A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Diarrhea
Dyspepsia
Epigastric discomfort
Hematemesis
The Correct Answer is D
Choice A reason:
While diarrhea can be a symptom of peptic ulcer disease, it is not typically considered a priority over more severe symptoms.
Choice B reason:
Dyspepsia (indigestion) is a common symptom of peptic ulcer disease, but it is not the priority over more concerning symptoms.
Choice C reason:
Epigastric discomfort is a symptom of peptic ulcer disease, but it is not the priority over more severe symptoms like hematemesis.
Choice D reason:
Hematemesis (vomiting blood) is a serious and potentially life-threatening symptom of peptic ulcer disease. It is the top priority for assessment and intervention.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
A dinner roll is a generally well-tolerated food option and is unlikely to exacerbate gallbladder inflammation.
Choice B reason:
Tapioca pudding is a soft and easily digestible food, which is suitable for a patient with acute gallbladder inflammation.
Choice C reason:
Mashed potatoes are typically considered a bland and easily digestible food, suitable for a patient with gallbladder inflammation.
Choice D reason:
Fried chicken is high in fat, which can trigger gallbladder symptoms and exacerbate
inflammation. Therefore, it is not an appropriate choice for a patient with acute gallbladder inflammation. The nurse should question this item on the tray.
Correct Answer is C
Explanation
Choice A reason:
While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.
Choice B reason:
Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.
Choice C reason:
This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.
Choice D reason:
Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.
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