A female patient presents with epigastric pain and is being evaluated for peptic ulcer disease (PUD). Upon reviewing her history, which of the following risk factors would be most indicative of increasing his likelihood of developing PUD?

Social drinking of alcohol

Diet high in fiber and vegetables

Frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs)

History of seasonal allergies

Answer and Explanation

The Correct Answer is C

A. Social drinking of alcohol: While excessive alcohol consumption can irritate the stomach lining, social drinking is not as strongly associated with peptic ulcer disease as NSAID use.

B. Diet high in fiber and vegetables: A diet high in fiber and vegetables is generally protective against gastrointestinal issues and is not associated with an increased risk of PUD.

C. Frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs are one of the most common causes of peptic ulcers. They can damage the stomach lining and increase acid production, leading to ulcers.

D. History of seasonal allergies: Seasonal allergies have no direct link to the development of peptic ulcers and are not a risk factor for PUD.

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Correct Answer is A

Explanation

A. Measure abdominal girth daily. Measuring abdominal girth daily helps assess for changes in distention, which is important in monitoring the effectiveness of the decompression.

B. Moisten the client's lips with lemon-glycerin swabs: This is incorrect because lemon-glycerin swabs can dry the oral mucosa. Using plain water or normal saline swabs would be more appropriate.

C. Maintain the client in Fowler's position: This is appropriate as it helps promote drainage from the nasogastric tube and reduces the risk of aspiration.

D. Use sterile water to irrigate the nasogastric tube: Irrigation is typically done with normal saline to maintain electrolyte balance. Sterile water is not recommended for this purpose.

A. Laxatives are contraindicated in clients who have a small bowel obstruction. B. Bulk-forming laxatives such as psyllium should be substituted for this client. C. An osmotic laxative, such as magnesium citrate, should be substituted in this client. D. The prescribed medication should be administered via NG route rather than the oral route for this client.

Correct Answer is A

Explanation

A. Laxatives are contraindicated in clients who have a small bowel obstruction. Laxatives such as senna are contraindicated in bowel obstructions because they can increase peristalsis and exacerbate the blockage, leading to complications like bowel perforation or ischemia.

B. Bulk-forming laxatives such as psyllium should be substituted for this client: Bulk-forming laxatives like psyllium would not be appropriate either because they rely on bowel movement for efficacy. They could worsen the obstruction by adding bulk.

C. An osmotic laxative, such as magnesium citrate, should be substituted in this client: Osmotic laxatives, like magnesium citrate, are also contraindicated in bowel obstruction because they draw water into the bowel, which can worsen distension and pressure on the obstructed area.

D. The prescribed medication should be administered via NG route rather than the oral route for this client: While NG tubes may be used to decompress the bowel in cases of obstruction, administering a laxative through an NG tube would still be contraindicated, as laxatives increase the risk of further complications in bowel obstruction.

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A female patient presents with epigastric pain and is being evaluated for peptic ulcer disease (PUD). Upon reviewing her history, which of the following risk factors would be most indicative of increasing his likelihood of developing PUD?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

Correct Answer is A

Explanation

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