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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A reason:

Administering antacids one hour before meals would be less effective in providing pain relief during mealtime when stomach acid production is increased.

Choice B reason:

This statement is correct. Administering antacids with meals helps neutralize stomach acid during the digestion process and provides pain relief for clients with peptic ulcer disease.

Choice C reason:

Administering antacids two hours after meals may not effectively reduce pain during the mealtime when stomach acid production is at its peak.

Choice D reason:

Administering antacids at bedtime may help with overnight acid reduction, but it may not adequately address pain during meals when acid production is higher.

A. "I will take the NSAIDs with food to minimize stomach irritation." B. "I will notify my healthcare provider if I experience dark, tarry stools." C. "I can take antacids whenever I feel heartburn after taking the NSAIDs." D. "I should avoid drinking alcohol while on NSAIDs to reduce ulcer risk."

Correct Answer is C

Explanation

Choice A reason:

Taking NSAIDs with food can help reduce stomach irritation and the risk of developing peptic ulcers.

Choice B reason:

This statement is correct. Dark, tarry stools may indicate gastrointestinal bleeding, a potential complication of peptic ulcer disease. The client should promptly notify their healthcare provider if they experience this symptom.

Choice C reason:

This statement is incorrect and indicates a need for further education. While antacids can provide temporary relief from heartburn, they do not address the underlying issue of stomach irritation caused by NSAIDs. The client should avoid NSAIDs or discuss alternative pain management strategies with their healthcare provider.

Choice D reason:

Avoiding alcohol is advisable while on NSAIDs as alcohol can increase the risk of gastrointestinal bleeding and worsen peptic ulcer disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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