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Date Posted: 07:17:00 05/30/02 Thu
Author: kathleen evans nurse practitioner student, last year
Subject: Re: Nursing Student! Need help with a question!
In reply to: Samantha 's message, "Nursing Student! Need help with a question!" on 16:14:49 04/03/02 Wed

>I am a LPN student and was asked to answer a question
>in clinical, and I have had no luck finding the
>answer. If there is a expirenced Nurse out there who
>could help, I would be very gratfull! The question =
>What are you the nurse going to look, listen, and or
>fell for during your assessment of a patient with a
>diagnosis of Peptic Ulcer Disease? Any ideas would be
>helpfull also. Thanks,
> Lost Student LPN in
>Idaho
feel for epigastric tenderness with palpation of the abdomen, boardlike abdomen and rebound tenderness (significant for perforation). Look for hematemesis or melena, occult blood ( ulcers may bleed). Listen for hypoactive bowel sounds if pyloric channel is obstructed, or patients history, description of pain, N?V, dark stools, PMH of ulcers, taking alot of steroids or NSAIDS, smoking, alcohol, etc. listening to your paitent history can sometimes point you to the diagnosis faster than the actual exam. hope this helps, good luck!! Kathleen RN BSN

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