For the week of 04.23.07
A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most important for the nurse to reinforce?
1. It is a condition in which one or more tumors called gastrinomas form in the pancreas or in the upper part of the small intestine (duodenum)
2. It is critical to report promptly to your health care provider any findings of peptic ulcers
3. Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible, surgery to remove any tumors
4. With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas of the stomach or intestine
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The correct answer is number: 2
Such findings include night-time awakening with burning, cramp-like abdominal pain, vomiting and even hematemesis, and change in appetite. Abdominal pain, rigidity and tenderness can signal perforation of the ulcer and should be reported to the provider immediately. Zollinger-Ellison syndrome can occur in both children and adults.
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