Question

A 39- year-old Caucasian woman presents at the clinic with complaints of epigastric pain that is cramplike, rhythmic, and just below the xiphoid. She states that it wakes her up around 1 am and that she is not sleeping well because of it. She further states that this is her third painful episode in the past year. The nurse suspects the patient has a peptic ulcer and expects to receive what orders from the physician?

a. Schedule patient for a complete metabolic panel and a complete blood count.

b. Schedule patient for laparoscopic examination.

c. Schedule patient for a swallow study.

d. Schedule patient for a lower gastrointestinal study

Answer 1

The nurse suspects the patient has a peptic ulcer and expects to receive what orders from the physician?

Answers:

c. Schedule patient for a swallow study.

Reason :

Gastric (peptic) ulcers can be detected on multiple imaging modalities, but are best evaluated on a double contrast barium upper GI study. This is recommended since , this is her third painful episode in the past year.

Doctor inserts a flexible fiber-optic tube is inserted down the patient throat to see the inside of the esophagus, stomach, and duodenum. Doctor can find the ulcer and check its type and severity.

Answer Options a,b,d is not recommended because there is no suspected signs and symptoms for H-Pylori infection,or lower gastrointestinal disturbances or related signs and symptoms -hematemsis,blood in stool,nausea ,vomiting etc.