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 D

Explanation

Choice A Reason: Crohn’s disease looks like what would appear to be a second-degree burn in the colon and rectum areas only

This description is not accurate for Crohn’s disease. Crohn’s disease can affect any part of the gastrointestinal tract from the mouth to the anus, not just the colon and rectum. Additionally, describing it as a second-degree burn is misleading as it does not accurately represent the nature of the inflammation and ulceration seen in Crohn’s disease.

Choice B Reason: Crohn’s disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract

While this statement is medically accurate, it is not simplistic or non-medical. It uses technical terms like “transmural” and “granulomatous inflammation,” which may be difficult for a client to understand without a medical background. The goal is to provide a description that is easy to comprehend.

Choice C Reason: Crohn’s disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings

This description is more fitting for ulcerative colitis, another type of inflammatory bowel disease. Crohn’s disease is characterized by patchy areas of inflammation that can affect any part of the gastrointestinal tract, not just the colon and rectum. Therefore, this statement does not accurately describe Crohn’s disease.

Choice D Reason: Crohn’s disease has the appearance of a patchwork quilt with some areas that are clear and some with sores

This description is the most simplistic and non-medical. It effectively conveys the nature of Crohn’s disease, which involves patchy areas of inflammation interspersed with healthy tissue, resembling a patchwork quilt. This analogy helps clients visualize the condition without needing to understand complex medical terminology.

A. Alternate the use of ice and heat. B. Apply ice pack intermittently. C. Do not place ice pack directly on the skin. D. Leave ice pack on for no more than 20 minutes at a time.

Correct Answer is B

Explanation

Choice A Reason: Alternate the use of ice and heat

Alternating the use of ice and heat is not typically recommended for the initial treatment of a soft-tissue injury. Ice is generally used during the first 24-48 hours to reduce swelling and inflammation. Heat can be applied later to help relax muscles and improve blood flow, but it should not be used immediately after an injury as it can increase swelling.

Choice B Reason: Apply ice pack intermittently

Applying the ice pack intermittently is important to prevent skin damage and frostbite. It is generally recommended to apply ice for 15-20 minutes at a time, followed by a break of at least 20 minutes before reapplying. This helps to reduce swelling and pain without causing harm to the skin and underlying tissues.

Choice C Reason: Do not place ice pack directly on the skin

Placing an ice pack directly on the skin can cause frostbite and damage to the skin and tissues. It is important to wrap the ice pack in a thin cloth or towel before applying it to the injured area. This provides a barrier that protects the skin while still allowing the cold to penetrate and reduce swelling.

Choice D Reason: Leave ice pack on for no more than 20 minutes at a time

Leaving the ice pack on for no more than 20 minutes at a time is crucial to prevent frostbite and skin damage. Prolonged exposure to cold can cause harm, so it is important to limit the duration of each application and take breaks in between.

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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 teaching to a client who has a new diagnosis of Crohn’s disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

Correct Answer is D

Explanation

A nurse is teaching a client about the use of ice for treatment of a soft-tissue injury. Which of the following instructions should be included? (Select All that Apply.)

Correct Answer is B

Explanation

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