A client with sudden, excruciating abdominal pain, pale skin, and hematemesis is admitted to the emergency room. On assessment, the client states that he had an overdose of NSAIDs and has a history of substance abuse. The primary health-care provider instructs the nurse to prepare the client for a gastrojejunostomy procedure. Which condition can the nurse expect in the client?

Question

Quizplus · Accepted Answer

The client is exhibiting symptoms of severe peptic ulcer disease, which can be caused by prolonged NSAID use and substance abuse. Gastrojejunostomy is a surgical procedure that may be required to treat complications of this condition. Hiatal hernia, acute gastritis, and pyloric stenosis may cause abdominal pain and nausea/vomiting, but they are not typically associated with hematemesis and would not be treated with gastrojejunostomy.

A Client with Sudden, Excruciating Abdominal Pain, Pale Skin, and Hematemesis