A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Hypertension and increased heart rate

Abdominal distention and bloating

Melena (black, tarry stools)

Hyperactive bowel sounds

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

Choice A reason:

A diet high in fiber and low in fat is generally considered healthy, but it is not specifically associated with an increased or decreased risk of peptic ulcer disease.

Choice B reason:

Smoking and alcohol consumption are indeed risk factors for peptic ulcer disease. They can contribute to the development and exacerbation of ulcers.

Choice C reason:

This statement is correct. The use of NSAIDs, such as aspirin and ibuprofen, and Helicobacter pylori infection are well-established risk factors for peptic ulcer disease.

Choice D reason:

While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are H. pylori infection and the use of NSAIDs.

A. "Take sucralfate on an empty stomach at least 1 hour before meals." B. "Crush the sucralfate tablets and mix them with water for easier swallowing." C. "Take sucralfate with antacids to enhance its effectiveness." D. "Avoid taking sucralfate with any other medications to prevent interactions."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Sucralfate is best taken on an empty stomach at least 1 hour before meals to allow it to form a protective barrier over the ulcer and provide optimal therapeutic effects.

Choice B reason:

Crushing sucralfate tablets is not recommended, as it may interfere with the medication's ability to adhere to the ulcer site and provide protection.

Choice C reason:

Taking sucralfate with antacids may reduce its effectiveness, as antacids can interfere with its therapeutic actions. It is best to take sucralfate separately from antacids.

Choice D reason:

It is essential to avoid taking sucralfate with other medications, especially those that require an acidic environment for absorption. This is because sucralfate can decrease the absorption of certain drugs.

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A client with peptic ulcer disease is at risk of developing a gastrointestinal bleed. The nurse should assess the client for which of the following early signs of bleeding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with peptic ulcer disease and asks the nurse about the common risk factors for this condition. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is caring for a client with peptic ulcer disease who is prescribed sucralfate. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Correct Answer is A

Explanation

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