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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.
Choice B reason:
Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.
Choice C reason:
Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.
Choice D reason:
Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.
Correct Answer is C
Explanation
Choice A reason:
Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).
Choice B reason:
Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.
Choice C reason:
This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.
Choice D reason:
Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.
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