A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

"Limit your intake of fiber-rich foods to avoid gastrointestinal irritation."

"Avoid spicy and acidic foods that can increase stomach acid production."

"Increase your consumption of carbonated beverages to promote digestion."

"Include caffeine-containing beverages in your diet to stimulate gastric motility."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Limiting fiber-rich foods is not a recommended preventive strategy for peptic ulcer disease. In fact, fiber can aid digestion and promote bowel regularity, which may be beneficial for some clients with peptic ulcers.

Choice B reason:

This statement is correct. Spicy and acidic foods can irritate the stomach lining and increase stomach acid production, potentially worsening symptoms for clients with peptic ulcers.

Choice C reason:

Increasing consumption of carbonated beverages is not advised, as they can cause bloating and increased gas production, which may exacerbate symptoms for clients with peptic ulcers.

Choice D reason:

Caffeine-containing beverages should be limited or avoided, as caffeine can stimulate gastric acid secretion and may worsen symptoms for clients with peptic ulcers.

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Correct Answer is D

Explanation

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

A. "Avoid all dairy products to prevent H. pylori colonization." B. "Practice strict hand hygiene to reduce the risk of transmission." C. "Include raw vegetables in your diet to promote gut health." D. "Take over-the-counter antacids regularly to control stomach acidity."

Correct Answer is B

Explanation

Choice A reason:

Avoiding all dairy products is not a preventive measure for H. pylori reinfection. Dairy consumption does not play a significant role in H. pylori colonization or infection.

Choice B reason:

This statement is correct. H. pylori is primarily transmitted through the oral-oral or fecal-oral route. Practicing strict hand hygiene, especially after using the restroom and before eating, can help reduce the risk of transmission and reinfection.

Choice C reason:

Including raw vegetables in the diet is not a specific preventive measure for H. pylori reinfection. A balanced diet that promotes overall gut health may be beneficial, but raw vegetables alone do not prevent H. pylori reinfection.

Choice D reason:

Taking over-the-counter antacids regularly is not a preventive strategy for H. pylori reinfection. Antacids do not target the bacterium and are not effective in eradicating H. pylori.

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A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Correct Answer is D

Explanation

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

Correct Answer is B

Explanation

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