A 36-year-old patient with suspected gastrointestinal (GI) bleeding undergoes a diagnostic endoscopy which determines the site of bleeding is a duodenal ulcer. The nurse explains to the patient that bleeding ulcers are commonly related to which of the following:

Chronic alcohol consumption

High intake of spicy foods

Inadequate fiber intake

Nonsteroidal anti-inflammatory drugs

Answer and Explanation

The Correct Answer is D

A. Chronic alcohol consumption can contribute to ulcers but is not the primary cause of duodenal ulcers. It can increase stomach acid and irritate the mucosal lining.
B. High intake of spicy foods is often blamed for ulcers, but it is not a direct cause. Spicy foods may exacerbate symptoms but do not cause ulcers.
C. Inadequate fiber intake is not a significant factor in the development of duodenal ulcers. Diet can influence overall digestive health but is not the main cause.
D. Nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen, are a leading cause of duodenal ulcers. They inhibit prostaglandin production, which protects the mucosal lining of the stomach and duodenum, leading to ulcer formation and increased risk of bleeding.

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Correct Answer is D

Explanation

A. Jaundice is typically related to liver dysfunction and would not be a primary symptom of a hiatal hernia.
B. Anorexia is not a primary symptom of a sliding hiatal hernia, although some patients may experience reduced appetite due to discomfort.
C. Stomatitis (inflammation of the mouth) is not typically associated with a hiatal hernia.
D. Pyrosis, or heartburn, is a primary symptom of a sliding hiatal hernia, which occurs when stomach acid refluxes into the esophagus due to the hernia. This can lead to the sensation of heartburn or acid reflux.

A. Cheddar cheese B. Cottage cheese C. Low-fat yogurt D. Soymilk

Correct Answer is D

Explanation

A. Cheddar cheese contains lactose and is not an ideal choice for a low-lactose diet, as it may cause discomfort in clients who are lactose intolerant.
B. Cottage cheese also contains lactose, though in smaller amounts than some other dairy products, but it is still not the best choice for someone on a low-lactose diet.
C. Low-fat yogurt may contain some lactose, but it also contains probiotics, which can help with digestion and may be tolerated better than other dairy products. However, for someone on a strict low-lactose diet, it may not be the best choice.
D. Soymilk is a non-dairy alternative and is typically lactose-free, making it the best choice for someone on a low-lactose diet. It provides a dairy-free option for those needing to avoid lactose.

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A 36-year-old patient with suspected gastrointestinal (GI) bleeding undergoes a diagnostic endoscopy which determines the site of bleeding is a duodenal ulcer. The nurse explains to the patient that bleeding ulcers are commonly related to which of the following:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the primary symptoms of a sliding hiatal hernia are associated with reflux. Therefore, the nurse should assess the client with a hiatal hernia for which of the following symptoms?

Correct Answer is D

Explanation

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client?

Correct Answer is D

Explanation

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The nurse is preparing a teaching plan for a patient being discharged after an acute episode of upper G.I. bleeding. What important information should the teaching plan include? Select all that apply.

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