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 C

Explanation

Choice A reason:

Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.

Choice B reason:

Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.

Choice C reason:

This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.

Choice D reason:

Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.

A. Encourage the client to eat a large, well-balanced meal during mealtimes. B. Administer prescribed antacids 30 minutes before the client's meals. C. Instruct the client to lie flat immediately after eating to aid digestion. D. Provide the client with spicy foods to stimulate gastric secretions.

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.

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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

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