A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?

A. Epigastric pain is a common symptom of cholecystitis. Patients often experience pain in the upper abdomen, which can radiate to the right shoulder or back. This symptom is typical in cases of gallbladder inflammation.
B. Murphy's sign is a physical examination finding where the patient experiences pain upon palpation of the right upper quadrant during inspiration. This sign is indicative of gallbladder inflammation and is often associated with cholecystitis. Therefore, it is a manifestation of the condition.
C. Green colored stool is not typically associated with cholecystitis. Stool color can vary based on diet, medications, or the presence of bile. While pale or clay-colored stools can occur with obstruction of bile flow (such as with gallstones), green stools are more often related to rapid transit through the intestines, dietary factors, or certain infections rather than cholecystitis itself.
D. Nausea and vomiting are common symptoms of cholecystitis. Patients may experience these symptoms due to the inflammation and irritation of the gastrointestinal tract associated with gallbladder issues.

A. Bulimia involves episodes of binge eating followed by purging and can lead to a range of gastrointestinal issues, including esophageal damage and electrolyte imbalances. However, it is not a direct risk factor for the development of peptic ulcers. While it can affect the digestive system, it does not inherently increase the risk of ulcers.
B. Green tea is generally considered to have health benefits and is not typically associated with an increased risk of peptic ulcers. In some cases, it may even provide protective effects against gastric ulcers due to its antioxidant properties.
C. Moderate alcohol consumption can have varying effects on gastric mucosa. While excessive alcohol consumption is a risk factor for developing ulcers, moderate consumption, such as a glass of wine with dinner, is not typically considered a significant risk factor.
D. This is a well-established risk factor for peptic ulcer disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric lining and inhibit the production of protective mucus, leading to an increased risk of developing ulcers.