A client is experiencing epigastric pain, and the nurse suspects peptic ulcer disease. Which of the following questions should the nurse ask to further assess the client's symptoms?
"Have you experienced any changes in your bowel movements?"
"Do you have a family history of heart disease?"
"Have you noticed any swelling or edema in your legs?"
"Do you frequently consume foods high in fiber?"
The Correct Answer is A
Choice A reason:
This question is relevant to assess for gastrointestinal symptoms, as changes in bowel movements may indicate issues with digestion or absorption.
Choice B reason:
Family history of heart disease is not directly related to peptic ulcer disease. However, it is essential for overall health assessment and risk factor identification.
Choice C reason:
Swelling or edema in the legs may be indicative of cardiovascular or circulatory issues, but it is not directly related to peptic ulcer disease.
Choice D reason:
The frequency of consuming high-fiber foods is not specifically related to peptic ulcer disease. However, diet history is essential for overall health assessment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Eating a large, well-balanced meal during mealtimes may exacerbate abdominal pain for the client with peptic ulcer disease. Instead, the client should be encouraged to eat smaller, more frequent meals to reduce stomach acid production.
Choice B reason:
This statement is correct. Administering prescribed antacids 30 minutes before meals can help reduce stomach acid levels during digestion and alleviate the client's pain.
Choice C reason:
Instructing the client to lie flat immediately after eating is not recommended, as it may increase the risk of reflux and worsen the client's symptoms.
Choice D reason:
Providing the client with spicy foods is not advisable, as they can irritate the stomach lining and worsen symptoms for the client with peptic ulcer disease.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Chronic cholecystitis can lead to impaired gallbladder emptying, resulting in difficulties in digesting fats. Indigestion and bloating after meals are common manifestations of this problem.
Choice B reason:
Excessive stomach acid production is more associated with conditions like GERD or peptic ulcer disease, and it is not directly related to chronic cholecystitis.
Choice C reason:
Inflammation of the small intestine may cause abdominal pain, diarrhea, or malabsorption issues, but it is not specifically related to the symptoms described in the question.
Choice D reason:
Decreased production of pancreatic enzymes may lead to malabsorption issues and cause symptoms like diarrhea and steatorrhea. However, it is not the primary cause of indigestion and bloating after meals in chronic cholecystitis.
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