A client is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain management. The nurse discusses the potential risk of peptic ulcer development with the client. Which of the following instructions should the nurse provide to minimize the risk?
"Take the NSAIDs with a glass of alcohol to enhance their effectiveness."
"Avoid taking NSAIDs on an empty stomach to prevent irritation."
"Consider using NSAID patches or creams instead of oral formulations."
"Consume a high-fiber diet to counteract the effects of NSAIDs on the stomach."
The Correct Answer is C
Choice A reason:
Taking NSAIDs with alcohol can increase the risk of gastrointestinal irritation and ulcer development. Alcohol should be avoided while taking NSAIDs.
Choice B reason:
Taking NSAIDs on an empty stomach can increase the risk of irritation and ulcer formation. To minimize this risk, NSAIDs should be taken with food or milk.
Choice C reason:
This statement is correct. Using NSAID patches or creams can provide pain relief without affecting the gastrointestinal tract, reducing the risk of peptic ulcer development.
Choice D reason:
While a high-fiber diet is generally beneficial for digestive health, it does not specifically counteract the effects of NSAIDs on the stomach lining.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Frequent consumption of spicy foods or citrus fruits can irritate the stomach lining and increase the risk of peptic ulcer development.
Choice B reason:
Family history of lung diseases is not directly related to the risk of peptic ulcer disease. However, family history of peptic ulcers or gastrointestinal conditions is relevant for risk assessment.
Choice C reason:
Experiencing frequent headaches is not a direct risk factor for peptic ulcer disease. However, the nurse should assess for other risk factors and medical history during the health screening.
Choice D reason:
Regular physical exercise is important for overall health, but it is not a direct risk factor for peptic ulcer disease. The nurse should focus on risk factors related to diet, medication use, and other medical conditions.
QUESTIONS
Correct Answer is C
Explanation
Choice A reason:
Hypertension and increased heart rate are not early signs of gastrointestinal bleeding. In fact, hypotension and tachycardia are more common signs of significant blood loss.
Choice B reason:
Abdominal distention and bloating are not typical early signs of gastrointestinal bleeding. These symptoms may occur due to other gastrointestinal issues but are not specific to bleeding.
Choice C reason:
This statement is correct. Melena, or black, tarry stools, is a classic sign of upper gastrointestinal bleeding and indicates the presence of partially digested blood in the stool.
Choice D reason:
Hyperactive bowel sounds are not early signs of gastrointestinal bleeding. Bowel sounds may be hyperactive or hypoactive depending on the severity of the bleeding and associated factors.
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