H.M., a 45-year old male has presented

H.M., a 45-year old male has presented to the emergency room with the following history and physical assessment findings: 3 month history of intermittent chest tightness and substernal burning pain Pain is worse after eating a meal Nausea without emesis in the morning Burning pain 4 or 5 times throughout the day that is relieved by Tums VS 126/72, 85, 20, 98.6 F Explain the clinical assessment findings for patients with peptic ulcer disease (PUD). Include characteristics of pain. N/V, epigastric tenderness, dyspepsia (indigestion) described as sharp, burning, or gnawing. (USLO 1, 6) A GI bleed is a severe complication of PUD. Describe this potential complication and nursing care to identify and/or prevent complications. (USLO 1, 6) Compare the clinical assessment findings of PUD and GERD. (USLO 1) Explain the patient teaching for PUD? (USLO 1, 6) Two hours later C.M complains of intense nausea. He begins to vomit coffee-ground emesis with some spots of bright-red blood. His VS remain stable. Explain your next action? (USLO 1, 6) SCIENCE HEALTH SCIENCE NURSING MED-SURG 242

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