A client with peptic ulcer disease is prescribed a combination therapy that includes antibiotics and acid-reducing medications. The client asks the nurse about the purpose of the antibiotics in the treatment. Which of the following responses should the nurse provide?
"The antibiotics will help to heal the ulcer and reduce stomach acid production."
"Antibiotics are prescribed to treat any bacterial infection that may be causing the ulcer."
"The antibiotics will promote blood clotting and reduce the risk of bleeding from the ulcer."
"Antibiotics will relax the stomach muscles and alleviate abdominal pain."
The Correct Answer is B
Choice A reason:
Antibiotics do not directly heal the ulcer or reduce stomach acid production. They are prescribed specifically to treat Helicobacter pylori (H. pylori) infection, a common cause of peptic ulcers.
Choice B reason:
This statement is correct. Antibiotics are prescribed to treat H. pylori infection, which is a major cause of peptic ulcers. By eliminating the bacterial infection, the ulcer has a better chance of healing and preventing recurrence.
Choice C reason:
Antibiotics do not promote blood clotting or reduce the risk of bleeding from the ulcer. Other medications may be prescribed to manage bleeding if it occurs.
Choice D reason:
Antibiotics do not relax stomach muscles or alleviate abdominal pain. Pain relief is typically achieved through acid-reducing medications and other pain management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A reason:
This statement is incorrect and indicates a need for further education. PPIs should be taken on an empty stomach, at least 30 minutes before meals, to allow for optimal absorption and effectiveness.
Choice B reason:
This statement is correct. Clients should continue taking the PPI for the full duration as prescribed, even if they start to feel better, to prevent ulcer recurrence.
Choice C reason:
This statement is correct. PPIs can decrease calcium absorption and increase the risk of osteoporosis in some clients. Increasing calcium intake or taking calcium supplements may be necessary for clients on long-term PPI therapy.
Choice D reason:
This statement is correct. Antacids can interfere with the action of PPIs, and clients should avoid taking them together. If needed, antacids should be taken at least 1 hour before or after the PPI.
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