20<\/span><\/b>\u202fout of 20<\/span>\u00a0<\/span><\/p>\nSubmitted Jul 2 at 11:22am<\/span>\u00a0<\/span><\/p>\nThis attempt took 3,764 minutes.<\/span>\u00a0<\/span><\/p>\n\u202f<\/span>\u00a0<\/span><\/p>\nA Sample Answer For the Assignment: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nTitle: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nScenario 1: Peptic Ulcer<\/span><\/i><\/b>\u00a0<\/span><\/h2>\nA 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. \u202fThe pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating.\u202f\u202f<\/span>\u00a0<\/span><\/p>\nPMH:\u202f seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,\u202f<\/span>\u00a0<\/span><\/p>\nMeds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain\u202f<\/span>\u00a0<\/span><\/p>\nFamily Hx-non\u202fcontributary\u202f\u202f<\/span>\u00a0<\/span><\/p>\nSocial 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\u202fdenies illicit drug use, vaping or unprotected sexual encounters.\u202f\u202f<\/span>\u00a0<\/span><\/p>\nBreath test in the office revealed + urease.\u202f<\/span>\u00a0<\/span><\/p>\nThe healthcare provider suspects the client has peptic ulcer disease.<\/span>\u00a0<\/span><\/p>\nQuestions:<\/span><\/b>\u00a0<\/span><\/h2>\n1.<\/span><\/i>\u202f\u202f\u202f\u202f\u202f<\/span><\/i>Explain what contributed to the development from this patient\u2019s history of PUD?<\/span><\/i>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nYour Answer:<\/span>\u00a0<\/span><\/p>\n\n- Helicobacter pylori infection: The presence of a positive urease test suggests the involvement of H. pylori, a common bacterium associated with PUD. H. pylori can disrupt the protective mucosal lining of the stomach and duodenum, leading to ulcers.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Medication use: The patient’s frequent use of ibuprofen (NSAID) for pain relief can irritate the stomach lining and increase the risk of developing ulcers. NSAIDs, including ibuprofen, are known to inhibit the production of prostaglandins, which help protect the stomach lining.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Lifestyle factors: The patient’s smoking habit, excessive alcohol consumption, and high coffee intake are known to increase the risk of developing peptic ulcers. Smoking and alcohol can impair the stomach’s protective mechanisms, while coffee stimulates acid production, which can contribute to ulcer formation.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Stressful situation: The patient’s recent separation, pending divorce, and the stress associated with managing two homes can lead to increased psychological stress. Stress itself does not cause ulcers, but it can exacerbate existing ulcers by affecting the body’s ability to heal and increasing acid production.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Other medical conditions: While not directly contributing to PUD, chronic sinusitis and osteoarthritis may have influenced the patient’s medication use and overall health, potentially affecting the susceptibility to ulcers.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
A Sample Answer 2 For the Assignment: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nTitle: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nScenario 1: Peptic Ulcer<\/span><\/i><\/b>\u00a0<\/span><\/h2>\nA 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. \u202fThe pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating.\u202f\u202f<\/span>\u00a0<\/span><\/p>\nPMH:\u202f seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,\u202f<\/span>\u00a0<\/span><\/p>\nMeds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain\u202f<\/span>\u00a0<\/span><\/p>\nFamily Hx-non\u202fcontributary\u202f\u202f<\/span>\u00a0<\/span><\/p>\nSocial 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\u202fdenies illicit drug use, vaping or unprotected sexual encounters.\u202f\u202f<\/span>\u00a0<\/span><\/p>\nBreath test in the office revealed + urease.\u202f<\/span>\u00a0<\/span><\/p>\nThe healthcare provider suspects the client has peptic ulcer disease.<\/span>\u00a0<\/span><\/p>\nQuestion:<\/span><\/b>\u00a0<\/span><\/h2>\n1.<\/span><\/i>\u202f\u202f\u202f\u202f\u202f<\/span><\/i>What is the pathophysiology of PUD\/ formation of peptic ulcers?\u202f<\/span><\/i>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nYour Answer:<\/span>\u00a0<\/span><\/p>\nPeptic ulcer disease (PUD) occurs due to an imbalance between aggressive factors (such as H. pylori infection and excessive gastric acid secretion) and protective mechanisms (such as mucosal defense mechanisms). Factors like NSAID use and certain lifestyle habits (smoking, alcohol, caffeine) can contribute to ulcer formation.<\/span>\u00a0<\/span><\/p>\nA Sample Answer 3For the Assignment: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nTitle: NURS 6501 MODULE 3 GASTROINTESTINAL AND HEPATOBILIARY DISORDERS<\/strong><\/h2>\nScenario 2: Gastroesophageal Reflux Disease (GERD)<\/span><\/i><\/b>\u00a0<\/span><\/h2>\n |