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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Consumption of spicy foods and carbonated beverages may exacerbate symptoms in individuals with peptic ulcer disease, but they are not direct risk factors for developing the condition.
Choice B reason:
Regular consumption of yogurt and probiotics may promote gastrointestinal health, but they are not specifically risk factors for peptic ulcer disease.
Choice C reason:
Frequent use of antacids for heartburn relief may indicate underlying acid-related issues, but it is not a risk factor for peptic ulcer disease.
Choice D reason:
This statement is correct. Long-term use of NSAIDs is a well-established risk factor for peptic ulcer disease. NSAIDs can irritate the stomach lining and increase the risk of ulcer formation.
Correct Answer is D
Explanation
Choice A reason:
Nausea and vomiting after meals are common symptoms in acute cholecystitis, but they do not indicate a severe complication. They are typical manifestations of gallbladder inflammation.
Choice B reason:
Mild right upper quadrant pain may be present in acute cholecystitis, but it does not suggest a severe complication.
Choice C reason:
Referred pain to the left shoulder (Kehr's sign) is a classic symptom of splenic rupture or other conditions involving the spleen, not directly related to cholecystitis.
Choice D reason:
This statement is correct. High fever and chills may indicate the presence of infection and sepsis, which can be severe complications of acute cholecystitis.
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