Choice A rationale

Administering appropriate antibiotic therapy is a common nursing intervention to manage H. pylori infection. The recommended treatment for H. pylori typically involves using a triple-

drug therapy regimen, including a proton pump inhibitor or PPI like omeprazole, and two antibiotics, which include clarithromycin plus either metronidazole or amoxicillin. This treatment helps eradicate the bacterial infection through different mechanisms of action.

Choice B rationale

While maintaining a high-fiber diet is generally beneficial for overall health, it is not specifically related to the management of H. pylori infection. The primary treatment for H. pylori is antibiotic therapy, not dietary changes.

Choice C rationale

Over-the-counter antacids can help to neutralize stomach acid and provide temporary relief from symptoms, but they do not treat the underlying H. pylori infection. Therefore, while they may be used as part of symptom management, they are not a primary treatment strategy.

Choice D rationale

Assisting the patient with proper hand hygiene is always important in healthcare settings to prevent the spread of infections. However, it is not specifically related to the management of H. pylori infection. The bacteria are typically contracted during childhood, and the exact modes of transmission are not fully understood.

Choice A rationale
Surgery to increase mucus will not heal the ulcerations. Peptic ulcers are caused by an imbalance between the digestive fluids hydrochloric acid and pepsin, and the body’s ability to protect itself from these substances. The stomach and the duodenum have some protection from these acids, but if this protection is decreased, or the production of acids and pepsin is increased, an ulcer can form.
Choice B rationale
A common cause of peptic ulcer disease is an infection from Helicobacter pylori (H. pylori).
H. pylori is a bacterium that can damage the protective lining of your stomach and small intestine. This can lead to inflammation and ulcers.

Choice C rationale
Gastric ulcers do not occur more frequently than peptic ulcers. In fact, peptic ulcers include both gastric ulcers, which form on the lining of the stomach, and duodenal ulcers, which form on the lining of the upper part of the small intestine.
Choice D rationale
Erosion is not confined to the stomach and esophagus in peptic ulcer disease. Peptic ulcers can occur in the stomach and the duodenum, and less commonly, the lower esophagus.