A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

"Increase your intake of spicy foods to stimulate stomach acid production."

"Consume small, frequent meals throughout the day instead of three large meals."

"Avoid fluids with meals to reduce stomach distention and pressure."

"Include plenty of citrus fruits and juices in your diet for added vitamin C."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.

Choice B reason:

This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.

Choice C reason:

Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.

Choice D reason:

Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.

QUESTIONS

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Correct Answer is C

Explanation

Choice A reason:

Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason:

Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.

Choice C reason:

This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.

Choice D reason:

Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.

A. Percussion of the left lower quadrant B. Deep palpation of the epigastric region C. Palpation of the right upper quadrant during inspiration D. Auscultation of the left upper quadrant

Correct Answer is C

Explanation

Choice A reason:

Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.

Choice B reason:

Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.

Choice C reason:

This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.

Choice D reason:

Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.

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A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

Correct Answer is C

Explanation

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with acute cholecystitis. Which of the following symptoms should the nurse prioritize as a potential sign of a severe complication?

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A nurse is conducting a health screening for peptic ulcer disease risk factors in a community setting. Which of the following questions should the nurse include in the assessment?

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

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