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 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. Elevated serum amylase levels B. Increased serum creatinine levels C. Elevated white blood cell count D. Low serum bilirubin levels

Correct Answer is C

Explanation

Choice A reason:

Elevated serum amylase levels are more indicative of pancreatitis, not cholecystitis.

Choice B reason:

Increased serum creatinine levels are suggestive of kidney dysfunction and are not directly related to cholecystitis.

Choice C reason:

This statement is correct. Cholecystitis is associated with inflammation and infection, which can lead to an elevated white blood cell count (leukocytosis).

Choice D reason:

Low serum bilirubin levels are not consistent with cholecystitis, which can cause obstructive jaundice and elevated bilirubin levels due to bile duct obstruction.

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

Correct Answer is C

Explanation

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

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A client is diagnosed with peptic ulcer disease and asks the nurse about the common risk factors for this condition. Which of the following responses should the nurse provide?

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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?

A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?