A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

"Misoprostol is an antibiotic used to treat bacterial infections."

"Take misoprostol on an empty stomach at least 1 hour before meals."

"Avoid becoming pregnant while taking misoprostol, as it can cause birth defects."

"Misoprostol is used to reduce stomach acid production and prevent ulcers."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason:

Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.

Choice C reason:

This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.

Choice D reason:

Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.

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Correct Answer is A

Explanation

Choice A reason:

Frequent consumption of spicy foods or citrus fruits can irritate the stomach lining and increase the risk of peptic ulcer development.

Choice B reason:

Family history of lung diseases is not directly related to the risk of peptic ulcer disease. However, family history of peptic ulcers or gastrointestinal conditions is relevant for risk assessment.

Choice C reason:

Experiencing frequent headaches is not a direct risk factor for peptic ulcer disease. However, the nurse should assess for other risk factors and medical history during the health screening.

Choice D reason:

Regular physical exercise is important for overall health, but it is not a direct risk factor for peptic ulcer disease. The nurse should focus on risk factors related to diet, medication use, and other medical conditions.

QUESTIONS

A. Percussion of the left lower quadrant B. Deep palpation of the epigastric region C. Palpation of the right upper quadrant during inspiration D. Auscultation of the left upper quadrant

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.

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A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

Correct Answer is A

Explanation

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

Correct Answer is C

Explanation

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