[Answered]: Scenario #A:Hugh Marshall is a 71 year old man…

Scenario #A:Hugh Marshall is a 71 year old man who has been taking ibuprofen (Motrin) for a shoulder injury and assumed that this was the cause of his stomach pain. He is a one-pack-per-day smoker and drinks one glass of wine every night with dinner. His medical history includes HTN for which he takes a combination diuretic and angiotensin-converting enzyme (ACE) inhibitor. He stopped taking his ibuprofen but the stomach pain did not subside. Because of worsening symptoms, an endoscopy was performed, which confirmed the presence of H. pylori. He is worried about taking antibiotics because he has been allergic to penicillin in the past.This activity contains 3 questions:Based on the scenario above, what risk factors for PUD does Hugh have?How would you as the nurse describe the recommended treatment for H. pylori-induced PUD to him?Why would you be concerned about this patient with a history of HTN using NSAIDs? Kerry O’Grady is a 20 year old college sophomore studying to be a middle-school teacher. She was diagnosed with IBS at the end of her freshman year after enduring multiple bouts of abdominal cramping, diarrhea, constipation, gas and bloating. She thought it was just the stress of her first year of college because her symptoms eased over the summer break. Now it has returned and the diarrhea occurs more often than constipation. Some days she finds that she is unable to sit through an entire class without having to leave for the restroom. She is increasingly worried about her grades and she is sure that the stress is not helping her condition either.The nurse practitioner in the Student Health Services office has prescribed several weeks of dycyclomine (Bentyl) to be followed by loperamide (Imodium) after the diarrhea has slowed from the dicyclomine.This activity contains 3 questions.How will the dicyclomine (Bentyl) and loperamide (Imodium) help treat Kerry’s symptoms?Considering the adverse effects of dicyclomine and loperamide, what should you as the nurse teach Kerry about her college course schedule?What other non drug measures might Kerry try to ease her symptoms?