A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?
Encourage the client to eat a large, well-balanced meal during mealtimes.
Administer prescribed antacids 30 minutes before the client's meals.
Instruct the client to lie flat immediately after eating to aid digestion.
Provide the client with spicy foods to stimulate gastric secretions.
The Correct Answer is B
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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Related Questions
Correct Answer is B
Explanation
Choice A reason:
Recovering fully within 1-2 weeks after surgery for a peptic ulcer perforation may be overly optimistic. The recovery time is typically longer and depends on the individual's health status and the extent of the surgery.
Choice B reason:
This statement is correct. The recovery time after surgery for a peptic ulcer perforation varies depending on factors such as the type of surgery performed, the extent of the perforation, and the client's overall health. It may take several weeks to months for the client to fully recover.
Choice C reason:
Resuming normal activities immediately after surgery for a peptic ulcer perforation is not advisable. Clients usually require a period of rest and limited activity to allow proper healing.
Choice D reason:
Recovering fully in 6 months may be an extended recovery period. While some clients may experience a longer recovery, it is not a standard time frame for everyone.
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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