John Talley is a 51-year-old man who is employed as a truck driver. He has been taking NSAIDs for a shoulder injury and assumed that this was the cause of his ulcers. He is a one-pack-per-day smoker...

John Talley is a 51-year-old man who is employed as a truck driver. He has been taking NSAIDs for a shoulder injury and assumed that this was the cause of his ulcers. He is a one-pack-per-day smoker and consumes alcohol. His medical history includes HTN for which he takes a combination diuretic and ACE inhibitor. Because of worsening symptoms, an endoscopy was performed, which confirmed the presence of H. pylori. He is worried about using antibiotics because he has been allergic to penicillin in the past.

1. Based on the scenario above, what risk factors for PUD does John have?

2. How would you as the nurse describe the recommended treatment for H. pylori –induced PUD to him?

3. Why would you be concerned about this patient using NSAIDs with a history of HTN?