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A nurse is caring for a client with peptic ulcer disease who is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis. Which of the following statements by the client indicates a need for further education?

"I will take the NSAIDs with food to minimize stomach irritation."

"I will notify my healthcare provider if I experience dark, tarry stools."

"I can take antacids whenever I feel heartburn after taking the NSAIDs."

"I should avoid drinking alcohol while on NSAIDs to reduce ulcer risk."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Taking NSAIDs with food can help reduce stomach irritation and the risk of developing peptic ulcers.

Choice B reason:

This statement is correct. Dark, tarry stools may indicate gastrointestinal bleeding, a potential complication of peptic ulcer disease. The client should promptly notify their healthcare provider if they experience this symptom.

Choice C reason:

This statement is incorrect and indicates a need for further education. While antacids can provide temporary relief from heartburn, they do not address the underlying issue of stomach irritation caused by NSAIDs. The client should avoid NSAIDs or discuss alternative pain management strategies with their healthcare provider.

Choice D reason:

Avoiding alcohol is advisable while on NSAIDs as alcohol can increase the risk of gastrointestinal bleeding and worsen peptic ulcer disease.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Chronic cholecystitis can lead to impaired gallbladder emptying, resulting in difficulties in digesting fats. Indigestion and bloating after meals are common manifestations of this problem.

Choice B reason:

Excessive stomach acid production is more associated with conditions like GERD or peptic ulcer disease, and it is not directly related to chronic cholecystitis.

Choice C reason:

Inflammation of the small intestine may cause abdominal pain, diarrhea, or malabsorption issues, but it is not specifically related to the symptoms described in the question.

Choice D reason:

Decreased production of pancreatic enzymes may lead to malabsorption issues and cause symptoms like diarrhea and steatorrhea. However, it is not the primary cause of indigestion and bloating after meals in chronic cholecystitis.

A. Right upper quadrant abdominal pain radiating to the right shoulder B. Left lower quadrant abdominal pain with rebound tenderness C. Midline epigastric pain aggravated by lying down D. Diffuse abdominal pain with a low-grade fever

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a hallmark symptom of cholecystitis. The pain is typically sudden, severe, and constant, and it is often triggered by a fatty meal.

Choice B reason:

Left lower quadrant abdominal pain with rebound tenderness is not characteristic of cholecystitis. It may indicate other conditions, such as diverticulitis or appendicitis.

Choice C reason:

Midline epigastric pain aggravated by lying down is more indicative of gastroesophageal reflux disease (GERD) rather than cholecystitis.

Choice D reason:

Diffuse abdominal pain with a low-grade fever may be seen in various conditions, but it does not specifically point to cholecystitis.

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A nurse is caring for a client with peptic ulcer disease who is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis. Which of the following statements by the client indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

Correct Answer is A

Explanation

A nurse is assessing a client suspected to have cholecystitis. Which of the following clinical manifestations should the nurse prioritize as a hallmark symptom of this condition?

Correct Answer is A

Explanation

A client with peptic ulcer disease is scheduled for an upper gastrointestinal endoscopy. The client asks the nurse about the purpose of the procedure. Which of the following responses should the nurse provide?

A nurse is reviewing the laboratory results of a client with suspected cholecystitis. Which of the following findings is consistent with this condition?

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

A client is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic pain management. The nurse discusses the potential risk of peptic ulcer development with the client. Which of the following instructions should the nurse provide to minimize the risk?

A nurse is caring for a client with a peptic ulcer who is prescribed histamine-2 (H2) receptor blockers. Which of the following laboratory values should the nurse monitor closely while the client is taking H2 receptor blockers?

A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

A client asks the nurse about the common risk factors for peptic ulcer disease. Which of the following responses should the nurse provide?