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A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis?
(Select All that Apply.)

High fiber diet

Chronic diarrhea

Weight gain

Burning stomach pain that occurs between meals or at night

Coughing and wheezing

Presence of Helicobacter pylori infection

Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Positive urea breath test

Elevated blood glucose levels

Answer and Explanation

Correct Answer : D,F,G,H

A.   A high-fiber diet is generally beneficial for gastrointestinal health but does not directly relate to peptic ulcer disease.

B.   Chronic diarrhea is not typically a symptom of peptic ulcer disease.
C.   Weight gain is not commonly associated with peptic ulcers, though weight loss due to nausea or pain may occur.
D.   Burning stomach pain between meals or at night is a classic symptom of peptic ulcers, often caused by gastric acid.
E.   Coughing and wheezing are not associated with peptic ulcers, but may indicate other conditions like asthma.
F.   Helicobacter pylori infection is a leading cause of peptic ulcers, and its presence supports this diagnosis.
G.   The use of NSAIDs is a well-known risk factor for peptic ulcers, as they can damage the stomach lining.
H.   A positive urea breath test indicates the presence of H. pylori, supporting a diagnosis of peptic ulcer disease.

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Correct Answer is D

Explanation

A. Klebsiella pneumoniae is a Gram-negative bacterium and is typically associated with more severe pneumonia, particularly in patients with underlying lung disease, but it does not form clusters.
B. Streptococcus pneumoniae is a common cause of pneumonia but typically appears as Gram-positive cocci in pairs or chains, not clusters.
C. Escherichia coli is a Gram-negative bacterium that generally causes urinary tract infections and is not a common cause of pneumonia with Gram-positive cocci in clusters.
D. Staphylococcus aureus is a Gram-positive bacterium that forms clusters and is a common cause of pneumonia, particularly in young, otherwise healthy individuals, and can present with fever, chills, and productive cough. This fits the presentation and sputum findings in this patient.

A. Using a tartar and plaque-reducing mouthwash can decrease the incidence of caries. B. As of 2020, the 5-year survival rate of oral cancer remains low at less than 50%. C. Brushing and flossing your teeth decreases the incidence of cardiovascular disease. D. Untreated caries can contribute to tooth loss and negatively impact a client's quality of life.

Correct Answer is D

Explanation

A. Using mouthwash may reduce tartar and plaque, but it does not address the severe risks associated with tobacco use, such as oral cancer.
B. The 5-year survival rate for oral cancer is low, but it is not specifically tied to the year 2020 and should be emphasized in a broader context.
C. Brushing and flossing are essential for oral health, but they do not directly relate to cardiovascular disease prevention.
D. Tobacco use can significantly increase the risk of caries, tooth loss, and other oral health problems, negatively affecting the client's quality of life.

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A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis? (Select All that Apply.)

Nursing Test Bank

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A nurse is assessing a patient diagnosed with peptic ulcer disease. Which findings would support this diagnosis?
(Select All that Apply.)