A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

“Avoid consuming undercooked foods.”

“Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.”

“Avoid foods that have been fried.”

“Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.”

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Avoiding undercooked foods is generally good advice for preventing foodborne illnesses, but it is not specifically related to reducing the risk of peptic ulcers. Peptic ulcers are primarily caused by Helicobacter pylori infection and the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B Reason:

There is no established link between hormone replacement therapy and an increased risk of peptic ulcers. The primary risk factors for peptic ulcers include H. pylori infection, NSAID use, smoking, and excessive alcohol consumption.

Choice C Reason:

This is the correct answer. Fried foods can irritate the stomach lining and increase the production of stomach acid, which can exacerbate the symptoms of peptic ulcers and potentially contribute to their development. Avoiding fried foods can help reduce irritation and promote healing.

Choice D Reason:

There is no evidence to suggest that decongestants for seasonal allergies or colds are linked to the development of peptic ulcers. The main contributors to peptic ulcers are H. pylori infection and NSAID use.

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Correct Answer is B

Explanation

Choice A Reason:

Nutritional therapy focuses on dietary needs and ensuring patients receive adequate nutrition. While this is important for overall health, it does not directly address the swallowing difficulties experienced by patients with Parkinson’s disease.

Choice B Reason:

This is the correct answer. Speech therapy is essential for patients with Parkinson’s disease who have difficulty swallowing. Speech-language pathologists (SLPs) are trained to assess and treat swallowing disorders (dysphagia). They can provide exercises and strategies to improve swallowing function and reduce the risk of aspiration.

Choice C Reason:

Occupational therapy helps patients with daily living activities and improving motor skills. While occupational therapists can assist with feeding techniques, they do not specialize in treating swallowing disorders.

Choice D Reason:

Respiratory therapy focuses on breathing and lung function. It is not directly related to swallowing difficulties, although respiratory therapists may be involved if there are complications such as aspiration pneumonia.

A. The client should maintain systolic BP between 130 and 135 mm Hg. B. The client should maintain systolic BP between 141 and 145 mm Hg. C. The client should maintain systolic BP between 136 and 140 mm Hg. D. The client should maintain systolic BP between 120 and 129 mm Hg.

Correct Answer is D

Explanation

Choice A Reason: The client should maintain systolic BP between 130 and 135 mm Hg

Maintaining a systolic BP between 130 and 135 mm Hg is higher than the recommended range for someone who has experienced a transient ischemic attack (TIA). According to the American Heart Association, the goal for systolic BP in patients with a history of TIA or stroke should be lower to reduce the risk of recurrent events. While this range is not extremely high, it is still above the optimal target for secondary prevention.

Choice B Reason: The client should maintain systolic BP between 141 and 145 mm Hg

This range is significantly higher than the recommended target for systolic BP in patients with hypertension and a history of TIA. Elevated BP in this range increases the risk of recurrent stroke and other cardiovascular events. Effective BP management is crucial in reducing these risks, and maintaining a systolic BP in this range would not be advisable.

Choice C Reason: The client should maintain systolic BP between 136 and 140 mm Hg

Although this range is slightly lower than choice B, it is still above the optimal target for patients with a history of TIA. Research indicates that tighter BP control can significantly reduce the risk of recurrent strokes. Therefore, maintaining a systolic BP in this range would not be ideal for secondary prevention.

Choice D Reason: The client should maintain systolic BP between 120 and 129 mm Hg

This range aligns with the current guidelines for BP management in patients with a history of TIA or stroke. Maintaining a systolic BP between 120 and 129 mm Hg helps reduce the risk of recurrent cerebrovascular events4. This target is considered optimal for secondary prevention and is supported by evidence from various studies and clinical guidelines.

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A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who has Parkinson’s disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?

Correct Answer is B

Explanation

A nurse is providing discharge instructions to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?

Correct Answer is D

Explanation

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