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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 C

Explanation

A. Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B. Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C. Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D. Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

A. “It is okay to take aspirin with GERD." B. "You should avoid or cut down on alcohol and caffeine which can aggravate GERD." C. There is no causal link between lying down after eating and increased onset of GERD." D. "You should avoid possible mercury-containing foods such as some seafood because of their risk to GERD."

Correct Answer is B

Explanation

A. Aspirin can irritate the gastrointestinal lining, making it unsuitable for patients with GERD.
B. Alcohol and caffeine both relax the lower esophageal sphincter, which can increase the risk of acid reflux and worsen GERD symptoms.
C. Lying down immediately after eating can increase the likelihood of acid reflux and exacerbate GERD symptoms.
D. While mercury-containing seafood can be harmful in other contexts, it is not directly linked to GERD and should not be a primary concern.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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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.)