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Patient Profile F.H., a 40-yr-old male immigrant from Vietna...


Patient ProfileF.H., a 40-yr-old male immigrant from Vietnam, has a 1-yr history of epigastric distress. Increasingly, it is not relieved by over-the-counter omeprazole (Prilosec). He is scheduled for an upper endoscopy this morning.Subjective Data?? Reports increasing substernal pain, especially 2 to 3 hr after eating?? Currently avoids alcohol and is taking an over-the-counter PPI?? Smoking history of 1 pack of cigarettes per day for 20 yr?? Has had increasing fatigue with exercise?? Reports occasional black bowel movements?? Takes Chinese medicine for frequent back painObjective DataPhysical Examination?? Height 5 ft, 5 in tall and weight 140 lbDiagnostic Studies?? Endoscopy reveals a duodenal ulcer?? Hgb 10.2 g/dL; Hct 30%?? Histology of biopsied tissue reveals H. pylori infectionInterprofessional Care?? omeprazole 20 mg twice daily × 10 days?? clarithromycin 500 mg twice daily × 10 days?? amoxicillin 1 gram twice daily × 10 daysDiscussion QuestionsWhat is most likely causing F.H.’s duodenal ulcer?Which risk factors for duodenal ulcers does F.H. have?Based on the assessment data provided, what concerns you about his reports of occasional black bowel movements?Based on the assessment data provided, what are the 2 top priority nursing diagnoses?For each nursing diagnosis you listed in response to question 4, provide 3 nursing interventions, including 1 teaching intervention. Remember to prioritize these
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