A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

Assessing for signs of fluid overload

Monitoring liver function test results

Elevating the head of the client's bed

Checking for drug interactions with other medications

Answer and Explanation

The Correct Answer is A

Choice A reason:

Assessing for signs of fluid overload is a priority when administering PPIs intravenously, as these medications can increase the risk of fluid retention in some clients.

Choice B reason:

Monitoring liver function test results is important for clients taking certain medications, but it is not the priority when administering PPIs to this client.

Choice C reason:

Elevating the head of the client's bed is a standard measure to prevent aspiration and improve digestion, but it is not the priority in this scenario.

Choice D reason:

Checking for drug interactions with other medications is essential for safe medication administration, but it is not the priority when administering PPIs intravenously to this client.

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Correct Answer is C

Explanation

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.

A. "You should watch for mild bloating and gas after meals." B. "Warning signs may include black, tarry stools or vomiting blood." C. "Occasional heartburn is a common sign of ulcer healing." D. "Feeling fatigued and sleepy after meals is typical with ulcers."

Correct Answer is B

Explanation

Choice A reason:

Mild bloating and gas after meals may be common gastrointestinal symptoms but are not specific warning signs of complications related to peptic ulcer disease.

Choice B reason:

This statement is correct. Black, tarry stools (melena) or vomiting blood (hematemesis) are potential signs of gastrointestinal bleeding, a serious complication of peptic ulcer disease. Clients should seek immediate medical attention if they experience these symptoms.

Choice C reason:

Occasional heartburn may occur during the course of ulcer healing but is not considered a warning sign of complications.

Choice D reason:

Feeling fatigued and sleepy after meals is not typically associated with peptic ulcer disease or its complications.

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A nurse is caring for a client with peptic ulcer disease who is receiving intravenous proton pump inhibitors (PPIs) to reduce stomach acid production. Which of the following nursing actions is a priority when administering PPIs to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client with a history of peptic ulcer disease. The client asks the nurse about warning signs of potential complications. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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