A nurse is conducting discharge teaching for a client with peptic ulcer disease. Which of the following findings would the client immediately report to the healthcare provider?

Worsening of epigastric pain

They have not stopped smoking

An increase in the number of bowel movements

The need for antacids daily

Answer and Explanation

The Correct Answer is A

Rationale:
A. Worsening epigastric pain may indicate complications such as perforation or bleeding, which require immediate medical attention.
B. Continuing to smoke is a concern and should be addressed, but it does not require urgent reporting.
C. An increase in bowel movements may occur due to medication or dietary changes and is not typically an emergency.
D. Daily antacid use suggests incomplete symptom control but is not an immediate danger; it can be addressed during follow-up care.

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Correct Answer is A

Explanation

Rationale:
A. Absent pulses and a pale foot are signs of compromised circulation, which may indicate compartment syndrome or arterial occlusion. This is a medical emergency requiring immediate evaluation and intervention by the primary care provider.
B. Repositioning the foot may not resolve the issue and delays necessary medical attention.
C. Warming the foot is inappropriate when signs of impaired circulation are present; it can mask symptoms and delay emergency care.
D. Delaying reassessment may result in permanent tissue damage if the issue is not addressed promptly. Immediate action is required.

A. Take the medication on an empty stomach B. Apply the medication topically over the affected joints C. Ensure that the medication is tapered when discontinued D. Notify the health care provider if vomiting blood

Correct Answer is D

Explanation

Rationale:
A. Taking NSAIDs on an empty stomach can increase the risk of gastrointestinal irritation and ulcers; they should be taken with food or milk.
B. Oral NSAIDs are not intended for topical use; topical NSAIDs are separate formulations.
C. NSAIDs do not require tapering before discontinuation; tapering is usually necessary with corticosteroids, not NSAIDs.
D. Vomiting blood may indicate gastrointestinal bleeding, a serious side effect of NSAIDs. Clients should be instructed to report this symptom immediately.

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A nurse is conducting discharge teaching for a client with peptic ulcer disease. Which of the following findings would the client immediately report to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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